Does the use of an adhesive improve conventional complete dentures? A systematic review of randomized controlled trials

Lemos, Cleidiel Aparecido Araújo; Carreiro, Adriana da Fonte Porto; Rosa, Cléber Davi Del Rei Daltro; Gomes, Jml; Limírio, João Pedro Justino de Oliveira; Mendonça, Gustavo; Pellizzer, Eduardo Piza

doi:10.1016/j.prosdent.2020.11.041

Cited by 13 publications

(12 citation statements)

References 23 publications

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“…Evidence suggests that long-term use of DAs can cause polyneuropathies linked with spinal cord damage as a consequence of the high absorption of zinc in DAs [ 26 , 27 ]. Moreover, a previous study has shown that only 20% of the participants knew the adverse effects of zinc-containing DAs [ 28 ]. Similarly, another study reported that most general practitioners and other specialists were unaware of extended use of zinc-containing DAs, resulting in neurological damage [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Denture Adhesive Utilization and Associated Factors among Dental Practitioners in the Eastern Province, Saudi Arabia

Gad,

Almusallam,

Almarar

et al. 2023

Medicina

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Background: Denture adhesives (DAs) enhance denture retention and stability, thus improving functions of removable prostheses. However, the adverse effects of DAs on denture foundation area were also reported. The clinical use of DAs among dentists has not been investigated in Saudi Arabia. Therefore, this study aimed to evaluate utilization of DAs and associated factors among dental practitioners in Saudi Arabia. Methods: This cross-sectional study included dental professionals practicing in both public and private sectors in the Eastern Province of Saudi Arabia. A self-administered pilot tested questionnaire was distributed among participants. The questionnaire has questions related to demographic information, knowledge and awareness, and the utilization of DAs. Bivariate and multiple logistic regression analyses were performed. Results: The study included 279 participants with a response rate of 79.03%. The majority of participants (61.6%) were below 35 years of age, males (56.6%), general dentists (57.3%), and worked in the private sector (59.9%). Less than half of the participants (39.4%) used DAs in their dental practice, and 64.5% recommended using DAs when needed. The most reported complications of DAs included inflammation (58.40%), ulcers (35.10%), and whitish color (31.20%) of denture foundation area. A vast majority (83.90%) reported that DAs improve retention of the dentures. About 55.2% of the participants were taught about DAs in their undergraduate programs, 12.5% attended continuing education, and 21.5% updated their knowledge about DAs. Multiple logistic regression showed that those who attended continuing education activities (adjusted OR = 2.41, p = 0.036) and updated their knowledge about DAs (adjusted OR = 4.43, p = < 0.001) were significantly more likely to use DAs in their dental practice. Conclusion: A minority of dental practitioners used DAs in their practices. Attending continuing education programs and updating knowledge of DAs were significantly associated with DAs utilization.

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Section: Discussionmentioning

confidence: 99%

Denture Adhesive Utilization and Associated Factors among Dental Practitioners in the Eastern Province, Saudi Arabia

Gad,

Almusallam,

Almarar

et al. 2023

Medicina

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“…Systematic reviews and meta-analyses have demonstrated that DAs can provide significantly improved retention and stability, as well as increased patient satisfaction and comfort. 4,7,8 Studies have consistently shown improved retention specifically for maxillary dentures. [9][10][11][12] However, studies have reported variable duration of the increased retention offered by DAs, with a reported range of 3 to 12 h. [8][9][10] Denture wearers can choose from liquid, powder, wafer, gel, paste, or cream adhesives, 4,5 formulated with a variety of ingredients.…”

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confidence: 99%

“…Denture adhesives (DAs) are one treatment modality used to enhance the retention of dentures. Systematic reviews and meta‐analyses have demonstrated that DAs can provide significantly improved retention and stability, as well as increased patient satisfaction and comfort 4,7,8 . Studies have consistently shown improved retention specifically for maxillary dentures 9–12 .…”

mentioning

confidence: 99%

“…Studies have consistently shown improved retention specifically for maxillary dentures 9–12 . However, studies have reported variable duration of the increased retention offered by DAs, with a reported range of 3 to 12 h 8–10 …”

mentioning

confidence: 99%

“…4,7,8 Studies have consistently shown improved retention specifically for maxillary dentures. [9][10][11][12] However, studies have reported variable duration of the increased retention offered by DAs, with a reported range of 3 to 12 h. [8][9][10] Denture wearers can choose from liquid, powder, wafer, gel, paste, or cream adhesives, 4,5 formulated with a variety of ingredients. Some ingredients confer flavor, anti-microbial properties, and plasticizing effects.…”

