Hypothetical Model of How a Clinical Remount Procedure Benefits Patients with Existing Dentures: A Narrative Literature Review

Abstract

The clinical remount procedure, which involves remounting the dentures on an articulator with interocclusal records, can effectively reduce occlusal discrepancies. This procedure can be applied not only to new dentures but also to those already in service; however, research in this field is still scarce. This narrative review aims to establish a hypothetical mechanism and possible indications and contraindications for this technique as a basis for further research. Current studies have revealed a high prevalence of malocclusion in delivered dentures. Performing a clinical remount on these existing dentures would enhance the oral function of the denture wearer and would enable effective and accurate correction of the accumulated errors in the jaw relationship in a stable working environment. This technique should be performed if a patient has poor masticatory function or occlusion-related complaints. However, performing a clinical remount on dentures with an excessive anterior–posterior discrepancy between the centric relation and the maximal intercuspal position or on dentures with extremely low occlusal vertical dimension, is considered less effective. The clinical remount procedure remains an essential skill both for fabricating quality dentures and maintaining those already in service.

Oral Health-Related Quality of Life Changes after Clinical Remounting of Existing Dentures

“…This study aimed to reveal the merits of performing clinical remount procedures on existing dentures by assessing patients’ OHRQoL. According to the previous review, rebalancing of the occlusion was indicated only if patients reported occlusion-related complaints with their existing dentures [ 7 ]. Therefore, it would be extremely difficult and unethical to intentionally create such niche treatment needs to conduct well-controlled, prospective research.…”

“…Previous review examined the extraoral method, also known as the clinical remount procedure, an accurate and efficient way to correct cumulative errors in the jaw relationship [ 7 ]. Schierano et al reported that a patient’s thickness discrimination ability was enhanced after a clinical remount was performed on existing dentures [ 5 ].…”

Mastication Wear of Two Low Profile Attachment Systems for Overdenture: An In Vitro Study

“…There are many options available to ensure a physiological dentition, such as traditional dentures, implant-supported fixed prosthesis, and implant-retained removable overdenture [12][13][14][15][16][17]. Traditional dentures are no longer considered an adequate therapeutic choice [14,18].…”

“…Because of these characteristics, the literature investigating overdenture has increased in the past years. Several studies have evaluated the correlation between the retention strength of the attachments and the stability of the prosthesis, the quality of masticatory function, and the patient satisfaction [13,[29][30][31]. Different research focused on the characteristics of attachments, such as material, design, and dimensions.…”