Effect of Prosthodontic Rehabilitation on Perioral Units in Edentulous Patients

Yıl 2021, Cilt: 8 Sayı: 3, 648 - 651, 31.12.2021

Hakkı Çelebi Raif Alan Elif Kartal

https://doi.org/10.15311/selcukdentj.748993

Öz

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.

Anahtar Kelimeler

complete denture, edentulism, facial appearance, perioral wrinkles

Dişsiz Hastalarda Protez Rehabilitasyonunun Perioral Birimler Üzerine Etkisi

Öz

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.

Anahtar Kelimeler

dişsizlik, perioral kırışıklıklar, tam diş protezi, yüz görünümü

Kaynakça

• 1. Leveque JL, Goubanova E Influence of age on the lips and perioral skin. Dermatology 2004;208:307-13.
• 2. Lopez-Jornet P, Camacho-Alonso F, Rodriguez-Espin A. Study of lip hydration with application of photoprotective lipstick: influence of skin phototype, size of lips, age, sex and smoking habits. Med Oral Patol Oral Cir Bucal 2010;15:e445-e50.
• 3. Mojon P. The world without teeth: demographic trends. In: Feine JS, Carlsson GE, eds. Implant overdentures. The standard of care for edentulous patients. Chicago; Quintessence 2003. p. 3-14.
• 4. Müller F, Naharro M, Carlsson GE. What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? Clin Oral Implants Res 2007;18:2-14.
• 5. Ozturk CN, Ozturk C, Bozkurt M, Uygur HS, Papay FA, Zins JE. Dentition, bone loss, and the aging of the mandible. Aesthet Surg J 2013;33(7):967–74.
• 6. Feng HL, Xu J. In Prosthodontics (ed. 2 Feng HL, Xu J, et al.) Ch.2, 41–68 (Peking University Medical Press, 2013).
• 7. Marchini L. Patients’ satisfaction with complete dentures: an update. Braz Dent Sci 2014;17:5-16.
• 8. Yuan F, Cheng C, Dai N, Sun Y. Prediction of aesthetic reconstruction effects in edentulous patients. Sci Rep 2017;7:18077.
• 9. Narins RS, Carruthers J, Flynn TC, et al. Validated assessment scales for the lower face. Dermatol Surg 2012;38:333‐42.
• 10. Langlois J, Kalakanis L, Rubenstein A, Larson A, Hallam M. Maxims or myths of beauty? A meta-analytic and theoretical review. Psychol Bull 2000;126:390-423.
• 11. Lemperle G, Holmes RE, Cohen SR, Lemperle SM. A classification of facial wrinkles. Plast Reconstr Surg 2001;108:1735–52.
• 12. Carruthers A, Carruthers J, Hardas B, et al. A validated lip fullness grading scale. Dermatol Surg 2008;34:S161–S6.
• 13. World Health Organization. Aging: Exploding the Myths. Aging and Health Programme. Geneva: WHO,1999.
• 14. Cooper LF. The current and future treatment of edentulism. J Prosthodont 2009;18:116–22.
• 15. Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil 2010;37:143-56.
• 16. Roumanas ED. The social solution-denture esthetics, phonetics, and function. J Prosthodont 2009;18:112-5.
• 17. Lupi SM, Cislaghi M, Rizzo S, Rodriguez Y Baena R. Rehabilitation with implant-retained removable dentures and its effects on perioral aesthetics: a prospective cohort study. Clin Cosmet Investig Dent 2016;8:105-10.
• 18. Ide R, Hoshuyama T, Wilson D, Takahashi K, Higashi T. Association of psychological well-being with oral conditions in Japanese workers, J Occup Health 2006;48:487–93. 19. Mehl C, Kern M, Freitag-Wolf S, Wolfart M, Brunzel S, Wolfart S. Does the oral health impact profile questionnaire measure dental appearance? Int J Prosthodont 2009;22:87–93.
• 20. Pan S, Awad M, Thomason JM, et al. Sex differences in denture satisfaction. J Dent 2008;36:301–8.
• 21. Davis LG, Ashworth PD, Spriggs LS. Psychological effects of aesthetic dental treatment. J Dent 1998;26:547–54.
• 22. Castillo-de Oyagüe R, Lynch C, McConnell R, Wilson N. Teaching the placement of posterior resin-based composite restorations in Spanish dental schools. Med Oral Patol Oral Cir Bucal 2012;17:e661–e8.