Protocol for Repairing Fractured Conventional Complete Dentures and Its Impact on Oral Health Promotion

Authors

  • Maria Cristina Rosifini Alves Rezende Professora Associada, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Materiais Odontológicos e Prótese, 16015-050 Araçatuba -SP, Brasil https://orcid.org/0000-0002-1327-9667
  • Guilherme Isaac Carvalho Santana Acadêmico de Odontologia, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, 16015-050 Araçatuba -SP, Brasil https://orcid.org/0009-0005-2941-0235
  • Jânder de Carvalho Inácio Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Materiais Odontológicos e Prótese, 16015-050 Araçatuba -SP, Brasil
  • João Pedro Justino de Oliveira Limírio Professor Assistente Doutor, Departamento de Materiais Odontológicos e Prótese, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista “Júlio de Mesquita Filho (UNESP) 16015-050 Araçatuba - São Paulo, Brasil https://orcid.org/0000-0002-8620-8480
  • Jéssica Marcela de Luna Gomes Professora Assistente Doutora, Departamento de Materiais Odontológicos e Prótese, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista “Júlio de Mesquita Filho (UNESP) 16015-050 Araçatuba - São Paulo, Brasil
  • Leda Maria Pescinini Salzedas Professora Assistente Doutora, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, 16015-050 Araçatuba - SP, Brasil https://orcid.org/0000-0001-9017-0473
  • Hiskell Francine Fernandes e Oliveira Professora Doutora, Universidade de Campinas (UNICAMP) Faculdade de Odontologia de Piracicaba, Departamento de Prótese e Periodontia, 13414-903 Piracicaba – SP, Brasil
  • Ronise Straiotto Piato Mestra em Odontologia em Harmonização Orofacial, Faculdade São Leopoldo Mandic, São Paulo, Brasil https://orcid.org/0009-0000-0779-7620
  • Victor Perinazzo Sacchi Doutorando, Programa de Pós-Graduação em Odontologia, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista “Júlio de Mesquita Filho (UNESP) 16015-050 Araçatuba - São Paulo, Brasil https://orcid.org/0000-0002-9044-737X
  • André Pinheiro de Magalhães Bertoz Professor Assistente Doutor, Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Odontologia Infantil e Social, 16015-050 Araçatuba - São Paulo, Brasil https://orcid.org/0000-0002-1746-3138

DOI:

https://doi.org/10.21270/archi.v15i5.6805

Keywords:

Denture, Complete, Flexural Strength, Silicone Elastomers, Polymethyl Methacrylate, Oral Health

Abstract

Second survey of the SB Brazil 2023/2024 survey, about 36.27% of Brazilians aged between 65 and 74 will never lose all their teeth. When these data are compared with those obtained by SB Brazil 2010, the taxa of complete edentulism fell in relation to the 53.70% observed at that time. However, Brazil still appears as one of the two countries with the highest absolute proportion of completely toothless people. The largest taxes in Brazil are only driven by socioeconomic inequalities and limited access to oral health promotion, and are concentrated in the North and Northeast regions, as well as in the interior of the Central-West region. Logo, or complete edentulism can be considered a public health problem, justifying, when indicated, the repair of fractured conventional prostheses. Therefore, the identification of the type of fracture of the total prosthesis, as well as a careful analysis of its clinical performance parameters (retention, stability and support) must be considered in the decision regarding repair of the total prosthesis or its replacement. The objective is to develop a repair protocol for a fractured conventional total prosthesis, using laboratory silicone to make the guide model, along with chemically activated acrylic resin associated with a layer of stainless steel in the structural reinforcement channel. Outrossim, focused on the Sustainable Development Goals (SDG3 Health and Wellbeing and SDG10 Reduction of Inequalities) of the Agenda 2030 of the United Nations Organization (UN), also seeks to reflect on the impact of dental prosthesis on the promotion of oral health, or that would justify or repair of fractured and clinically damaged dental prostheses.

Downloads

Download data is not yet available.

References

1. Brasil, Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Estratégias e Políticas de Saúde Comunitária. SB Brasil 2023 : Pesquisa Nacional de Saúde Bucal : relatório final [recurso eletrônico] [Internet]. Ministério da Saúde; 2025. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/sb_brasil_2023_relatorio_final_1edrev.pdf.

2. da Veiga Pessoa DM, Roncalli AG, de Lima KC. Economic and sociodemographic inequalities in complete denture need among older Brazilian adults: a cross-sectional population-based study. BMC Oral Health. 2016;17(1):5.

3. Veiga Pessoa DM, Roncalli AG, de Lima KC. Economic and sociodemographic inequalities in complete denture need among older Brazilian Os autores ainda consideram adults: a cross-sectional population-based study. BMC Oral Health. 2016;17(1):5.

4. Azzolino D, Passarelli PC, De Angelis P, Piccirillo GB, D'Addona A, Cesari M. Poor Oral Health as a Determinant of Malnutrition and Sarcopenia. Nutrients. 2019;11(12):2898.

5. Saarela RK, Soini H, Hiltunen K, Muurinen S, Suominen M, Pitkälä K. Dentition status, malnutrition and mortality among older service housing residents. J Nutr Health Aging. 2014;18(1):34-8.

6. World Health Organization. Commission on Social Determinants of Health. http://www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/.

7. Roncalli AG, Tsakos G, Sheiham A, de Souza GC, Watt RG. Social determinants of dental treatment needs in Brazilian adults. BMC Public Health. 2014;14:1097.

8. Silva DRD, Silva AM, Silva Júnior MP, RABBO FNMA, Costa JNS, Fernandes WM et al. Materiais e técnicas de reparo em prótese dentária: uma revisão de literatura. BJSCR. 2025; 52(2):32-3.

