{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:48:44Z","timestamp":1782193724802,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To explore how edentulous older adults and their family members experienced the use of complete removable dentures and to examine the meanings they attributed to this rehabilitation in relation to daily life, social participation and perceived quality of life.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Complete removable dentures remain the most common treatment for complete edentulism in public services. Although previous research has extensively documented clinical performance and patient\u2010reported outcomes, less is known about how older adults and their families experience denture use in everyday life. Understanding these experiential and relational dimensions is important for informing more patient\u2010centred prosthetic care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This interpretive qualitative study was conducted in a public primary healthcare centre in Santiago, Chile. Semi\u2010structured interviews were undertaken with 50 edentulous adults aged 60\u2009years or older who had received complete removable dentures, and with 36 family members involved in their everyday support. In addition, one focus group was conducted with a purposive subset of older adults to deepen themes identified in the interviews. Audio\u2010recorded data were transcribed verbatim and analysed using reflexive thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Four interpretive themes were developed. Complete removable dentures were often experienced as a form of visible recovery, restoring appearance, confidence and ease of communication. At the same time, this recovery remained fragile when denture instability, particularly in the mandible, affected eating, speaking and social interaction. Many participants described daily adaptation through dietary restriction, vigilance and avoidance of potentially embarrassing situations. Family members played an important role by providing practical assistance, emotional support and help in managing meals, routines, and follow\u2010up needs.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n For edentulous older adults, complete removable dentures were experienced as more than a technical replacement for missing teeth. While they often improved self\u2010presentation and confidence, their functional limitations frequently sustained social and emotional burden. These findings support prosthetic care models that incorporate follow\u2010up, family involvement and attention to psychosocial adaptation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ger.70102","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:39:20Z","timestamp":1782193160000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of Complete Removable Denture Use Among Edentulous Older Adults and Their Family Members: A Qualitative Study in Public Primary Care"],"prefix":"10.1111","author":[{"given":"Alfredo","family":"Von Marttens","sequence":"first","affiliation":[{"name":"Prosthetic Dentistry Department University of Chile Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall","family":"Von Marttens","sequence":"additional","affiliation":[{"name":"Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT\u2010BIOREN), Universidad de La Frontera Temuco Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Isabel","family":"Von Marttens","sequence":"additional","affiliation":[{"name":"Private Practice Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mishell","family":"Chirinos","sequence":"additional","affiliation":[{"name":"Private Practice Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3594-4648","authenticated-orcid":false,"given":"Eduardo","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Restorative Dentistry Department University of Chile Santiago Chile"},{"name":"Instituto de Ciencias Biom\u00e9dicas Universidad Aut\u00f3noma de Chile Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2369-2882","authenticated-orcid":false,"given":"Javier","family":"Basualdo","sequence":"additional","affiliation":[{"name":"Prosthetic Dentistry Department University of Chile Santiago Chile"},{"name":"Graduate School, Faculty of Dentistry, Dental School University of Chile Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Beltran","sequence":"additional","affiliation":[{"name":"Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT\u2010BIOREN), Universidad de La Frontera Temuco Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1186\/s12939-025-02557-5","article-title":"Association Between Oral Health\u2010Related Quality of Life and Structural Determinants of Health Among Elderly Populations. A Systematic Review and Meta\u2010Analysis","volume":"24","author":"Borg\u2010Bartolo R.","year":"2025","journal-title":"International Journal for Equity in Health"},{"issue":"1","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/s12902-021-00830-6","article-title":"Association of Tooth Loss With Morbidity and Mortality by Diabetes Status in Older Adults: A Systematic