• Afsheen Mansoor School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Emaan Mansoor Islamic International Dental College, Riphah International University, Islamabad, Pakistan
  • Aleeza Sana School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Muhammad Mohsin Javaid School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Aleshba Saba Khan Department of Prosthodontics, Shahida Islam Dental College, Lodhran, Pakistan
  • Khadim Hussain Islamia University, Bahawalpur, Pakistan


Acrylic, Cast alloy, Cost effective, Denture, Pakistan, Patient satisfaction


Background: The ultimate loss of dentition creates lot of oral problems for edentulous patients which can be prevented with the provision of acrylic or cast alloy denture but patient satisfaction level attributed to these dentures is still unknown. We evaluated patient satisfaction level regarding aesthetics, pain, cost, retention, comfort and speech between acrylic and cast alloy denture wearers. Methods: Freshly edentulous patients wearing complete dentures with acrylic resin denture (AD) (n=65) and Co-Cr cast alloy denture (CD) (n=65) took part in study. Smart Patient Satisfaction Questionnaire was used to investigate satisfaction of these patients after one month (AD-1 and CD-1) and then after 3 months (AD-3 and CD-3). Scoring system 0=Not-Satisfied, 1=Satisfied and 2=Well Satisfied was used to evaluate general satisfaction of patients in both groups regarding speech, taste, pain, aesthetics, comfort, cost, and retention. Results: Patient satisfaction level between AD and CD wearers displayed insignificant differences with respect to aesthetics (p=0.614), pain (p=0.842), retention (p=0.852), comfort (p=0.842), speech (p=0.943), and taste (p=0.753). Patient satisfaction level between AD and CD users related to cost was significant (p=0.001) depicting that AD group was more satisfied with cost as compared to CD users. Conclusions: Both groups were satisfied with their aesthetics, pain control, retention, comfort, speech, and taste but patients using AD were found to be more satisfied with cost as compared to CD users who found these dentures quite expensive.

Pak J Physiol 2023;19(4):6-10


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Noor N, Mujtaba H, Humayoun S, Umer MF, Javaid MM, Rehman A. Comparison of endodontic pain observed with sodium hypochloride, hydrogen peroxide and normal saline based root canal irrigants. Ann Pak Inst Med Sci 2022;18(1):3–8.

Noor N, Azhar R, Sartaj R, Mujtaba H, Humayoun S, Javaid MM. Severity of post obturation pain in single versus multiple sittings endodontic treatment using rotary nickle titanium instruments. Ann Pak Inst Med Sci 2023;19(3):220–4.

Kaira LS, Jain R, Kukreja H, Dabral E, Dayakara HR, Asopa V. To study the prevelance of complete edentulousness among rural and urban population of Udaipur district of Rajasthan in relation to age and gender. Eur J Prosthodont 2013;1(1):21–6.

WHO, Oral health. Available at: [Acceded: 14 Mar 2023]

Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, et al. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health 2014;11:11308–24.

Akinboboye B, Oderinu O, Shaba O, Akeredolu P. Sociodemographic determinants of usage of complete dentures in a Nigerian teaching hospital: A pilot study. Eur J Prosthodont 2013;1(2):37.

Gondivkar SM, Gadbail AR, Gondivkar RS, Sarode SC, Sarode GS, Patil S, et al. Nutrition and oral health. Disease-a-month 2019;65(6):147–54.

Zanella SM, Pereira SS, Barbisan JN, Vieira L, Saba?Chujfi E, Haas AN, et al. Periodontal disease, tooth loss and coronary heart disease assessed by coronary angiography: a cross?sectional observational study. J Periodont Res 2016;51(2):221–7.

Ali Z, Baker SR, Shahrbaf S, Martin N, Vettore MV. Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: A systematic review and meta-analysis. J Prosthet Dent 2019;121(1):59–68 e53.

Palomares T, Montero J, Rosel EM, Del-Castillo R, Rosales JI. Oral health-related quality of life and masticatory function after conventional prosthetic treatment: A cohort follow-up study. J Prosthet Dent 2018;119(5):755–63.

