SUBJECTIVE AND OBJECTIVE OUTCOMES ON DENTURE ADHESIVE USAGE AMONG COMPLETE DENTURE WEARERS

Abstract

The propose of this clinical study was to evaluate the subjective and objective assessment factors affecting decision of complete denture wearers to use or not use denture adhesive. Sixty-six fully edentulous using upper and lower conventional complete dentures (aged 53 to 83 years) were recruited in this study. (1) Condition of denture-supporting tissue (ACP classification), (2) denture quality (CU-modified kapur criteria), (3) patients’ satisfaction in prostheses and (4) oral impact on daily performances (OIDP) were evaluated as baseline (T0). All participants were assigned to use denture adhesive (Polident®, Ireland) for 1 month period and made decision by themselves to continue (Group U) or stop (Group NU) using denture adhesive. Patients’ satisfaction in prostheses and OIDP were evaluated again at T1 (T0 + 1 month), and T2 (T1 + 1 month). The results showed that Group U had more significant proportion of unacceptable mandibular denture quality, dissatisfied with their prostheses and oral impact, compared with Group NU (p<0.05). The use of denture adhesive in Group U improved satisfaction in prostheses and oral impact along the study period, while Group NU had worsened on these parameters. Group NU had improved satisfaction in prostheses and oral impact again after they stop using denture adhesive. The results showed that denture adhesive did not necessary for all complete denture wearers. In conclusion, oral impact and mandibular denture quality were the best subjective and objective assessments affected the decision of complete denture wearers to use or not use denture adhesive, respectively. Complete denture wearers who had eating impact or had any activities impact and had unacceptable mandibular denture quality could be improved their OHRQoL after using denture adhesive.