title: Effect of complete and partial removable dentures on chewing movements.
abstract: Partial or complete edentulism impairs mastication. However, it is unclear how the chewing cycle is affected by prosthetics. We evaluated the chewing movements of patients fitted with complete (CD) or removable partial denture (RPD). A total of 29 subjects were kinesiographically evaluated during chewing of peanuts and Optocal portions in a random sequence. The subjects were divided into two groups according to prosthesis type. Group RPD was composed of 14 partially edentulous patients using a lower distal extension RPD (mean age 61 ± 8 years), and group CD contained 15 completely edentulous patients using CD (mean age 65·9 ± 7·9 years) in both jaws. Opening, closing, occlusal and masticatory cycle times, movement angle (opening and closing), maximum velocity (opening and closing), total area and chewing cycle amplitudes were evaluated. The results were subjected to anova and Tukey's HSD test at a significance level of 5%. The RPD group exhibited shorter opening and closing phases and masticatory cycle time (P < 0·05). Maximum velocities were also higher in the RPD group, irrespective of the test material (P < 0·05). The area and amplitude of the chewing envelope was smaller in the CD group (P < 0·0001). The test material did not influence chewing cycles in any of the parameters evaluated (P > 0·05). RPD wearers use a faster chewing sequence with greater vertical and lateral jaw excursions compared with CD wearers.
authors.affiliation: Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
authors.forename: T M S V
authors.initials: TM
authors.lastname: Gonçalves
authors.forename: L S R
authors.initials: LS
authors.lastname: Vilanova
authors.forename: L M
authors.initials: LM
authors.lastname: Gonçalves
authors.forename: R C M
authors.initials: RC
authors.lastname: Rodrigues Garcia
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003824:Denture, Complete / Q000009:adverse effects*; D003832:Denture, Partial, Removable / Q000009:adverse effects*; D006801:Humans; D008409:Mastication / Q000502:physiology*; D008875:Middle Aged; D013997:Time Factors
keywords: applied kinesiology; complete denture; eating; jaw motion; mastication; removable partial denture