Denture Instability

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Introduction
Patients who wear conventional dentures often complain about the instability of the prosthesis, particularly the mandibular denture. Denture instability leads to a feeling of insecurity, inefficient mastication, and dissatisfaction of the patient with the prosthesis. The physical means of retention are limited in patients with significant bone resorption, since the supporting surface is greatly reduced and stability of the lower denture is provided mainly by the action of the musculature. In these cases a removable implant supported overdenture may be used.
The masticatory function is often poor in the complete denture wearers. The masticatory force is 10%to 20% of that of healthy dentate subjects. Consequently, patients with dentures may have a diet deficient in fiber and vitamins. Complete denture wearers need up to 7 times more chewing strokes to reduce food to half of its original particle size than the natural dentition, and the implant supported overdenture wearers need 50% fewer chewing strokes less than complete denture wearers. The maximum bite force level in complete denture wearers has been limited to an extent due to the sensitivity or pain of the mucoperiosteum
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They are considered necessary for the long term success of implant. Crestal bone loss around endosteal implants is a common phenomenon. The mini dental implants are those with diameter between 1.8 mm to 3mm. They are simple, less expensive, and require minimal surgery than the conventional implant. Mini implants may be used if there is a reduced interocclusal space, and narrow atrophic bone. Mini dental implants may be a good alternative for the bone grafting technique which requires long time of treatment and expensive procedure. Thus it would be beneficial to evaluate the conventional and mini implant use in mandibular complete denture both clinically and

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