9. Pereira MRF. Avaliação de técnicas e materiais para reparo em falhas mecânicas de próteses totais removíveis: uma revisão de literatura. [Dissertação]. Campina Grande: UEPB. 2022.

10. Dawid MT, Moldovan O, Rudolph H, Kuhn K, Luthardt RG. Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review. Dent J (Basel). 2023;11(2):55.

11. Abdulmajeed AA, Lim KG, Närhi TO, Cooper LF. Complete-arch implant-supported monolithic zirconia fixed dental prostheses: A systematic review. J Prosthet Dent. 2016;115(6):672-677.e1.

12. de Oliveira Limírio JPJ, Gomes JML, Alves Rezende MCR, Lemos CAA, Rosa CDDRD, Pellizzer EP. Mechanical properties of polymethyl methacrylate as a denture base: Conventional versus CAD-CAM resin - A systematic review and meta-analysis of in vitro studies. J Prosthet Dent. 2022;128(6):1221-1229.

13. Abdulrazzaq Naji S, Jafarzadeh Kashi TS, Behroozibakhsh M, Hajizamani H, Habibzadeh S. Recent advances and future perspectives for reinforcement of poly(methyl methacrylate) denture base materials: a literature review. J Dent Educ. 2018;82(5): 567-572.

14. Tamore SH, Jyothi KS, Muttagi S, Gaikwad AM. Flexural Strength of Surface-Treated Heat-Polymerized Acrylic Resin after Repair with Aluminum Oxide-Reinforced Autopolymerizing Acrylic Resin. Contemp Clin Dent. 201;9(Suppl 2):S347-S353.

15. Stock C, Jürges H, Shen J, Bozorgmehr K, Listl S. A comparison of tooth retention and replacement across 15 countries in the over-50s. Community Dent Oral Epidemiol. 2016;44:223–231.

16. Bahrami G, Vaeth M, Kirkevang LL, Wenzel A, Isidor F. Risk factors for tooth loss in an adult population: a radiographic study. J Clin Periodontol. 2008;35(12):1059-65.

17. Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5 Suppl):990S-991S. Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997;127(5 Suppl):990S-991S.

18. Cruz-Jentoft AJ, Landi F. Sarcopenia. Clin Med (Lond). 2014;14(2):183-6.

19. Musacchio E, Perissinotto E, Binotto P, Sartori L, Silva-Netto F, Zambon S, et al. Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontol Scand. 2007;65(2):78-86.

20. Felton DA. Complete Edentulism and Comorbid Diseases: An Update. J Prosthodont. 2016;25(1):5-20.

21. Xu F, Laguna L, Sarkar A. Aging-related changes in quantity and quality of saliva: Where do we stand in our understanding? J Texture Stud. 2019;50(1):27-35.

22. Gil-Montoya JA, de Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Interv Aging. 2015;10:461-7.

23. Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people--call for public health action. Community Dent Health. 2010;27(4 Suppl 2):257-67.

24. Mendes DC, Poswar Fde O, de Oliveira MV, Haikal DS, da Silveira MF, Martins AM, De Paula AM. Analysis of socio-demographic and systemic health factors and the normative conditions of oral health care in a population of the Brazilian elderly. Gerodontology. 2012;29(2):e206-14.

25. Nedeljković Đ, Milić Lemić A, Kuzmanović Pfićer J, Stančić I, Popovac A, Čelebić A. Subjective and Objective Assessment of Chewing Performance in Older Adults with Different Dental Occlusion. Med Princ Pract. 2023;32(2):110-116.

26. Øzhayat EB, Gotfredsen K. Patient-reported effect of oral rehabilitation. J Oral Rehabil. 2019;46(4):369-376.

27. Budtz-Jørgensen E, Chung JP, Mojon P. Successful aging--the case for prosthetic therapy. J Public Health Dent. 2000;60(4):308-12.

28. Krause L, Seeling S, Schienkiewitz A, Fuchs J, Petrakakis P. Chewing ability and associated factors in older adults in Germany. Results from GEDA 2019/2020-EHIS. BMC Oral Health. 2023;23(1):988.

29. Kim HY, Jang MS, Chung CP, Paik DI, Park YD, Patton LL, et al. Chewing function impacts oral health-related quality of life among institutionalized and community-dwelling Korean elders. Community Dent Oral Epidemiol. 2009;37(5):468-76.

30. Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29(5):562-567.

31. Bortoluzzi MC, Traebert J, Lasta R, Da Rosa TN, Capella DL, Presta AA. Tooth loss, chewing ability and quality of life. Contemp Clin Dent. 2012;3(4):393-7.

32. Birch LL, Marlin DW. I don't like it; I never tried it: effects of exposure on two-year-old children's food preferences. Appetite. 1982;3(4):353-60.

33. Babeer WA. Fracture toughness of three-dimensional printed and milled denture bases. PLoS One. 2025;20(8):e0329556.

34. Rodrigues CV. O efeito de reforço da nano-zircônia na resistência transversal da base de prótese acrílica reparada. Braz J Implantol Health Sci. 2021;3(6):6-29.

Downloads

Published

2025-05-31

How to Cite

Alves Rezende, M. C. R., Santana, G. I. C., Inácio, J. de C., Oliveira Limírio, J. P. J. de, Gomes, J. M. de L., Salzedas, L. M. P., … Bertoz, A. P. de M. (2025). Protocol for Repairing Fractured Conventional Complete Dentures and Its Impact on Oral Health Promotion. ARCHIVES OF HEALTH INVESTIGATION, 15(5), e6805. https://doi.org/10.21270/archi.v15i5.6805

Issue

Vol. 15 No. 5 (2026)

Section

Original Articles