Rehabilitation of Complex Edentulous Cases with Acrylic Dentures: A Literature Review

The treatment of total edentulousness is based on the knowledge of the morphological elements of the prosthetic field, their biological structure and their quality. The fully edentulous prosthetic field comprises all the anatomical elements that are in contact with the complete denture and contribute to its maintain, support and stability. A systematic review was conducted based on articles from the literature. These were obtained using the PubMed and PubMed Central electronic databases. Data collection for the systematic review was based on the PRISMA (Preferred Reporting Items) criteria for Systematic Reviews and Meta-Analyzes. From the total number of 26 articles included in the systematic review, 73%  refer to the treatment with acrylic prosthesis for patients with various malignancies. A percentage of 12% approach the prosthetic treatment for patients with ectodermal dysplasia. These patients suffer from anodontics or oligodontics. Five percente presented severe prothetic field atrophy, 3% had cleft lip and palate and 3% presented general patologies that indicate prosthetic rehabilitation with complete/ partial acrylic denture. Prosthetic treatment with acrylic prostheses was possible, no matter how were the conditions of the prosthetic field or the general pathology of the patient. The majority of patients treated with acrylic prostheses have undergone jaw surgery. Prosthetic treatment with obturator prosthesis is suitable for these cases