Post insertion complaints associated with new complete denture

The aim of this study was to determine the frequent post insertion complaints associated with complete denture. This cross sectional study was done on 117 patients wearing complete dentures who came to the Department of Prosthodontics of Dow International Dental College with post insertion complaints from January to December 2017. These patients came for the first visit within the first month after the insertion of complete denture. The assessment of all post-insertion complaints was done by one prosthodontist. The questionnaire included information on age, gender, type of denture, chief complaint and place where the denture was fabricated. This was followed by a clinical examination. Patients were informed about the study. After obtaining consent the data were collected. Regarding the post insertion complaint, 75% of patients faced pain and discomfort. 65% reported difficulty in eating. Looseness of denture was reported by 58%. 35% experienced difficulty in speech complaints regarding food accumulation under and around the prosthesis were reported by 17%. The most common post-insertion complaint of complete denture was pain and discomfort followed by difficulty in eating. Identification of post insertion complaints in different types of prosthesis would be very supportive to developing strategies to prevent and manage these more effectively by reducing all negative factors associated with these complains

Freeway space measurement by Willis gauge and sprung divider

To compare the accuracy of Willis gauge and Sprung divider in determination of freeway space in dentate subjects. Cross-sectional comparative study. This study was carried out at Department of Prosthodontics, Lahore Medical and Dental College, Lahore from March 2010 to August 2010. Three hundred dentate subjects were included in this study. Both Willis gauge and Sprung divider methods were performed on same subject to measure the freeway space. Subjects were seated in comfortable upright position with unsupported head. Freeway space was measured by both Willis gauge and Sprung divider. The difference between the two measurements of rest position and maximum intercuspation was taken as freeway space. The collected data was entered in proforma. SPSS version 17 was used to analyze the data. Mean and SD was taken for age and gender. The measurement of both methods were compared through chi square test p value < 0.05 was considered significant. Out of 300 subjects, freeway space was achieved 217 [72.33%] with Willis Gauge and in 247 [82.33%] subjects freeway space was achieved with Sprung Divider. Although the achievement rate was slightly high with Sprig Divider as compare to Willis gauge method but it was non-significant [p-value = 0.078]. Sprung Divider measurement of freeway space is somewhat superior to Willis gauge

investigation in to the concepts and techniques used for establishing postpalatal seal in undergraduate dental curriculum

A survey of Pakistani Dental Colleges was conducted to determine which concepts and techniques are currently prevalent in the teaching of establishing the postpalatal seal in the undergraduate dental curriculum. A previous structured questionnaire from international article comprised seven multiple-choice questions, was distributed by mail and personal contact to 50 demonstrators and faculty members of Prosthodontics departments, of ten different [3 Government and 7 Private] Dental Colleges in the country. Of these, 42 teachers retuned the completed questionnaire, yielding a response rate of 84%. Results from this survey showed that 85.72% of the teachers were teaching a combination of phonation with other methods for determining the location of the vibrating line. The one vibrating line concept for establishing the postpalatal seal [PPS] was taught by 80.95.7% of teachers, 52.38% of these locate the posterior termination of the maxillary denture posterior to vibrating line. Carving the PPS in the maxillary master cast was taught by 83.33% of teachers. Most of the teachers 83.33% were teaching the students to carve the PPS to a depth of 1.0-1.5 mm in the maxillary master cast. Compressibility of the palatal tissues was a consideration during PPS carving for all of the teachers. The butterfly pattern was the most frequently [88.09%] described pattern for PPS carving. No difference in Concepts and Techniques in the teaching of establishing postpalatal seal was evident from government and private dental colleges