The Impact of Rugae Reproduction on Complete Dentures Patients' Satisfaction

NCT ID: NCT03879083

Last Updated: 2020-04-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-01

Study Completion Date

2020-02-25

Brief Summary

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The palatal rugae, refer to asymmetrical and irregular elevations of the mucosa located in the anterior third of the palate, on each side of the median palatal raphe and behind the incisive papilla. The lack of the rugae area on the polished areas of the dentures has been suggested to impact phonetics in denture patients. Therefore, the aim of this randomized crossover clinical trial was to compare patients' reported satisfaction with their complete dentures and oral health related quality of life, when provided with a denture with a reproduction of their rugae on the anterior palatal area as opposed to a polished palatal surface.

Detailed Description

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The use of dentures could impact the patients' phonetics which could impact their speech. Phonetics could be affected by multiple factors such as having a proper occlusal vertical dimension, proper occlusal plane, correctly positioned anterior and posterior teeth, and adequate contouring of the palatal surface. The lack of the rugae area on the polished areas of the dentures has been also suggested to impact phonetics in denture patients.

The palatal rugae, refer to asymmetrical and irregular elevations of the mucosa located in the anterior third of the palate, on each side of the median palatal raphe and behind the incisive papilla. In addition to enhancing phonetics, the precise reproduction of the rugae in the complete dentures has been suggested to enhance mastication, deglutition and better taste perception. However, these suggestions were based on empirical evidence.

Many studies have described methods for replicating the patients rague on complete dentures, however there are no clinical study to ascertain or negate the impact of this procedure. Therefore, the aim of this randomized crossover clinical trial was to compare patients' reported satisfaction with their complete dentures and oral health related quality of life, when provided with a denture with a reproduction of their rugae on the anterior palatal area as opposed to a polished palatal surface. The null hypothesis was that there would be no difference in patients' reported satisfaction rate using visual analogue scale (VAS) and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) Questionnaire response between the two types of palatal contours after using each type for one month post-delivery.

Conditions

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Edentulous Jaw

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Patients will randomly be allocated to either group A/B or B/A. Group A: Patients receiving a reproduction of their palatal rugae Group B: Patients receiving a smooth palatal surface.

After insertion, all participants will be followed up for a minimum of 1 week to correct any issues with the dentures and eliminate patient complaints.

All patients will be recalled at 2 month after insertion to answer questions using the VAS and to fill out the Oral Health Impact Profile-20 EDENT (OHIP-EDENT), and receive the other type of palatal contour.

After the second periodthe same process will be repeated.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors
The outcomes assessor will not be aware of which group he/she is interviewing at the assessment session.

Study Groups

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With reproduction of palatal rugae

Participants will receive maxillary complete dentures with a reproduction of the patients's own palatal rugae to the palatal surface.

Group Type EXPERIMENTAL

The removal of the palatal rugae from the complete denture surface

Intervention Type OTHER

The removal of the palatal rugae from the complete maxillary denture palatal surface to become a smooth surface

Without reproduction of palatal rugae (smooth surface)

Participants will receive maxillary complete dentures with smooth palatal surfaces without a reproduction of the patients's own palatal rugae to the palatal surface.

Group Type ACTIVE_COMPARATOR

Addition of palatal rugae to the complete denture surface

Intervention Type OTHER

The addition and reproduction of the patient's own palatal rugae to the complete maxillary denture palatal surface.

Interventions

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Addition of palatal rugae to the complete denture surface

The addition and reproduction of the patient's own palatal rugae to the complete maxillary denture palatal surface.

Intervention Type OTHER

The removal of the palatal rugae from the complete denture surface

The removal of the palatal rugae from the complete maxillary denture palatal surface to become a smooth surface

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients seeking a set of conventional maxillary and mandibular complete dentures at the University of Jordan Hospital, for the first time or as a replacement of their previous dentures.
* Patients aged between 45 and 80 years old.
* Patients had been completely edentulous for at least 3 months
* Patients without severe underlying medical conditions, neuromascular dysfunction, auditory problems, mental conditions, oral pathology, xerostomia, or tied tongue condition.
* Patients who approved and consented to participation.
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Jordan

OTHER

Sponsor Role lead

Responsible Party

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Motasum Abu-Awwad

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Jordan Hospital

Amman, , Jordan

Site Status

Countries

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Jordan

Other Identifiers

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10/2019/27400

Identifier Type: -

Identifier Source: org_study_id

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