title: Effect of a denture adhesive on the satisfaction and kinesiographic parameters of complete denture wearers: a cross-over randomized clinical trial.
abstract: The aim of the present study was to assess the effect of a denture adhesive (DA) on patient satisfaction and kinesiographic parameters of complete denture wearers by a cross-over study. Fifty edentulous patients received a set of new complete dentures. After an adaptation period, the participants were enrolled in the trial and randomized to receive a sequence of treatment protocols: Protocol 1- DA use during the first 15 days, followed by no DA for the next 15 days; Protocol 2- no DA during the first 15 days, followed by use of DA for the next 15 days. Outcomes were assessed after 15 days of each sequence of treatment. A questionnaire was used to assess the patients' satisfaction. A kinesiograph was used to record mandible movements and patterns of maxillary complete denture movement during chewing. The Wilcoxon test (α=0.05) and a paired sample t-test (α=0.05) were used to compare satisfaction levels and kinesiographic data, respectively. Use of DA improved the overall level of patient satisfaction (p<0.001). The kinesiographic recordings revealed a significant increase (1.7 mm) in vertical mandible movements (p<0.001) during chewing and a lower (0.3 mm) vertical intrusion of the maxillary complete dentures (p=0.002) during chewing after using the DA. Use of DA in complete denture wearers improved the patients' satisfaction and altered mandible movements, with increases in vertical movements during chewing and less intrusion of maxillary complete dentures.
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Danny Omar Mendoza
authors.initials: DO
authors.lastname: Marin
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Andressa Rosa Perin
authors.initials: AR
authors.lastname: Leite
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: André Gustavo
authors.initials: AG
authors.lastname: Paleari
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Larissa Santana
authors.initials: LS
authors.lastname: Rodriguez
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Norberto Martins de
authors.initials: NM
authors.lastname: Oliveira Junior
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Ana Carolina
authors.initials: AC
authors.lastname: Pero
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara Dental School, UNESP- Univ Estadual Paulista, Araraquara, SP, Brazil.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Compagnoni
mesh_terms: D000180:Acrylic Resins / Q000737:chemistry; D000269:Adhesives / Q000737:chemistry*; D000368:Aged; D018592:Cross-Over Studies; D003764:Dental Materials / Q000737:chemistry; D003768:Dental Occlusion, Centric; D003779:Denture Design; D003781:Denture Retention / Q000523:psychology*; D003824:Denture, Complete / Q000523:psychology*; D003827:Denture, Complete, Upper; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008334:Mandible / Q000502:physiology; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000503:physiopathology / Q000534:rehabilitation; D009068:Movement; D017060:Patient Satisfaction; D016896:Treatment Outcome; D014716:Vertical Dimension
chemical_list: D000180:Acrylic Resins; D000269:Adhesives; D003764:Dental Materials; C040291:Lucitone