Banca de DEFESA: ANNE KALINE CLAUDINO RIBEIRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANNE KALINE CLAUDINO RIBEIRO
DATE: 29/09/2020
TIME: 09:30
LOCAL: PLATAFORMA REMOTA
TITLE:

Risk factors to the adaptation of conventional mandibular complete denture: A  clinical trial 

KEY WORDS:

Mandibular Denture, Adaptation, Risk factors

PAGES: 72
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUBÁREA: Clínica Odontológica
SUMMARY:

This non-randomized clinical trial proposes to investigate the incidence and the risk factors to the adaptation of the conventional mandibular complete denture (CMCD). A total of 108 bimaxillary edentulous were rehabilitated with full dentures on a 6-month follow-up. Patients were allocated into PTA (Patients adapted to CMCD; n = 67) and PTN (Patients non-adapted to CMCD; n = 41). The criteria that confirmed the patients’ adaptation were: chewing, phonetics, and swallowing comfortably with the dentures. Patients were evaluated in terms of sociodemographic aspects and patient-centered factors. A questionnaire was applied at the same time of installing the new dentures to obtain the sociodemographic and individual information of the patients. The estimate of the average time for adaptation to CMCD was obtained from the Kaplan-Meier curve. The risk factors were analyzed statistically by the Chi-square test or Fisher's exact test. Multivariate analysis was performed and the relative risk was adjusted by Poisson regression. The results revealed an incidence of 38% of individuals non-adapted to new mandibular complete dentures after 3 months. Non-adaptation to the mandibular complete denture was significantly associated with the absence of past mandibular denture experience, the presence of ulcerations after rehabilitation, and the height of the reduced posterior mandibular ridge (p <0.05). After 6 months, this incidence decreased to 14.1%, with the occurrence of ulcerative lesions and the non-regular use of CMCD being the risk factors associated with the non-adaptation of CMCD. The survival analysis showed that 2.70 months are sufficient for the adaptation of most patients to the dentures and revealed a significant association between the time of adaptation and the reabsorbed posterior mandibular ridge. It concluded that after 3 months, the absence of previous experience with CMCD, registration of traumatic ulcers in the mandibular arch, and the presence of lower mandibular ridges interfere negatively in the adaptation to new lower dentures, constituting risk factors for non-use CMCD. However, after 6 months of wearing the prostheses, only the occurrence of ulcerative lesions and non-regular wear of dentures were risk factors for non-adaptation to mandibular prostheses.

 

BANKING MEMBERS:
Presidente - 1459400 - ADRIANA DA FONTE PORTO CARREIRO
Externo ao Programa - 1031499 - LAERCIO ALMEIDA DE MELO
Externo à Instituição - JOEL FERREIRA SANTIAGO JUNIOR - UNISAGRADO