Volume : 10, Issue : 05, May – 2023



Authors :

Dr Kinza Qureshi, Dr. Ammad Ashfaq, Dr. Noor ul Ain

Abstract :

Rehabilitation of an edentulous maxilla using mini dental implants (MDIs) is a cost-effective, less invasive alternative to traditional removable full dentures (CRD). Quantitative studies comparing masticatory ability under different oral circumstances are rare, however. Studying how dentate groups, maxillary complete removable dentures (CRD), and full upper dentures fared in terms of both subjective and objective masticatory performance was the focus of this study (MDI). Toolkits and Methods: Complete dentate subjects (DP), Dentate dental students (DS), maxillary CRD or MDI overdentures (MDI), and dentate mandible (DM) are all participants in this research. Their ages range from 20 to 50 years old. Using a circular Variance of Hue (VOH meter (Hue-check View Gum® Test), a scientific investigation was carried out to determine whether or not it is possible to mix two different colors of chewing gum. Subjective masticatory experiences were also compared between the CRD group and the MDI group using OHRQL, OHIP-14 questionnaire, and a visual analog scale (VAS) for various food consistencies. The mean VOH for dentate dental 20+ students was 0.11 (standard deviation = 0.50 & range = 0.05-0.27), while the mean VOH for dentate dental 50+ students was 0.13 (standard deviation = 0.08 & range = 0.03-0.31) (p = 0.774). Dentate dental CRD patients had a mean VOH of 0.41 (standard deviation = 0.41, range = 0.14-0.76). It is important to note that the difference in VAS ratings between the groups who received CRD or MDI overdentures (p > 0.050) is not significant. The average OHIP-14 total score for patients with CRD was 12.10 (SD 15.87, range 0-56), although this significantly decreased to 2.85 (p = 0.039) for those who received MDI. (Standard Deviation: 2.8, Interquartile Range: 0-15) Those aged 20 and up and those aged 50 and up showed similar outcomes in terms of objective masticatory skills, but those with CRD and MDI fared far worse. It was shown that both subjective and objective masticatory performance was not significantly better with MDI overdentures than with CRD. A significant improvement in OHRQL was seen, however, for MDI.
Keywords: dental implants, oral, mastication

Cite This Article:

Please cite this article in press Kinza Qureshi et al, Study Comparing The Chewing Ability Of Dentate Subjects, Complete Removable Dentures, And Maxillary Mini Dental Implant Overdenturesa., Indo Am. J. P. Sci, 2023; 10 (05).

