Tyler V Verhaeghe1, Bernie A Linke2, Cheryl E Cable3, Nesrine Mostafa4. 1. Graduate student, Prosthodontics, Faculty of Dentistry, University of British Columbia, Vancouver, Canada. Electronic address: tyler.verhaeghe@alumni.ubc.ca. 2. Clinical Professor and Division Head of Restorative Dentistry, School of Dentistry, University of Alberta, Edmonton, Canada. 3. Associate Professor, School of Dentistry, University of Alberta, Edmonton, Canada. 4. Assistant Professor, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
Abstract
STATEMENT OF PROBLEM: A recent trend has been to reduce the procedural complexity of complete denture fabrication. Whether the clinical remount step is necessary is unclear. PURPOSE: The purpose of this systematic review was to assess the relevance of the clinical remount procedure on complete denture outcomes. MATERIAL AND METHODS: Five electronic databases were searched through to May 2018. The terms "denture*", "dental prosthes*", "equilibrat*", and "remount*" were chosen. The titles and abstracts were screened, and those which met the inclusion criteria were selected for full-text assessment. Studies that only performed the laboratory remount or were not randomized controlled studies were excluded. RESULTS: After duplicate removal, the database search strategy resulted in a total of 226 potential studies. After the titles and abstracts had been screened and the inclusion and exclusion criteria applied, 10 studies were retrieved for full-text assessment. Four randomized controlled clinical studies were included in the systematic review. A meta-analysis could not be performed because of variation in outcome measures after the clinical remount. CONCLUSIONS: A clinical remount for complete dentures is recommended on delivery to reduce clinically observed areas of discomfort and reduce the number of recall appointments. The development of a reliable and valid patient satisfaction questionnaire is necessary to determine conclusively whether the clinical remount also improves patient-perceived satisfaction and mastication.
STATEMENT OF PROBLEM: A recent trend has been to reduce the procedural complexity of complete denture fabrication. Whether the clinical remount step is necessary is unclear. PURPOSE: The purpose of this systematic review was to assess the relevance of the clinical remount procedure on complete denture outcomes. MATERIAL AND METHODS: Five electronic databases were searched through to May 2018. The terms "denture*", "dental prosthes*", "equilibrat*", and "remount*" were chosen. The titles and abstracts were screened, and those which met the inclusion criteria were selected for full-text assessment. Studies that only performed the laboratory remount or were not randomized controlled studies were excluded. RESULTS: After duplicate removal, the database search strategy resulted in a total of 226 potential studies. After the titles and abstracts had been screened and the inclusion and exclusion criteria applied, 10 studies were retrieved for full-text assessment. Four randomized controlled clinical studies were included in the systematic review. A meta-analysis could not be performed because of variation in outcome measures after the clinical remount. CONCLUSIONS: A clinical remount for complete dentures is recommended on delivery to reduce clinically observed areas of discomfort and reduce the number of recall appointments. The development of a reliable and valid patient satisfaction questionnaire is necessary to determine conclusively whether the clinical remount also improves patient-perceived satisfaction and mastication.