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Influence of different presentations of denture adhesives on masticatory function of complete denture wearers: A systematic review and meta-analysis

咀嚼力 咀嚼 牙科 医学 荟萃分析 吞咽 随机对照试验 口腔正畸科 系统回顾 梅德林 外科 内科学 政治学 法学
作者
Olívia Maria Costa de Figueredo,Lorena Tavares Gama,Mariana Barbosa Câmara‐Souza,Guido Artemio Marañón‐Vásquez,Marcela Baraúna Magno,Lucianne Cople Maia,Thaís Marques Simek Vega Gonçalves,Renata Cunha Matheus Rodrigues Garcia
出处
期刊:Journal of Prosthetic Dentistry [Elsevier BV]
卷期号:130 (3): 351-361 被引量:7
标识
DOI:10.1016/j.prosdent.2021.09.026
摘要

Statement of problem Denture adhesives improve the mastication of complete denture wearers. However, the impact of denture adhesives with different presentations on mastication remains unclear. Purpose The purpose of this systematic review was to answer the focused question, “Do different presentations of denture adhesives affect the masticatory function of complete denture wearers?”. Material and methods This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six databases and the non-peer-reviewed literature were searched up to July 2021. Only clinical studies (randomized clinical trials and nonrandomized clinical trials) comparing the use of different denture adhesive presentations (cream, powder, or strips) were included, without language or follow-up restrictions. The risk of bias was assessed by using the Cochrane tools (RoB 2.0 and ROBINS-I). Masticatory performance, by using single and multiple sieves, masticatory performance with color-changing chewing gum (mixing ability), swallowing threshold (particle size and number of cycles), jaw kinematics, and occlusal force were considered. Meta-analyses were conducted to evaluate masticatory performance (single sieve) and occlusal force outcomes (α=.05), and the certainty of the evidence was determined with the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) evaluations. Results Nine studies (6 randomized and 3 nonrandomized clinical trials) were included. The risk of bias was considered moderate. Meta-analyses showed no differences between cream and powder denture adhesives for masticatory performance (standard mean difference=0.02; 95% CI=-0.46 to 0.50, P=.93) or between cream and strip denture adhesives for occlusal force (mean difference=14.35; 95% CI=-11.14 to 39.84, P=.27). Similarly, in qualitative analysis, cream and powder denture adhesives' performances were similar regarding masticatory performance with color-changing chewing gum (mixing ability), occlusal force, swallowing threshold (particle size and number of cycles), and jaw kinematics (P>.05). However, for resorbed ridges, cream denture adhesive resulted in a higher masticatory performance than strip (P<.05). When comparing powder to strip denture adhesives, the occlusal force was higher in the powder group (P<.05). The certainty of evidence was very low for all evaluated outcomes. Conclusions Different presentations of denture adhesives seem to improve the masticatory function of complete denture wearers in a similar way. However, the qualitative analysis showed that, in patients with a resorbed ridge, a cream denture adhesive may be better than strips to improve mastication, although the certainty of evidence was very low.
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