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Incidence and risk factors for non-adaptation of new mandibular complete dentures: a clinical trial

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Abstract

Objective

To investigate the incidence and risk factors for non-adaptation of the conventional mandibular complete denture (CMCD).

Materials and methods

A total of 108 edentulous patients were rehabilitated with complete dentures (CDs) and followed up at 3- and 6-month intervals. Adaptation was confirmed based on chewing, phonetics, and comfortable swallowing with the CDs. The risk factors among sociodemographic and patient-centered factors were analyzed. Statistical analyses included the chi-square test and then a multivariate analysis.

Results

After 3 months, 38.0% of patients showed non-adaptation to CMCDs. Non-adaptation was significantly associated with the absence of previous mandibular denture experience (p = 0.042), ulcerations after 15 days of rehabilitation (p < 0.001), and a reduced posterior mandibular ridge (p = 0.035). After 6 months, this incidence decreased to 14.1%. The factors associated with non-adaptation were ulcerative lesions after 15 (p < 0.001) and 30 (p < 0.001) days of the delivery of CDs and the non-regular use of mandibular CDs (p < 0.001).

Conclusion

The incidence of non-adaptation was higher after 3 months, with reduction after 6 months. Sociodemographic variables did not influence the adaptation. After 3 months, the absence of previous experience, traumatic ulcers, and reduced mandibular ridges hindered the adaptation of patients to mandibular CDs. After 6 months, only the occurrence of ulcerative lesions and non-regular wear of dentures were risk factors for non-adaptation.

Clinical relevance

A considerable number of patients have difficulties in adapting to the mandibular dentures. Identifying the factors of non-adaptation of the dentures will contribute to increasing the predictability of this critical adaptation period.

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Funding

This study was financed in part by the Coordination for the Improvement of Higher Education Personnel (CAPES) – Finance Code 001.

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Authors and Affiliations

  1. Department of Dentistry, Federal University of Rio Grande do Norte (UFRN), Av. Sen. Salgado Filho, 1787, Lagoa Nova, Natal, RN, 59056-000, Brazil

    Anne Kaline Claudino Ribeiro, Aretha Heitor Veríssimo, Annie Karoline Bezerra de Medeiros, Rachel Gomes Cardoso, Laércio Almeida de Melo & Adriana da Fonte Porto Carreiro

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  1. Anne Kaline Claudino Ribeiro
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  2. Aretha Heitor Veríssimo
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Contributions

Anne Kaline Claudino Ribeiro: study conception and design, the realization of the clinical steps, acquisition of data, analysis and interpretation of data; drafting the manuscript, critical revision; final approval of the revised and submitted version

Aretha Heitor Veríssimo: study conception and design, the realization of the clinical steps, acquisition of data, analysis and interpretation of data; drafting the manuscript, critical revision; final approval of the revised and submitted version

Annie Karoline Bezerra de Medeiros: study conception and design, analysis and interpretation of data; critical revision; final approval of the revised and submitted version

Rachel Gomes Cardoso: realization of the clinical steps, acquisition of data, analysis and interpretation of data; critical revision; final approval of the revised and submitted version

Laércio Almeida de Melo: study conception and design, analysis and interpretation of data; critical revision; final approval of the revised and submitted version

Adriana da Fonte Porto Carreiro: study conception and design, supervised the study, analysis and interpretation of data; drafting the manuscript, critical revision; final approval of the revised and submitted version

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Correspondence to Adriana da Fonte Porto Carreiro.

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The study was approved by the Institutional Ethics Committee (protocol number 3949924) and registered in the Brazilian Registry of Clinical Trials (REBEC, protocol number RBR-22rb9m). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ribeiro, A.K.C., Veríssimo, A.H., de Medeiros, A.K.B. et al. Incidence and risk factors for non-adaptation of new mandibular complete dentures: a clinical trial. Clin Oral Invest 26, 4633–4645 (2022). https://doi.org/10.1007/s00784-022-04432-x

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