Choice of Occlusal Schemes in Complete Denture Prosthesis based on Comparative Analysis of Masticatory Performance with Each Occlusal Design – An In-Vitro Study.

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Gautam Naskar, Anasua Debnath, Priyanjali Paul, Tridib Nath Banerjee, Saurav Banerjee, Baisakhi Mallick

Abstract

Background: To compare the masticatory performance in complete denture with three different occlusal schemes and assess the masticatory performance.


Aim: Loss of chewing ability is the biggest challang encountered by complete denture wearers. The aim of the study is to restore masticatory function, aesthetics, phonetics as well as preservation of alveolar ridge.According to some authors the occlusal scheme plays an important role for restoring lost functions in complete denture wearers.This study aims at searching the preferable occlusion scheme for a particular edentulous patients.The initial period of adaptation of dentures with different occlusal schemes need to be observed and evaluated.


Materials and methods


18 patients of age group between 55 to 70 years with same eligible criterias were selected for the study. They were given three sets of complete denture of different occlusal schemes. The masticatory performance test was performed using seiving method.The obtained data was statistically analysed and conclusion was drawn.


Conclusion


No specific occlusal scheme can fulfill all the criteria of an ideal occlusal scheme. Each scheme has both advantages and disadvantages.Masticatory performance is found out to be  almost same for all the occlusal schemes. Hence the choice of occlusal scheme should be done according to the customised need for the particular patient. Preference of operator also plays an important role in this regard.An initial phase of 8 to 10 weeks is essential for adaptation of the denture so that the patient can chew efficiently and comfortably.

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