Long-term maintenance and complications of fixed dental prostheses

Fixed dental prostheses (FDPs), commonly known as dental bridges, play a pivotal role in restorative dentistry, offering patients a means to regain oral function and aesthetics in cases of tooth loss. These prosthetic devices, anchored to natural teeth or dental implants, bridge the gap created by missing teeth, improving chewing, speech, and smile aesthetics. However, the successful deployment of FDPs requires not only their initial placement but also long-term maintenance and an understanding of potential complications. Effective oral hygiene, regular dental surveillance, and professional dental cleanings are essential for preserving FDP longevity. Vigilance is crucial as FDPs, while resistant to cavities themselves, can pose challenges in cleaning around abutment teeth. Complications, including dental caries, periodontal issues, crown or bridge fractures, abutment tooth deterioration, aesthetic alterations, sensory sensitivity, and even prosthetic failure, are potential concerns. Timely intervention and preventive measures are key to addressing these issues. When complications arise, dental practitioners can often repair superficial problems like crown fractures. Profound or recurrent complications may require more extensive interventions, such as fabricating a new bridge or considering alternative restorative options like dental implants or removable partial dentures. By embracing these principles of maintenance and management, patients can optimize the durability and functionality of their FDPs while minimizing associated risks, ensuring a healthy and confident smile for years to come.

The effect and approach of dentures on the nutritional state of the elderly

The absence of natural teeth presents considerable hurdles in consuming certain foods that demand efficient chewing, rendering elderly individuals vulnerable to malnutrition. Studies have reported malnutrition rates among this group ranging from 2% to 10%. Several factors contribute to this issue, including tooth loss itself, diminished masticatory function, and age-related alterations in taste sensitivity and saliva production. This review delves into the significant effect of dentures on the nutritional well-being of elderly individuals, shedding light on the challenges posed by edentulism, or complete tooth loss. The review underscores the crucial role of integrating dietary guidance into the prosthodontic treatment of edentulous patients. Personalized dietary counselling emerges as a vital strategy to rectify nutrient imbalances and enhance oral and overall health. Key recommendations encompass embracing a diverse array of foods while also moderating salt, fat, and sugar consumption. Furthermore, promoting the intake of hydrating fluids such as water, juice, and milk is essential. Continuous monitoring and support are emphasized as indispensable components for ensuring enduring dietary improvements among this vulnerable population. In conclusion, this review underscores the imperative of addressing the nutritional implications of dentures in the elderly and advocates for a comprehensive approach to safeguarding their dietary health.