Number of Downloads : 10


1. Zitzmann, N.U.; Hagmann, E.; Weiger, R. What is the prevalence of various types of prosthetic dental restorations in Europe?Clin. Oral Implant. Res. 2007, 18, 20–33. [CrossRef] [PubMed]
2. Kelly, E. Changes caused by a mandibular removable partial denture opposing a maxillary complete denture. J. Prosthet. Dent.2003, 90, 213–219. [CrossRef]
3. Polzer, I.; Schimmel, M.; Müller, F.; Biffar, R. Edentulism as part of the general health problems of elderly adults. Int. Dent. J. 2010,60, 143–155.
4. Cawood, J.I.; Howell, R.A. A Classification of the edentulous jaws. Int. J. Oral Maxillofac. Surg. 1988, 17, 232–236. [CrossRef]
5. Cassetta, M.; Perrotti, V.; Calasso, S.; Piattelli, A.; Sinjari, B.; Iezzi, G. Bone formation in sinus augmentation procedures using autologous bone, porcine bone, and a 50: 50 mixture: A human clinical and histological evaluation at 2 months. Clin. Oral Implant. Res. 2015, 26, 1180–1184. [CrossRef]
6. Baj, A.; Lauritano, D.T.G.; Candotto, V.; Mancini, G.E.; Gianni, A.B. An overview on bone reconstruction of atrophic maxilla: Succes parameters and critical issues. J. Biol. Regul. Homeost. Agents 2016, 30, 209–215.
7. Ellis, J.S.; Levine, A.; Bedos, C.; Mojon, P.; Rosberger, Z.; Feine, J.S.; Thomason, J.M. Refusal of implant supported mandibular overdentures by elderly patients. Gerodontology 2011, 28, 62–68. [CrossRef]
8. Sinjari, B.; D’Addazio, G.; Traini, T.; Varvara, G.; Scarano, A.; Murmura, G.; Caputi, S. A 10-year retrospective comparative human study on screw-retained versus cemented dental implant abutments. J. Biol. Regul. Homeost. Agents 2019, 33, 787–797. [PubMed]
9. Klein, M.O.; Schiegnitz, E.; Al-Nawas, B. Systematic Review on Success of Narrow-Diameter Dental Implants. Int. J. Oral Maxillofac. Implant. 2014, 29, 43–54. [CrossRef]
10. Jung, R.E.; Al-Nawas, B.; Araujo, M.; Ortiz, G.A.; Barter, S.; Brodala, N.; Chappuis, V.; Chen, B.; De Souza, A.; Faria-Almeida, R.; et al. Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes. Clin. Oral Implant. Res. 2018, 29 (Suppl. 16), 69–77. [CrossRef] [PubMed]
11. Schiegnitz, E.; Al-Nawas, B. Narrow-diameter implants: A systematic review and meta-analysis. Clin. Oral Implant. Res. 2018, 29(Suppl. 16), 21–40. [CrossRef] [PubMed]
12. Van Doorne, L.; De Kock, L.; De Moor, A.; Shtino, R.; Bronkhorst, E.; Meijer, G.; De Bruyn, H. Flaplessly placed 2.4-mm mini-implants for maxillary overdentures: A prospective multicentre clinical cohort study. Int. J. Oral Maxillofac. Surg. 2020, 49, 384–391. [CrossRef]
13. Van Doorne, L.; Fonteyne, E.; Matthys, C.; Bronkhorst, E.; Meijer, G.; De Bruyn, H. Longitudinal Oral Health-Related Quality of Life in maxillary mini dental implant overdentures after 3 years in function. Clin. Oral Implant. Res. 2021, 32, 23–36. [CrossRef]
14. Elgestad Stjernfeldt, P.; Sjögren, P.; Wårdh, I.; Boström, A.M. Systematic review of measurement properties of methods for objectively assessing masticatory performance. Clin. Exp. Dent. Res. 2019, 5, 76–104. [CrossRef]
15. Ahmad, S.F. An insight into the masticatory performance of complete denture wearer. Ann. Dent. 2006, 13, 24–33. [CrossRef]
16. Gu, Y.; Bai, Y.; Xie, X. Bite Force Transducers and Measurement Devices. Front. Bioeng. Biotechnol. 2021, 9, 665081. [CrossRef] [PubMed]
17. Lucas, P.W.; Luke, D.A.; Voon, F.C.T.; Chew, C.L.; Ow, R. Food breakdown patterns produced by human subjects possessing artificial and natural teeth. J. Oral Rehabil. 1986, 13, 205–214. [CrossRef] [PubMed]
