Survival analysis of mandibular complete dentures with acrylic-based resilient liners

Gerodontology. 2013 Sep;30(3):187-93. doi: 10.1111/j.1741-2358.2012.00658.x. Epub 2012 May 21.

Abstract

Objective: The purpose of this long-term randomised controlled trial was to compare the longevity of dentures constructed using a conventional acrylic resin (CAR) to that of dentures constructed using an acrylic-based resilient liner (ARL).

Materials and methods: The follow-up study was essentially carried out by annual telephone calls to each of the 67 participants. The Kaplan-Meier method and life-table analysis were used for univariate analyses. The Cox proportional-hazards test was used as a final model for statistically adjusting predictor variables such as sex, clinician type, mandibular denture type and age at denture delivery.

Results: The denture type was likely to affect the survival time of the dentures, while the sex and clinician type were not. The group using acrylic-based resilient denture liners had twice the risk of having shorter denture-survival times than those using conventional acrylic resin dentures. Younger participants were likely to have a reduced risk of having shorter denture-survival times than older participants.

Conclusion: We conclude that mandibular complete dentures constructed using ARL are twice as likely as dentures constructed using CAR to have shorter denture survival times, mainly because of material deterioration.

Keywords: complete denture; edentulous patient; randomised controlled trial; resilient denture liner; survival analysis.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acrylic Resins / chemistry*
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Dental Materials / chemistry*
  • Dental Restoration Failure / statistics & numerical data
  • Denture Design / statistics & numerical data
  • Denture Liners / statistics & numerical data*
  • Denture, Complete, Lower / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Humans
  • Life Tables
  • Longitudinal Studies
  • Male
  • Proportional Hazards Models
  • Sex Factors
  • Survival Analysis

Substances

  • Acrylic Resins
  • Dental Materials