Introduction: Edentulism may compromise the quality of life (QoL) of a patient. Geriatric patients who are satisfied with their complete dentures are usually satisfied with their daily life. This research was conducted to assess quality of life using Geriatric Oral Health Assessment Index (GOHAI) focusing on functional limitation, oro-facial pain, psychological impact and behavioural impact among edentulous patient attending USIM Polyclinic. Materials and Methods: Thirty-two geriatric edentulous patient to be treated by third year students in polyclinic USIM were recruited. Patient completed the Malay version of GOHAI questionnaire. Result: The data showed there were 62.5% male and 37.5% female. The mean age was 63.88 ± 5.621 year. 87.5% of the samples are wearing complete denture and 56.3% of them have been wearing denture for the past five years. The lowest mean score was 1.66 ( ± 1.6) for trouble in biting and chewing. The highest mean for GOHAI was in medication used to relieve pain with the mean score of 4.56 ( ± 0.8). Conclusion: The QoL of geriatric patient was mostly affected by the oral function. However the least affected was seen in pain and discomfort. Despite wearing complete denture, denture replacement is essential to improve QoL.

Oranasal separation and the rehabilitation of oral functions are the main objectives of providing obturators for patient with maxillary defects. This study compared patient satisfaction with a single-piece and a magnet-retained sectional obturator. Seven patient with maxillary defects were treated with both types of prosthesis. A satisfaction survey was completed after each type of obturator had been worn for at least two months without any complaints. Patient satisfaction regarding their masticatory and speech abilities, aesthetics, prosthesis retention and ease of handling, and the patients’ overall satisfaction with the obturators were measured on a visual analogue scale (VAS) and a 4-scale category (FSC) questionnaire. Statistical analysis of data was conducted using the non-parametric Wilcoxon Signed Ranks test. The results show that the only significant difference in patient satisfaction was the patients’ perception that the sectional obturator provided better aesthetics (p<0.05). It can be concluded that the patients had no preference for a particular type of prosthesis, and that there were satisfied as long as the obturators were comfortable, restored their oral functions and improved their quality of life.

Copy denture technique is a classic technique for construction of a new denture, based on the existing denture using a replica. This technique helps elderly population in terms of adaptation to a new denture. The aim of this study was to determine the knowledge and practice of copy denture technique among dentists and dental technologists in Malaysia. Two sets of a pre-tested questionnaire was distributed to participants who attended copy denture workshop. The participants were instructed to answer the questionnaires before and after the seminar. A total of 97 responses were collected and only 77 (79.4%) have given a valid feedbacks. The results showed that eventhough 54.5% (n=42) participants had more than 5 years of clinical experiences, 42.9% (n=33) claimed to have limited knowledge in this technique prior to the seminar and 55.9% (n=43) presented with positive attitude towards copy denture. Majority of the participants (74.1%) were uncertain and did not have the skills to perform the copy denture technique. However, following workshop, their attitude towards copy denture increased (+15.6%) and the mean score value was statistically significance (p < 0.005). In conclusion, awareness and practice on copy denture technique should be encouraged to ensure patient’s benefits when replacement denture are required.

Salvadora Persica (miswak stick) has been widely used as an aid for oral hygiene in dentate patient. Due to the fact that there is no side effect of using miswak stick as cleaning aids on teeth but it has been never introduced to edentulous patient as an oral aid for denture and oral care, this study introduced a new approach in edentulous patient the role of miswak stick. This approach may prevent the incidence of denture stomatitis in complete denture wearer. Study aimed to share the clinical finding of two (2) patients aged 35 and 65-years-old who were wearing denture and affected by denture stomatitis. Both patients were introduced with the miswak stick as an oral hygiene tools on the edentulous mucosa. After 12 weeks, postoperative assessment (clinical and photographic) were evaluated and analyzed by comparing the mapping of denture stomatitis inflammation surface area using ImageJ FIJI software and the inflammation clinical presentation. The results showed the inflammation surface area has reduced by 22.74% to 49.59%, respectively. Within the limitation of the study, the use of the miswak stick helps the reduction of the inflammation caused by denture stomatitis. Therefore, miswak stick can be introduced as one of oral hygiene aid for edentulous arch. Keywords: Salvadora Persica, miswak, denture stomatitis, denture, oral hygiene