18. Bates, J.F.; Stafford, G.D.; Harrison, A. Masticatory function-a review of the literature. III. Masticatory performance and efficiency.J. Oral Rehabil. 1976, 3, 57–67. [CrossRef] [PubMed]
19. Van der Bilt, A.; Mojet, J.; Tekamp, F.A.; Abbink, J.H. Comparing masticatory performance and mixing ability. J. Oral Rehabil.2010, 37, 79–84. [CrossRef]
20. Manly, R.S.; Braley, L.C. Masticatory performance and efficiency. J. Dent. Res. 1950, 29, 448–462. [CrossRef] [PubMed]
21. Van der Bilt, A.; Van der Glas, H.W.; Mowlana, F.; Heath, M.R. A comparison between sieving and optical scanning for the determination of particle size distributions obtained by mastication in man. Arch. Oral Biol. 1993, 38, 159–163. [CrossRef]
22. Speksnijder, C.M.; Abbink, J.H.; van der Glas, H.W.; Janssen, N.G.; van der Bilt, A. Mixing ability test compared with a comminution test in persons with normal and compromised masticatory performance. Eur. J. Oral Sci. 2009, 117, 580–586. [CrossRef] [PubMed]
23. Nokubi, T.; Nokubi, F.; Yoshimuta, Y.; Ikebe, K.; Ono, T.; Maeda, Y. Measuring masticatory performance using a new device and β-carotene in test gummy jelly. J. Oral Rehabil. 2010, 37, 820–826. [CrossRef]
24. Montero, J.; Leiva, L.A.; Martín-Quintero, I.; Rosel, E.; Barrios-Rodriguez, R. Determinants of masticatory performance assessed by mixing ability tests. J. Prosthet. Dent. 2021. [CrossRef] [PubMed]
25. Schimmel, M.; Christou, P.; Miyazaki, H.; Halazonetis, D.; Herrmann, F.R.; Müller, F. A novel colourimetric technique to assess chewing function using two-coloured specimens: Validation and application. J. Dent. 2015, 43, 955–964. [CrossRef]
26. Van Doorne, L.; Gholami, P.; D’Haese, J.; Hommez, G.; Meijer, G.; De Bruyn, H. Three-Dimensional Radiographic Outcome of Free-Handed Flaplessly Placed Mini Dental Implants in Edentulous Maxillae after 2-Years Function. J. Clin. Med. 2020, 9, 2120. [CrossRef] [PubMed]
27. Fonteyne, E.; Van Doorne, L.; Becue, L.; Matthys, C.; Bronckhorst, E.; De Bruyn, H. Speech evaluation during maxillary mini-dental implant overdenture treatment: A prospective study. J. Oral Rehabil. 2019, 46, 1151–1160. [CrossRef]
28. Schimmel, M.; Christou, P.; Herrmann, F.; Muller, F. A two-colour chewing gum test for masticatory efficiency: Development of different assessment methods. J. Oral Rehabil. 2007, 34, 671–678. [CrossRef]
29. Halazonetis, D.J.; Schimmel, M.; Antonarakis, G.; Christou, P. Novel software for quantitative evaluation and graphical represen- tation of masticatory efficiency. J. Oral Rehabil. 2013, 40, 329–335. [CrossRef]
30. Silva, L.C.; Nogueira, T.E.; Rios, L.F.; Schimmel, M.; Leles, C.R. Reliability of a two-colour chewing gum test to assess masticatory performance in complete denture wearers. J. Oral Rehabil. 2018, 45, 301–307. [CrossRef] [PubMed]
31. Feine, J.S.; Lund, J.P. Measuring chewing ability in randomized controlled trials with edentulous populations wearing implant prostheses. J. Oral Rehabil. 2006, 33, 301–308. [CrossRef] [PubMed]
32. Slade, G.D. Assessing change in quality of life using the Oral Health Impact Profile. Community Dent. Oral Epidemiol. 1998, 26, 52–61. [CrossRef] [PubMed]
33. McGrath, C.; Bedi, R. Measuring the impact of oral health on life quality in two national surveys-functionalist versus hermeneutic approaches. Community Dent. Oral Epidemiol. 2002, 30, 254–259. [CrossRef]
34. Pommer, B. Use of the Oral Health Impact Profile (OHIP) in clinical oral implant research. J. Dent. Oral Craniofac. Epidemiol. 2013,1, 3–10.