Review","volume":"21","author":"Raju K.","year":"2021","journal-title":"BMC Endocrine Disorders"},{"issue":"8","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/jopr.13859","article-title":"Clinical Outcomes of Milled, 3D\u2010Printed, and Conventional Complete Dentures in Edentulous Patients: A Systematic Review and Meta\u2010Analysis","volume":"33","author":"Zandinejad A.","year":"2024","journal-title":"Journal of Prosthodontics: Official Journal of the American College of Prosthodontists"},{"issue":"1","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.prosdent.2005.11.007","article-title":"Standard of Care for the Edentulous Mandible: A Systematic Review","volume":"95","author":"Fitzpatrick B.","year":"2006","journal-title":"Journal of Prosthetic Dentistry"},{"issue":"5","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"e378","DOI":"10.1093\/geront\/gnz105","article-title":"The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review","volume":"60","author":"Rijt L. J. M.","year":"2020","journal-title":"Gerontologist"},{"issue":"1","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/clr.13394","article-title":"Perceptions and Experiences of Patients Following Treatment With Single\u2010Implant Mandibular Overdentures: A Qualitative Study","volume":"30","author":"Nogueira T. E.","year":"2019","journal-title":"Clinical Oral Implants Research"},{"issue":"215","key":"e_1_2_13_8_1","first-page":"298","article-title":"The Helsinki Declaration of the World Medical Association (WMA). Ethical Principles of Medical Research Involving Human Subjects","volume":"36","year":"2014","journal-title":"Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego"},{"issue":"6","key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1177\/02692163241234800","article-title":"Supporting Best Practice in Reflexive Thematic Analysis Reporting in Palliative Medicine: A Review of Published Research and Introduction to the Reflexive Thematic Analysis Reporting Guidelines (RTARG)","volume":"38","author":"Braun V.","year":"2024","journal-title":"Palliative Medicine"},{"issue":"3","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","DOI":"10.1093\/heapro\/daae049","article-title":"A Critical Review of the Reporting of Reflexive Thematic Analysis in Health Promotion International","volume":"39","author":"Braun V.","year":"2024","journal-title":"Health Promotion International"},{"issue":"4","key":"e_1_2_13_11_1","article-title":"Final\u2010Impression Techniques and Materials for Making Complete and Removable Partial Dentures","volume":"4","author":"Jayaraman S.","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"s169","DOI":"10.11607\/jomi.16suppl.g5.1","article-title":"Maxillary Complete Denture Outcomes: A Systematic Review of Patient\u2010Based Outcomes","volume":"31","author":"Thalji G.","year":"2016","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"issue":"3","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/ger.12399","article-title":"Oral Health\u2010Related Quality of Life and Satisfaction of Edentulous Patients Using Conventional Complete Dentures and Implant\u2010Retained Overdentures: An Umbrella Systematic Review","volume":"36","author":"Sharka R.","year":"2019","journal-title":"Gerodontology"},{"issue":"1","key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jpor.2017.06.004","article-title":"A Systematic Review of Studies Comparing Conventional Complete Denture and Implant Retained Overdenture","volume":"62","author":"Kutkut A.","year":"2018","journal-title":"Journal of Prosthodontic Research"},{"issue":"1","key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s00784-021-04213-y","article-title":"Oral Health\u2010Related Quality of Life and Satisfaction in Edentulous Patients Rehabilitated With Implant\u2010Fappeorted Full Dentures All\u2010On\u2010Four Concept: A Systematic Review","volume":"26","author":"Gon\u00e7alves G. S. Y.","year":"2022","journal-title":"Clinical Oral Investigations"},{"issue":"2","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1002\/cre2.347","article-title":"Evaluation of the Quality of Life and Satisfaction in Patients Using Complete Dentures Versus Mandibular Overdentures. Systematic Review and Meta\u2010Analysis","volume":"7","author":"Egido Moreno S.","year":"2021","journal-title":"Clinical and Experimental Dental Research"},{"issue":"9","key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1111\/joor.13738","article-title":"CAD\/CAM Versus Traditional Complete Dentures: A Systematic Review and Meta\u2010Analysis of Patient\u2010 and Clinician\u2010Reported Outcomes and Costs","volume":"51","author":"Jafarpour D.","year":"2024","journal-title":"Journal of Oral Rehabilitation"},{"issue":"2","key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/adj.12906","article-title":"Long\u2010Term Impact of Implant\u2010Supported Oral Rehabilitation on Quality of Life: A 5\u2009Years Prospective Study","volume":"67","author":"Coltro M.","year":"2022","journal-title":"Australian Dental Journal"},{"issue":"3","key":"e_1_2_13_19_1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/cid.12895","article-title":"Impact