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QUALITY OF LIFE IN PEDIATRIC PATIENTS AFTER PROVIDING REMOVABLE

ACRYLIC PARTIAL DENTURE

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Pedodontics Original Article

QUALITY OF LIFE IN PEDIATRIC PATIENTS AFTER PROVIDING

REMOVABLE ACRYLIC PARTIAL DENTURE
1
MEHMOOD HUSSAIN, BDS, FCPS
2
SYED IMRAN HASSAN, BDS, MCPS
3
SYED ABRAR ALI, BDS, FCPS
4
MOHAMMAD YAWAR KHAN, BDS
5
MOIN KHAN, BDS
6
WAQAS TANVEER, BDS
ABSTRACT

The study was conducted to observe quality of life in pediatric patients provided with acrylic
removable partial denture visiting Hamdard University Dental Hospital, Karachi. It was a de-
scriptive type of study. The study was carried out in the Department of Prosthodontics, Hamdard
University Dental Hospital, Karachi from January 2012 to December 2013. Non probability pur-
posive sampling technique was used. Total 30 patients visited to Prosthodontics Department of
Hamdard University Dental Hospital, Karachi for provision of prosthesis were included in this
study. Age range varied from 03-14 years, while sixteen were boys and fourteen were girls. Four of
them were already denture wearer. Questionnaire based on OHIP-14 was used to evaluate qual-
ity of life in these patients. After collection of data, results were tabulated on SPSS. All patients
were provided with acrylic removable partial dentures. Regular follow up was maintained and all
patients were satisfied with the performance of their prosthesis. Acrylic removable prosthesis can
be very effective for oral rehabilitation of pediatric patients when fixed prosthesis is not feasible
due to multiple factors.

Key Words: Removable acrylic partial denture, esthetics, mastication, quality of life.

INTRODUCTION speech and compromise in aesthetics especially in

cases where anterior teeth are not present. In pa-
In children mostly loss of teeth is due to trauma
tients where teeth are missing congenitally, then in
or caries while some patients can have any systemic
such patients there is severe loss of alveolar bone
disease associated with early loss of teeth, also there
as well which results in thin lips, depressed facial
are certain patients in which teeth have been missing
appearance, prominent nose and chin with reduced
due to congenital reason as well.1
lower facial height.2
Missing teeth in early age can lead to multiple
Replacement of missing teeth in young age group
problems like difficulty in chewing, problems in
often require multidisciplinary approach, some times
it is better to consult psychiatrist initially for better
1
Assistant Professor & Head Department of Prosthodon- prognosis of treatment by providing counseling and
tics, Hamdard College of Medicine & Dentistry, Karachi
E-mail: mhussain26@hotmail.com Contact No: 0334-3728729
motivation to patients and their parents as well.3
For correspondence: House No. A-695, Block H, North
Nazimabad, Karachi
There are numerous factors which can affect the
2
Assistant Professor & Head Department of Periodontology treatment plan and while fabricating dental prosthe-
E-mail: imran121170@hotmail.com Contact No: 0303-2655762 sis these factors like number of teeth to be replaced,
3
Assistant Professor & Head Department of Operative Dentistry condition of adjacent teeth, patient motivation, social
E-mail: dentist4@hotmail.com Contact No: 0300-2107519
4
Lecturer Department of Prosthodontics, and medical factors should be considered.4
E-mail: dr_yawarkhan@yahoo.com Contact No: 0333-2142218
5
Lecturer Department of Prosthodontics Removable partial dentures are easy to fabricate,
E-mail: moin_khan86@hotmail.com Contact No: 0333-2095340 requires less time, low cost, no invasive preparations
6
Lecturer Department of Prosthodontics on abutment teeth, easy to insert and to remove by
E-mail: waqas_tanveer30@hotmail.com Contact No: 0331-2103605 the patient himself.5 On the other hand if prosthesis
Received for Publication: July 16, 2014 is not properly fabricated then there will be further
Revision Received: August 22, 2014
damage to underlying tissues leading to periodontitis
Accepted: August 24, 2014