35. Raes, S.; Raes, F.; Cooper, L.; Giner-Tarrida, L.; Vervaeke, S.; Cosyn, J.; De Bruyn, H. Oral health-related quality of life changes after placement of immediately loaded single implants in healed alveolar ridges or extraction sockets: A 5-year prospective follow-up study. Clin. Oral Implant. Res. 2017, 28, 662–667. [CrossRef]
36. Slade, G.D. Derivation and validation of a short-form oral health impact profile. Community Dent. Oral Epidemiol. 1997, 25, 284–290. [CrossRef]
37. Locker, D. Measuring oral health: A conceptual framework. Community Dent. Health 1988, 5, 3–18.
38. Van Der Meulen, M.J.; John, M.T.; Naeije, M.; Lobbezoo, F. The Dutch version of the Oral Health Impact Profile (OHIP-NL): Translation, reliability and construct validity. BMC Oral Health 2008, 8, 11. [CrossRef]
39. Kuoppala, R.; Napankangas, R.; Raustia, A. Quality of Life of Patients Treated With Implant-Supported Mandibular Overdentures Evaluated With the Oral Health Impact Profile (OHIP-14): A Survey of 58 Patients. J. Oral Maxillofac. Res. 2013, 4, e4. [CrossRef]
40. Yamada, A.; Kanazawa, M.; Komagamine, Y.; Minakuchi, S. Association between tongue and lip functions and masticatory performance in young dentate adults. J. Oral Rehabil. 2015, 42, 833–839. [CrossRef] [PubMed]
41. Shu, X.; Fan, Y.; Lo, E.C.M.; Leung, K.C.M. A systematic review and meta-analysis to evaluate the efficacy of denture adhesives. J. Dent. 2021, 108, 103638. [CrossRef]
42. Kapur, K.K. A clinical evaluation of denture adhesives. J. Prosthet. Dent. 1967, 18, 550–558. [CrossRef]
43. Yamaga, E.; Sato, Y.; Minakuchi, S. A structural equation model relating oral condition, denture quality, chewing ability, satisfaction, and oral health-related quality of life in complete denture wearers. J. Dent. 2013, 41, 710–717. [CrossRef] [PubMed]
44. Heydecke, G.; Klemetti, E.; Awad, M.A.; Lund, J.P.; Feine, J.S. Relationship between prosthodontic evaluation and patient ratings of mandibular conventional and implant prostheses. Int. J. Prosthodont. 2003, 16, 307–312. [CrossRef]
45. Ikebe, K.; Amemiya, M.; Morii, K.; Matsuda, K.-I.; Furuya-Yoshinaka, M.; Yoshinaka, M.; Nokubi, T. Association between oral stereognostic ability and masticatory performance in aged complete denture wearers. Int. J. Prosthodont. 2007, 20, 245–250.
46. Ikebe, K.; Matsuda, K.-I.; Kagawa, R.; Enoki, K.; Okada, T.; Yoshida, M.; Maeda, Y. Masticatory performance in older subjects with varying degrees of tooth loss. J. Dent. 2012, 40, 71–76. [CrossRef] [PubMed]
47. Meyer, G.; Fanghänel, J.; Proff, P. Morphofunctional aspects of dental implants. Ann. Anat. 2012, 194, 190–194. [CrossRef]
48. Leles, C.R.; Oliveira, T.M.C.; De Araújo, S.C.; Nogueira, T.E.; Schimmel, M. Individual factors associated with masticatory performance of complete denture wearers: A cross-sectional study. J. Oral Rehabil. 2019, 46, 903–911. [CrossRef] [PubMed]
49. Tarkowska, A.; Katzer, L.; Ahlers, M.O. Assessment of masticatory performance by means of a color-changeable chewing gum. J. Prosthodont. Res. 2017, 61, 9–19. [CrossRef] [PubMed]
50. Sato, S.; Fueki, K.; Sato, H.; Sueda, S.; Shiozaki, T.; Kato, M.; Ohyama, T. Validity and reliability of a newly developed method for evaluating masticatory function using discriminant analysis. J. Oral Rehabil. 2003, 30, 146–151. [CrossRef]
51. Morita, K.; Tsuka, H.; Kato, K.; Mori, T.; Nishimura, R.; Yoshida, M.; Tsuga, K. Factors related to masticatory performance in healthy elderly individuals. J. Prosthet. Dent. 2018, 120, 35–42. [CrossRef] [PubMed]
52. Carlsson, G.E.; Omar, R. The future of complete dentures in oral rehabilitation. A critical review. J. Oral Rehabil. 2010, 37, 143–156. [CrossRef] [PubMed]