Determinants of success in total denture oral rehabilitation: clinical and functional factors
Keywords:
IMPLANTES DENTALES; PRÓTESIS DENTAL; REHABILITACIÓN BUCAL., DENTAL IMPLANTS; DENTAL PROSTHESIS; MOUTH REHABILITATION., IMPLANTES DENTÁRIOS; PRÓTESE DENTÁRIA; REABILITAÇÃO ORAL.Abstract
Introduction: oral rehabilitation with complete dentures constitutes an essential therapeutic alternative for edentulous patients.
Objective: to describe the biological, technical, psychological, and socioeconomic factors that determine success in oral rehabilitation with complete dentures.
Methods: a systematic review of the literature was conducted in PubMed, Scopus, and Web of Science, considering studies published between 2018 and 2024. Keywords related to complete dentures and oral rehabilitation were used. Articles were selected according to relevance and methodological quality criteria, and subsequently synthesized to identify common patterns and divergences in the findings.
Development: biological factors such as bone density and periodontal health are critical for denture retention and stability. In the technical field, advances in dental materials and digital technologies have improved durability, fit, and aesthetics of dentures. Psychological factors, including realistic expectations, patient education, and emotional support, directly influence adaptation and satisfaction. Finally, socioeconomic aspects, such as limited access to services and high costs, represent significant barriers, with subsidy programs and patient education highlighted as key strategies to optimize outcomes.
Conclusions: the success of complete dentures depends on a comprehensive approach that integrates clinical, technological, psychological, and social factors. Multidisciplinary care and equitable access policies are indispensable to ensure effective and sustainable rehabilitations, improving the quality of life of edentulous patients and promoting equity in oral health. This review underlines the relevance of a holistic approach to improve patient adaptation, function and quality of life, highlighting the importance of tailored strategies in full denture oral rehabilitation.
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