Analysis of the effectiveness of the use of adhesive agents in case of lesion of the oral mucosa during the period of adaptation to removable complete dentures

Epidemiological data suggest that, despite improvements in oral health in recent decades, tooth loss is still a common occurrence in elderly patients. Complete rehabilitation with removable dentures remains one of the most popular and traditional prosthetics methods for patients with adentia who have systemic, anatomical, or financial limitations. The healing process of the oral mucosa is an extremely important factor in adapting to new prostheses and significantly affects the quality of life of patients using these dentures. The aim of the study was to assess the oral mucosa of the denture-bearing area in patients with removable complete dentures during the period of adaptation when using adhesive cream or cushions. The study involved 60 patients with removable complete dentures, who were divided into three groups depending on the adhesive agents used during the period of adaptation to the removable prosthesis. The patients of the first group used an adhesive cream, the second – adhesive cushions. Patients of the third group did not use any adhesive agents. On the 14th and 33rd days after the removable prosthesis was applied, a cytological examination of the oral mucosa of the denture-bearing area was performed. The results obtained indicate that the use of adhesive creams and cushions helps to reduce the inflammatory of the oral mucosa, which leads to a reduction in the time required for patients to adapt to removable dentures.

1. Lee D. J., Saponaro P. C. Management of Edentulous Patients. Dental clinics of North America. 2019;63(2):249–261. https://doi.org/10.1016/j.cden.2018.11.006.

2. Kiesswette, E., Colombo M.G., Meisinger, C., et al. Malnutrition and related risk factors in older adults form different health-care settings: An enable study. Public Health Nutrition. 2020;23:446–456.

3. Müller F., Shimazaki Y., Kahabuka F., Schimmel M. Oral health for an ageing population: the importance of a natural dentition in older adults. International dental journal. 2017; 67 Suppl 2(Suppl 2): 7–13. https://doi.org/10.1111/idj.12329.

4. Nitschke I., Wendland A., Weber S., et al. Considerations for the Prosthetic Dental Treatment of Geriatric Patients in Germany. Journal of clinical medicine. 2021;10(2):304. https://doi.org/10.3390/jcm10020304.

5. Huraib W. M., Al-Ghalib T. A., Niyazi A. A. T., Bamigdad M. S. Assessment of Nutritional and Psychosocial Status of Elderly Patients Wearing Removable Dental Prosthetics. Journal of pharmacy & bioallied sciences. 2022;14(Suppl 1):S429–S432. https://doi.org/10.4103/jpbs.jpbs_840_21.

6. Topić J., Poljak-Guberina R., Persic-Kirsic S., et al. Adaptation to New Dentures and 5 Years of Clinical Use: A Comparison between Complete Denture and Mini-implant Mandibular Overdenture Patients based on Oral Health-Related Quality of Life (OHRQoL) and Orofacial Esthetics. Acta stomatologica Croatica. 2022;56(2):132–142. https://doi.org/10.15644/asc56/2/4.

7. Campbell S. D., Cooper, L. Craddock H., et al. Removable partial dentures: The clinical need for innovation. The Journal of prosthetic dentistry. 2017;118(3):273– 280. https://doi.org/10.1016/j.prosdent.2017.01.008

8. Hussein M, Hristov I. Effect of Removable Complete Dentures on the Fundamental Frequency of Speech. Folia Med (Plovdiv). 2020;62(4):812-816. doi:10.3897/ folmed.62.e50718

9. Khoury Z. H., Brooks J. K., Bashirelahi N. What every dentist should know about oral mucosal wound healing. General dentistry. 2020;68(6):24–26.

10. Toma A. I., Fuller J. M., Willett N. J., Goudy, S. L. Oral wound healing models and emerging regenerative therapies. Translational research : the journal of laboratory and clinical medicine. 2021;236:17–34. https://doi.org/10.1016/j.trsl.2021.06.003.

11. Deagtar E. A., Sirak A. G., Bykov I. M., Akopova L. V. Determination of the level of oral hygiene at stomatitis dentition cytological. Kubanskii nauchnyi meditsinskii vestnik. 2014;2(144):48–54.

12. Kosyreva T. F, Samoylova M. B, Voeykova O. V, et al. The effect of astaxanthin on the adaptation of the oral mucosa to a removable denture. Stomatology. 2022;101(1):17-22.

13. AlHamdan E. M., Al-Saleh S., Nisar S. S., et al. Efficacy of porphyrin derivative, Chlorhexidine and PDT in the surface disinfection and roughness of Cobalt chromium alloy removable partial dentures. Photodiagnosis and photodynamic therapy. 2021;36:102515. https://doi.org/10.1016/j.pdpdt.2021.102515

14. Sekuła-Kamińska B., Nitecka-Buchta A., Wojciechowski M., et al. Comparison of the Effects of Mucosa Tissue Healing with Chlorhexidine Digluconate and Choline Salicylate in Patients Wearing a Removable Prosthetic Restoration-A RCT. Clinical Practice. 2024;14(6):2350-2364. https://doi.org/10.3390/clinpract14060184.