ABSTRACT:

Background:
Geriatric patients often present unique anatomical, physiological, and psychosocial
challenges in prosthodontics, particularly in the design and fit of removable dentures. These challenges
include reduced bone density, changes in oral mucosa, diminished masticatory function, and decreased
adaptability to prosthetic appliances, which can impact the effectiveness of conventional denture designs
and negatively affect patient comfort and satisfaction.

Aim:
This study aimed to investigate specific challenges encountered in removable denture prosthodontics
for elderly patients and to evaluate solutions to improve denture design, fit, and overall patient outcomes.

Methods:
This study involved 80 geriatric patients requiring removable dentures, conducted from June
2023 to May 2024. A comprehensive assessment of oral anatomy, bone structure, mucosal resilience, and
patient-specific requirements was conducted. Modifications in denture design were implemented based on
individual patient needs, and solutions such as specialized impression techniques, retention modifications,
and occlusal adjustments were evaluated. Patient satisfaction and comfort levels were assessed through
structured interviews and validated questionnaires.

Results:
The study found that personalized denture modifications led to significant improvements in patient
satisfaction and comfort. Adjustments in denture base contours, along with the use of softer lining materials,
enhanced fit and stability in 73% of the cases. The adoption of individualized impression techniques
improved mucosal adaptation and retention, reducing discomfort in 65% of patients. Overall, these
customized approaches helped alleviate common issues faced by elderly patients, such as soreness, lack of
stability, and difficulties in speech and mastication.

Conclusion:
Addressing the unique prosthodontic needs of geriatric patients through tailored denture
designs and adaptive techniques significantly improved patient comfort and functionality. The findings
emphasize the importance of individualized treatment approaches in removable prosthodontics for elderly
populations to enhance denture retention, comfort, and overall quality of life.

Keywords:
Geriatric prosthodontics, removable dentures, denture fit, elderly patients, denture design, patient satisfaction, adaptive techniques.