Introduction: Copy denture technique is a classic technique for construction of a new denture based on the favourable aspects of the original denture using a replica. This technique helps in adaptation of new denture in elderly population. The aim of this paper was to assess the knowledge and practice of copy denture technique among dentists and dental technologists. Materials and Methods: A pre-tested questionnaire was sent to all participants who attended the Copy Denture Workshop organized by USIM on 13th April 2017. Two sets of the same questionnaire were distributed to the participant before and after the seminar. Results: Out of 100 participants, only 77% (n=77) have given valid feedbacks. The results showed, even though 54.5% (n=42) participants had more than 5 years of clinical experience, 42.9% (n=33) of the participants have poor knowledge in this technique before the seminar begin. However 55.9% presented with positive attitude towards copy denture. Most of the participants did not know about copy denture technique (43.1%) and the advantages of the technique (32.9%). 74.1% (n=57) participants were uncertain to perform the technique and did not have the skills to perform the copy denture technique. However, after attending the workshop, their attitude towards copy denture increased (+15.6%) and the mean score value was statistically significance with p-value 0.049. Conclusion(s): Awareness and workshop on copy denture technique should be encouraged to improve knowledge and practice, so that the patient who requested for replacement denture will benefit from this technique.

Miswak (Salvadora Persica) has been used widely as oral aid since Babylonians era. Many methods have been introduced to improve the patient's denture hygiene but few researches on methods for cleaning edentulous area and denture to treat denture induced stomatitis. This study assessed the use of miswak stick to reduce denture induce stomatitis inflammation. A qualitative interview and questionnaires was conducted to assess the experience of miswak stick used 15 patients suffered from denture induced stomatitis. In addition, the inflammation areas were assessed using clinical photograph for the assessment of inflammation degree and denture stomatitis classification changes and compared with control group (using toothbrush). Four weeks’ result showed, no ulceration seen on the mucosa and edentulous arch. There was more than 50% (Mean=55.6%, SD±24.6%) reduction of inflammation surface area and redness. Patient with class 1 and 2 Newton's classification showed significant inflammation reduction more than 50% with 36.4% (Mean=20%, SD±9.9%) and 18.2% (Mean=20%, SD±9.9%). Patient also presented changes of the Newton's classification (n=26.7%). There is no significant different between using miswak vs conventional technique using toothbrush (p<0.05). Patients gave positive feedbacks of miswak on edentulous area as denture cleaning aid. In conclusion, miswak stick can be recommended as alternative oral care aid for edentulous patients and denture care. © 2020. All rights reserved.

Introduction: Salvadora percisa (popularly known as miswak) has been widely used as an aid for oral hygiene in dentate patient. There is no side effect of using miswak stick. A new approach introduced the role of miswak stick in edentulous patient. It may prevent the incidence of denture stomatitis among denture wearer. This study assessed the effectiveness of the miswak stick as an oral aid in edentulous patients as an alternative treatment for denture stomatitis. Materials and Methods: A clinical case control study included patients affected by denture stomatitis. The Miswak stick was introduced to the subjects to use as the oral device to clean the denture and oral mucosal area everyday. Pre- and postoperative assessment (clinical and photographic) were evaluated within 8 to 12 weeks and analysed by comparing the mapping of denture stomatitis inflammation. Results: A total of 11 subjects with denture stomatitis comprised as type 1; n=5 (46%), type 2; n=4 (36%) and type 3; n=2 (18%). 54.5% of subjects showed more than 50% reduction in the mapping of denture stomatitis inflammation (p<0.05) after the use of miswak stick. This study also showed that the use of miswak stick for more than 3 weeks to Type I and II denture stomatitis (54.6%) has successfully reduce the inflammation for more than 50%. 54.5% of the subjects with good denture hygiene has 50% more reduction of denture stomatitis. Conclusion(s): The miswak stick was significantly effective to reduce the denture stomatitis with a regular use and maintenance of good denture hygiene.