Effect of Prosthodontic Rehabilitation on Perioral Units in Edentulous Patients

Abstract

Background: Complete edentulous patients experience loss in fundamental mastication functions, the progressive absorption of the alveolar bone, and variation in facial appearance. Complete dentures (CD) fundamentally target edentulous patients and not only increase functionality but also restore the appearance of the face. This study aims to evaluate the effect of rehabilitation with removable CD on perioral wrinkles in complete edentulous patients, in line with growing aesthetic demand. Methods: Patients who had CD rehabilitation performed due to total edentulism were photographed before and after rehabilitation from the same angles to evaluate the perioral soft tissue changes. The photographs were scored using verified ranking scales and through evaluation by two observers. To evaluate the repeatability of the scales, measurements were repeated with the same method one month later. Results: When the effect of prosthetic rehabilitation administered successfully on perioral aesthetics and lip volume was analyzed, a significant improvement was observed in all other parameters evaluated, except for in the labiomental crease. The improvement in the labiomental crease was not statistically significant. In addition, re-measurement reliability was high (≥0.80) for all four perioral units (nasolabial folds, corners of mouth, labiomental crease and upper radial lip). In addition, all correlations were statistically significant (p<0.05). Conclusion: Rehabilitation with CD contributed positively to the development of the perioral wrinkles and lip volume, which are also observed as a result of edentulism.

Keywords

• complete denture,edentulism,facial appearance,perioral wrinkles

Dişsiz Hastalarda Protez Rehabilitasyonunun Perioral Birimler Üzerine Etkisi

Abstract

Giriş: Tam dişsiz hastalar temel çiğneme fonksiyonlarında kayıp, alveoler kemiğin progresif abzorpsiyonu ve yüz görünümünde değişiklik gösterirler. Tam protezler (TP) temel olarak dişsiz hastaları hedef alır ve sadece işlevselliği arttırmakla kalmaz, aynı zamanda yüz görünümünü de geri kazandırır. Bu çalışmada tam dişsiz hastalarda çıkarılabilir TP ile rehabilitasyonun artan estetik talep doğrultusunda perioral estetik birimler üzerine etkisi araştırıldı. Gereç ve Yöntemler: Total dişsizlik nedeniyle TP rehabilitasyonu uygulanan hastalar, perioral yumuşak doku değişikliklerini değerlendirmek için rehabilitasyon öncesi ve sonrası aynı açılardan fotoğraflandı. Fotoğraflar, doğrulanmış sıralama ölçekleri kullanılarak ve iki gözlemci tarafından değerlendirilerek puanlandı. Ölçeklerin tekrarlanabilirliğini değerlendirmek için ölçümler bir ay sonra aynı yöntemle tekrarlandı. Bulgular: Başarılı bir şekilde uygulanan protetik rehabilitasyonun perioral estetik ve dudak hacmi üzerine etkisi incelendiğinde, labiomental kırışıklık dışında değerlendirilen diğer tüm parametrelerde anlamlı bir gelişme gözlendi. Labiomental kırışıklıktaki gelişme istatistiksel olarak anlamlı değildi. Ek olarak, yeniden ölçüm güvenilirliği dört perioral ünitenin tümü için yüksekti (≥0.80) (nazolabial kıvrımlar, ağız köşeleri, labiomental kırışıklık ve üst radyal dudak). Ayrıca tüm korelasyonlar istatistiksel olarak anlamlı idi (p <0.05). Sonuç: TP ile rehabilitasyon, tam dişsizliğin bir sonucu olarak da görülen perioral birimlerin ve dudak hacminin gelişmesine olumlu katkıda bulunmuştur.

Keywords

• dişsizlik,perioral kırışıklıklar,tam diş protezi,yüz görünümü

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