of Implant Superstructure Type on Oral Health\u2010Related Quality of Life in Edentulous Patients","volume":"22","author":"Kusumoto Y.","year":"2020","journal-title":"Clinical Implant Dentistry and Related Research"},{"key":"e_1_2_13_20_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2021.103920","article-title":"Comparison of General Satisfaction, Oral Health\u2010Related Quality of Life, and Patient's Self\u2010Assessment Between Mandibular Single\u2010Implant Overdentures and Experimental Removable Complete Dentures: A Randomized Crossover Clinical Trial","volume":"117","author":"Uehara Y.","year":"2022","journal-title":"Journal of Dentistry"},{"issue":"8","key":"e_1_2_13_21_1","doi-asserted-by":"crossref","DOI":"10.3390\/app12083813","article-title":"Determination of Morphogeometric Patterns in Individuals With Total Mandibular Edentulism in the Interforaminal Region From Cone Beam Computed Tomography (CBCT) Scans: A Pilot Study","volume":"12","author":"Abarza L.","year":"2022","journal-title":"Applied Sciences"},{"key":"e_1_2_13_22_1","doi-asserted-by":"crossref","DOI":"10.1590\/1807-3107bor-2022.vol36.0081","article-title":"Prosthetic Complications and Quality of Life Among Wearers of Mandibular Overdenture With the Facility\u2010Equator System","volume":"36","author":"Schuster A. J.","year":"2022","journal-title":"Brazilian Oral Research"},{"key":"e_1_2_13_23_1","first-page":"181","article-title":"Retention of Mandibular Complete Overdentures Using Mini Dental Implants (\u00d8 <\u20093\u2009mm) and Standard Diameter Implants (\u00d8 >\u20093mm): A Systematic Review and Meta\u2010Analysis of Randomised Controlled Trials","volume":"22","author":"Aljudaibi S. M.","year":"2024","journal-title":"Oral Health & Preventive Dentistry"},{"issue":"26","key":"e_1_2_13_24_1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1111\/clr.14065","article-title":"Treatment Effect of Implant\u2010Supported Fixed Complete Dentures and Implant Overdentures on Patient\u2010Reported Outcomes: A Systematic Review and Meta\u2010Analysis","volume":"34","author":"Abou\u2010Ayash S.","year":"2023","journal-title":"Clinical Oral Implants Research"},{"issue":"12","key":"e_1_2_13_25_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-085479","article-title":"Impact of Edentulism on Community\u2010Dwelling Adults in Low\u2010Income, Middle\u2010Income and High\u2010Income Countries: A Systematic Review","volume":"14","author":"Hunter E.","year":"2024","journal-title":"BMJ Open"},{"key":"e_1_2_13_26_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jdent.2017.08.003","article-title":"Oral Health\u2010Related Quality of Life in Subjects With Implant\u2010Supported Prostheses: A Systematic Review","volume":"65","author":"Reissmann D. R.","year":"2017","journal-title":"Journal of Dentistry"},{"issue":"4","key":"e_1_2_13_27_1","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/adj.12416","article-title":"Comparison of Implant Supported Mandibular Overdentures and Conventional Dentures on Quality of Life: A Systematic Review and Meta\u2010Analysis of Randomized Controlled Studies","volume":"61","author":"Sivaramakrishnan G.","year":"2016","journal-title":"Australian Dental Journal"},{"issue":"8","key":"e_1_2_13_28_1","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1177\/00048674211042239","article-title":"Prevalence of Dental Disorders Among People With Mental Illness: An Umbrella Review","volume":"56","author":"Choi J.","year":"2022","journal-title":"Australian and New Zealand Journal of Psychiatry"},{"issue":"2","key":"e_1_2_13_29_1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3109\/00016359709115403","article-title":"Dentist\u2010Patient Communication: A Review of Relevant Models","volume":"55","author":"Sondell K.","year":"1997","journal-title":"Acta Odontologica Scandinavica"},{"issue":"3","key":"e_1_2_13_30_1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/jopr.13141","article-title":"Assessment of Psychological Disturbance in Patients With Tooth Loss: A Systematic Review of Assessment Tools","volume":"29","author":"Kudsi Z.","year":"2020","journal-title":"Journal of Prosthodontics: Official Journal of the American College of Prosthodontists"}],"container-title":["Gerodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.70102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ger.70102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.70102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:39:23Z","timestamp":1782193163000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ger.70102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,22]]},"references-count":29,"alternative-id":["10.1111\/ger.70102"],"URL":"https:\/\/doi.org\/10.1111\/ger.70102","archive":["Portico"],"relation":{},"ISSN":["0734-0664","1741-2358"],"issn-type":[{"value":"0734-0664","type":"print"},{"value":"1741-2358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,22]]},"assertion":[{"value":"2026-02-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ger.70102"}}