Rodríguez V, Tobar C, López-Suárez C, Peláez J, Suárez MJ. Fracture load of metal, zirconia and polyetheretherketone posterior CAD-CAM milled fixed partial denture frameworks. Materials (Basel) 2021;14(4):959.

Limpuangthip N, Somkotra T, Arksornnukit M. Subjective and objective measures for evaluating masticatory ability and associating factors of complete denture wearers: A clinical study. J Prosthet Dent 2021;125(2):287–93.

van der Bilt A. Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil 2011;38(10):754–80.

Fan Y, Shu X, Lo ECM, Leung KCM. Development and validation of a chewing function questionnaire for Chinese older adults. J Dent 2020;104:103520.

Sato Y, Hamada S, Akagawa Y, Tsuga K. A method for quantifying overall satisfaction of complete denture patients. J Oral Rehabil 2000;27(11):952–7.

Koshino H, Hirai T, Toyoshita Y, Yokoyama Y, Tanaka M, Iwasaki K, et al. Development of new food intake questionnaire method for evaluating the ability of mastication in complete denture wearers. Prosthodont Res Pract 2008;7:12–8.

Baba K, John MT, Inukai M, Aridome K, Igarahsi Y. Validating an alternate version of the chewing function questionnaire in partially dentate patients. BMC Oral Health 2009;9:9.

Boretti G, Bickel M, Geering AH. A review of masticatory ability and efficiency. J Prosthet Dent 1995;74(4):400–3.

Adulyanon S, Sheiham A. Oral Impacts on Daily performances. In: Slade GD. (Ed). Measuring oral health and quality of life: Chapel Hill: University of North Carolina; 1997.p. 151.

Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol 1996;24(6):385–9.

Rathi S, Chaturvedi S, Abdullah S, Rajput G, Alqahtani NM, Chaturvedi M, et al. Clinical trial to assess physiology and activity of masticatory muscles of complete denture wearer following Vitamin D Intervention. Medicina (Kaunas) 2023;59(2):410.

Kalk W, Van Rossum GMJM, Van Waas MAJ. Edentulism and preventive goals in the treatment of mutilate dentition. Int Dent J 1990;40(5):267–74.

Lopreite M, Mauro M. The effects of population ageing on health care expenditure: A Bayesian VAR analysis using data from Italy. Health Policy 2017;121(6):663–74.

McMaughan DJ, Oloruntoba O, Smith ML. Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Front Public Health 2020;8:231.

Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, et al. Social determinants of health and diabetes: A scientific review. Diabetes Care 2020;44(1):258–79.

Ali M, Ahmed M, Mujtaba H, Umer MF, Khan MA, Afzal J. Impact of education and monthly income on caries index of community living in the rural area of Multan —a cross-sectional survey. Biomedica 2022;38(1):44–8.

Millarand WJ, Locker D. Edentulism and denture use. Health Rep 2005;17(1):55–8.

Chaudhary FA, Fazal A, Javaid MM, Hussain MW, Siddiqui AA, Hyder M, et al. Provision of endodontic treatment in dentistry amid COVID-19: a systematic review and clinical recommendations. BioMed Res Int 2021;2021:8963168.

Atanda AJ, Livinski AA, London SD, Boroumand S, Weatherspoon D, Iafolla TJ, et al. Tooth retention, health, and quality of life in older adults: a scoping review. BMC Oral Health 2022;22(1):185.

WHO. Equitable access to essential medicines: a framework for collective action. Geneva: WHO; 2004.




How to Cite

Mansoor A, Mansoor E, Sana A, Javaid MM, Khan AS, Hussain K. PHYSIOLOGICAL AND SOCIO-ECONOMIC SATISFACTIONLEVEL OF PATIENTS FOR ACRYLIC AND CAST ALLOY DENTURES. Pak J Phsyiol [Internet]. 2023 Dec. 31 [cited 2024 Feb. 27];19(4):6-10. Available from: