Lewis G R
School of Dentistry, University of Otago, Dunedin.
N Z Dent J. 2000 Jun;96(424):50-2.
Identifying the source of difficulties some patients experience after replacement dentures are made is an essential part of improving quality care should further treatment to assist the patient be considered necessary. This report examines the findings of a retrospective review of 181 patients' records following the provision of complete dentures by undergraduate dental students at the University of Otago School of Dentistry. Treatment was provided in 1998; the audit commenced in August 1999 to allow sufficient time for the records to include review appointments. Forty-eight patients (26.5 percent) were recommended to receive further replacement dentures to correct errors identified by the supervising clinician. Causation was broadly attributed to dissimilarities from patients' previous dentures (42 percent), occlusal factors (33 percent), and difficulties in establishing a functional denture-bearing area (11 percent). These findings were compared with a published analysis of denture faults identified during the clinical examination of patients referred to a specialist in dental prosthetics. Evidence suggests that the use of a clinical technique which incorporates information from previously successful dentures may be appropriate in the construction of replacement dentures.
确定部分患者在制作义齿后遇到困难的根源，对于改善优质护理至关重要，若认为有必要对患者进行进一步治疗时尤其如此。本报告审视了奥塔哥大学牙科学院本科牙科学生为181名患者提供全口义齿后进行回顾性评估的结果。治疗于1998年进行；审核于1999年8月开始，以便有足够时间让记录包含复查预约情况。48名患者（26.5%）被建议接受进一步的义齿修复，以纠正监督临床医生发现的错误。病因大致归因于与患者先前义齿的差异（42%）、咬合因素（33%）以及建立功能性义齿承托区的困难（11%）。这些结果与一篇已发表的关于在转介给假牙修复专科医生的患者临床检查中发现的义齿缺陷分析进行了比较。有证据表明，在制作义齿时采用结合先前成功义齿信息的临床技术可能是合适的。