Pakistan Oral & Dental Journal Vol 34, No. 3 (September 2014) 477

and caries in abutment teeth. Strength of acrylic
partial denture is also a major problem and due to
less impact strength, there are chances of prosthesis
fracture.6
Different designs of acrylic partial denture are
available, these designs are: spoon denture, bifid
spoon denture, modified spoon denture. Each design
has its own advantages and disadvantages and ef-
forts should be made to select most suitable design
considering above mentioned factors.7
Utilization of different impression techniques,
selection of appropriate clasps, proper extension of
dentures and achievement of harmonious occlusion
are the key factors to make an adequate acrylic par-
tial denture.8
Acrylic dentures should be tissue friendly, re-
storing aesthesis by incorporation of appropriate
denture flanges and should utilize all anatomical
and physiological factors available to achieve better
mechanical properties like support, retention and
stability.9
The WHO defines quality of life as ‘the individu-
al's perception of their position in life in the context
of the culture and value systems in which they live
and in relation to their goals, expectations, standards
and concerns.10
There are various domains to determine quality
of life. Various questionnaires like OHIP- 14, OHIP-
Edent, Geriatric Oral Health Assessment were used to
evaluate quality of life in patients with loss of teeth.
These questionnaires can serve as a useful tool to
observe change in quality of life for such patients.11
METHODOLOGY
It was a descriptive type of study. Non probability
purposive sampling technique was used. The study
TABLE 1: SYMBOLS USED IN BAR GRAPHS
Trouble Pronouncing Words Before TPWB
Trouble Pronouncing Words After TPWA
Taste Worse Before TWB
Taste Worse After TWA
Painful Aching Before PAB
Painful Aching After PAA
Uncomfortable To Eat Before UTEB
Uncomfortable To Eat After UTEA
Self Conscious Before SCB
Self Conscious After SCA
Tense Before TB
Tense After TA
Pakistan Oral & Dental Journal Vol 34, No. 3 (September 2014)
Pedriatric patients and acrylic dentures
was carried out in the Department of Prosthodontics,
Hamdard University Dental Hospital, Karachi from
January 2012 to December 2013. Thirty patients
were included in this study, sixteen were boys and
fourteen were girls. After selection of patients, routine
history along with extra and intra oral examinations
were carried out. Different treatment options were
discussed with the patients and their parents and
finally it was decided to fabricate acrylic removable
partial denture for all such patients. Routine steps
required for acrylic partial denture fabrication were
performed and dentures were fabricated. Oral and
denture hygiene instructions were given to the pa-
tients and follow up was also done with 24 hours, 1
week, one month and six months after fabrication of
acrylic partial denture. After taking consent ques-
tionnaire based on OHIP-14 was used to evaluate
quality of life in these patients, questionnaire was
used on first visit and six month after provision of
acrylic partial denture. SPSS software was used to
analyze data, Wilcoxon Signed Ranks Test was ap-
plied and results were obtained. Probability level of
P<.05 was considered statistically significant.
Inclusion Criteria: Young patients with age range
from 04-14 years
Exclusion Criteria: Patient less than 04 years of
age, mentally retarded patients.
RESULTS
In this study, removable acrylic partial dentures
were fabricated in thirty patients. Lower dentures
were made for 09 patients while for fifteen patients
upper dentures were made. Both upper and lower
dentures were fabricated for six patients. All patients
were satisfied with their prosthesis, five patients
need some adjustment in their dentures which was
provided accordingly in subsequent follow up visits.
All patients showed marked improvement in various
Interrupt Meal Before IMB
Interrupt Meal After IMA
Difficult To Relax Before DTRB
Difficult To Relax After DTRA
Been Embarrassed Before BEB
Been Embarrassed After BEA
Life Unsatisfactory Before LUB
Life Unsatisfactory After LUA
Unable To Function Before UTFB
Unable To Function After UTFA
Diet Unsatisfactory Before DUB
Diet Unsatisfactory After DUA
478
 Pedriatric patients and acrylic dentures

TEST STATISTICS ASYMP. SIG. (2-TAILED)-SIGNIFICANCE LEVEL 0.05

Trouble pronouncing words after - trouble pronouncing words before .005

Taste worse after - taste worse before .003
Painful aching after - painful aching before .028
Uncomfortable to eat after - uncomfortable to eat before .001
Self conscious after - self conscious before .002
Tense after - tense before .346
Diet unsatisfactory after - diet unsatisfactory before .020
Interrupt meal after - interrupt meal before .000
Difficult to relax after - difficult to relax before .005
Been embarrassed after - been embarrassed before .002
Life unsatisfactory after - life unsatisfactory before .046
Unable to function after - unable to function before .000

Fig. 1: Before wearing the denture

Fig. 2: After the provision of denture

Pakistan Oral & Dental Journal Vol 34, No. 3 (September 2014) 479

domains used to determine quality of life in OHIP-14
questionnaire.
DISCUSSION
Missing teeth in young age results in compromise
aesthetics and functions like speech and mastication,
early replacement of missing teeth is necessary to
overcome these problems. Acrylic partial denture in
young age can be useful adjunctive for such patients
to restore functions and aesthetics.12
Serra et al in their study found that with provision
of acrylic prosthesis, masticatory force was markedly
improved in comparison to those patients who have
missing teeth and dentures were not provided for
such pediatric patients.13 In this study also there
was improvement in mastication after provision of
the prosthesis.
The most common reason for missing teeth in this
study was caries followed by trauma and hypodontia
while one patient was reported after surgical exci-
sion of right posterior maxilla due to tumor and one
patient was reported for provision of prosthesis due
to cleft palate. Krisdapor et al also discussed in his
study conducted in Thailand that caries is one of the
leading cause of teeth lost in young age.14
In this study there were five patients who had
ectodermal dysplasia with hypodontia as one of its
associated feature, Dalben et al15 discussed a case
report in which removable acrylic partial dentures
were fabricated for hypodontia patients to restore
functions and aesthetics in young patient following
routine steps for acrylic partial denture fabrication
and found significant improvement in esthetics and
function in these patients which was also observed
in this study as well for hypodontia patients.
In this study acrylic partial denture cum obturator
was also provided for two patients, one had undergone
surgical resection of left posterior maxillary arch
due to cancerous lesion while teeth were missing in
other patient due to cleft palate. For such patients
some special design features like incorporation of
hollow bulb should be made for better function of
prosthesis. Aras16 discussed as case report in which
interim acrylic denture cum obturator was provided
for young patient
Montero et al used OHIP-14 Questionnaire on first
visit and after 3 months to observe quality of life in
patients provided with removable acrylic dentures
in adult Spanish population and found significant
improvement in various domains of OHIP- 14 after
provision of acrylic removable denture while in this
study we used OHIP- 14 Questionnaire after 6 month
of provision of acrylic removable partial denture.17
Pakistan Oral & Dental Journal Vol 34, No. 3 (September 2014)
View publication stats
Pedriatric patients and acrylic dentures
CONCLUSION
Provision of acrylic partial denture in children
will help such patients to restore functions like mas-
tication and speech. Acrylic partial denture also helps
to enhance aesthetics as well which will improve the
self esteem and social integration of such patients
as well.
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