ABSTRACT
RESUMEN: El uso de medios auxiliares como es el caso de los adhesivos dentales permitirá que la adhesión entre la prótesis y la mucosa sea mejor y se logre una mejor retención, estabilidad y eficiencia masticatoria. Se realizó una búsqueda en internet en las siguientes bases de datos, Pubmed, EBSCO, BEIC, Cochrane y Epistemonikos. Para la búsqueda electrónica se utilizaron las palabras "denture adhesive", "dental adhesive", "complete denture wearers", "retention", "support", "stability", "masticatory performance", "Candida albicans" y "quality of life" relacionadas con el operador booleano AND. Al aplicar los criterios de inclusión y exclusión terminando con 14 artículos. Finalmente, quedaron 5 ensayos clínicos aleatorizados, 3 ensayos clínicos no aleatorizados, 2 estudios observacionales de cohorte prospectivos, 3 artículos in vivo y 1 estudio in vitro. Los adhesivos dentales han demostrado un mejoramiento en la retención, adhesión, estabilidad y eficiencia masticatoria en los portadores de prótesis totales, independiente de su presentación, sea en forma de polvo, crema, tiras o almohadillas. Por medio de su uso, se ha demostrado que los portadores de prótesis totales han podido mejorar su calidad de vida, tanto en la seguridad del manejo de su aparato protésico como en el aspecto nutricional, pues permite que se alimenten de mejor forma, esto incluso es posible observar cuando se prescriben en aquellos pacientes con prótesis recién instaladas.
ABSTRACT: Introduction: When performing the oral rehabilitation of edentulous patients using total prostheses, in some cases, a slight maladjustment of the prosthetic device within the oral cavity can compromise the chewing, swallowing and phonation functions. With the use of ancillary means such as dental adhesives, which allow the adhesion between the prosthesis and the mucosa, a better retention, stability and masticatory efficiency is achieved, and therefore, an increase in the quality of life of the patient. Main objective: To perform a narrative review to describe the contribution of the use of dental adhesives in patients with total dentures. Method: We searched the following databases, Pubmed, EBSCO, BEIC, Cochrane and Epistemonikos. The words "denture adhesive", "dental adhesive", "complete denture wearers", "retention", "support", "stability", "masticatory performance", "Candida albicans" and "quality of life " were searched electronically with the Boolean operator AND. Results: As a result, 394 articles were obtained, 85 of which were selected by title, of which the repeated articles were eliminated, leaving 32; then, the abstracts were read, leaving 22 articles. The remaining articles were read completely, the inclusion and exclusion criteria were applied, ending with 14 articles. Finally, 5 randomized clinical trials, 3 non-randomized clinical trials, 2 prospective cohort observational studies, 3 in vivo articles and 1 in vitro study were included. Conclusion: Dental adhesives have showed an increase in retention, stability, ability and masticatory efficiency in patients with total prostheses, regardless of their presentation. Through its use, it has been demonstrated that total denture wearers have been able to improve their quality of life, even patients with recently installed prostheses.