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confidence: 99%

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A randomized controlled trial assessing denture adhesive efficacy on denture retention across 13 hours

Klukowska,

Grender,

Gossweiler

2023

Journal of Prosthodontics

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PurposeTo compare the effects of two denture adhesive formulations on the bite force required to dislodge a maxillary denture in adult participants during a 13‐hour test period.Materials and methodsTwenty‐two participants with a fair‐to‐poor fitting maxillary denture opposed by natural dentition or a stable mandibular denture were enrolled in this single‐center, randomized, double‐blind, two‐treatment, 4‐period crossover study. Participants were randomly assigned a product usage sequence so that each participant used each product twice during the 4‐day test period. The test product was a denture cream adhesive formulated with an optimized calcium/zinc partial salt of polyvinyl methyl ether/maleic acid (Fixodent Ultra technology); the control product was a cream adhesive formulated with a calcium/zinc partial salt of polyvinyl methyl ether/maleic acid (Fixodent Original technology). On each study day, bite force at dislodgement was measured with a gnathodynamometer at baseline, representing the “no adhesive” score. Then, after standardized product application to the participant's existing maxillary denture by site staff, bite force measurements were retaken at 1, 3, 5, 7, 9, 11, and 13 hours. The change from baseline and the 13‐hour area under the bite‐force–change‐from‐baseline curve were analyzed via an analysis of variance.ResultsTwenty‐one participants completed all test periods; one additional participant completed 3 test periods so twenty‐two participants were included in the analysis. There were fifteen females and 7 males with a mean age of 70 years. The mean 13‐hour area under the bite‐force–change‐from‐baseline curve was 8% greater (p = 0.010) for the test adhesive (114.3 lb) than for the control adhesive (105.9 lb). Both adhesives showed a statistically significant increase in bite force (p < 0.001) at each time point compared to no adhesive.ConclusionsThe optimized calcium/zinc partial salt of polyvinyl methyl ether/maleic acid test adhesive provided superior maxillary denture retention relative to that of the control adhesive across 13 hours. Both adhesives increased bite force at dislodgement compared to no adhesive.This article is protected by copyright. All rights reserved

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Dental composite materials based on Zn/Al‐layered double hydroxide and their physical mechanical properties

Edkheil,

Vuksanović,

Savić

et al. 2024

Polymer Composites

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Dental materials' demands can be answered using composite materials, as composite properties are suitable for tailoring the material's behavior. Poly (methyl methacrylate) (PMMA) is usually a material of choice in dental applications, and its mechanical properties can be improved in terms of modulus, strength, and hardness. The chosen reinforcement in this publication was Zn/Al‐layered double hydroxide (LDH), as this material has functional property modification possibilities. The reinforcement was synthesized using the coprecipitation process on a laboratory scale. The dispersion of the reinforcement was done with ultrasonication, and the composites prepared contained 1, 3, and 5 wt% of reinforcement, and the so‐prepared composites were compared to the matrix. Improvements were observed in terms of the elastic modulus and tensile strength, and the best performance was observed in the composite with 3 wt% of particles. Hardness increased with the addition of particles and the higher the particle content, the better the hardness. Materials were tested using dynamic mechanical techniques, and it was proven that the addition of particles lowers the Tg of the composite compared to the pure matrix. The addition of particles diminished the affinity of the material for polar liquids such as water.Highlights Zn/Al‐layered double hydroxide is used to reinforce acrylic matrix. Composite with improved strength, modulus, and microhardness. Addition of a layered double hydroxide decreases hydrophobicity of composite.

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Does the use of an adhesive improve conventional complete dentures? A systematic review of randomized controlled trials

Cited by 13 publications

References 23 publications

Denture Adhesive Utilization and Associated Factors among Dental Practitioners in the Eastern Province, Saudi Arabia

Denture Adhesive Utilization and Associated Factors among Dental Practitioners in the Eastern Province, Saudi Arabia

A randomized controlled trial assessing denture adhesive efficacy on denture retention across 13 hours

Dental composite materials based on Zn/Al‐layered double hydroxide and their physical mechanical properties

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