Saraswati Sony, Razdan Priyanka, Aggarwal Monika, Bhowmick Devleena, Priyadarshni Priyanka
Department of Dentistry, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India.
Department of Paediatric and Preventive Dentistry, Yogita Dental College and Hospital, Khed, Maharashtra, India.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1375-S1380. doi: 10.4103/jpbs.jpbs_207_21. Epub 2021 Nov 10.
The patient who is wearing a denture after missing teeth faces traumatic ulceration very frequently. This ulceration creates difficulties in denture wearing. Hence, this study aimed to evaluate the most common locations of traumatic injuries in form of ulcerations, their frequency, and also the duration and number of adjustment visits required to achieve patient comfort following placement of complete removable dentures.
Eighty edentulous patients were selected from a private clinic. Complete removable dentures were fabricated for all patients. All patients were evaluated for their complaints after denture insertion. Patients were followed up till the problem persisted. Descriptive analysis was done. Chi-squared test was used to differentiate the associations between lesions, postinsertion visits, and gender.
About 85.62% of patients need denture adjustment because of mucosal injuries during their first visit following. Approximately four appointments are needed for maxillary and six appointments needed for mandibular denture. Male and female have no difference in the number of mucosal injuries in the anatomical area evaluated in the maxilla and mandible using Fisher's exact test ( > 0.05). Mandibular dentures need more appointments than maxillary dentures after post insertion ( < 0.001).
The vestibule was the most common site for mucosal injuries which can be corrected by proper extension of denture flanges during border molding. Pressure indicator ink (arti spot) and paste is used to correct the overextended denture flanges.
缺牙后佩戴假牙的患者经常面临创伤性溃疡。这种溃疡给佩戴假牙带来困难。因此，本研究旨在评估溃疡形式的创伤性损伤的最常见部位、其发生率，以及放置全口可摘义齿后为使患者感到舒适所需的调整就诊次数和持续时间。
从一家私人诊所选取80名无牙患者。为所有患者制作全口可摘义齿。所有患者在义齿插入后均接受了主诉评估。对患者进行随访直至问题持续存在。进行了描述性分析。采用卡方检验来区分病变、插入后就诊次数和性别之间的关联。
约85.62%的患者在首次随访后因黏膜损伤需要调整义齿。上颌义齿大约需要四次就诊调整，下颌义齿需要六次就诊调整。使用Fisher精确检验，在上颌和下颌评估的解剖区域中，男性和女性的黏膜损伤数量没有差异（>0.05）。插入义齿后，下颌义齿比上颌义齿需要更多的就诊调整次数（<0.001）。
前庭是黏膜损伤最常见的部位，可通过在边缘整塑时适当延伸义齿基托来纠正。压力指示油墨（arti spot）和糊剂用于纠正义齿基托过度延伸的情况。
