Celebić Asja, Knezović-Zlatarić Dubravka, Papić Milan, Carek Vlado, Baucić Ivo, Stipetić Jasmina
Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia.
J Gerontol A Biol Sci Med Sci. 2003 Oct;58(10):M948-53. doi: 10.1093/gerona/58.10.m948.
Except for denture quality, many other factors are related to a patient's satisfaction with complete dentures (CDs).
A total of 222 patients with CDs took a part in this study. A questionnaire divided into 3 parts was completed by both the patients and the dentist, independently. The patients rated their dentures using a scale ranging from 1 to 5 (1 = dissatisfaction to 5 = excellent), and a dentist rated the quality of the denture and the denture-bearing area.
Patients were mostly satisfied with the quality of their CDs. Only 7.2% of the patients were absolutely not satisfied with their dentures. Patients with a low level of education were more satisfied in general with their aesthetic appearance. Patients with better self-perception of their affective status and quality of life showed higher levels of general satisfaction. Patients with better self-perception of their economic status showed lower levels of satisfaction. Younger patients wearing dentures for the first time, with short periods of being edentulous, and with better quality maxillary denture-bearing areas were more satisfied with the retention of maxillary CDs. In contrast, younger patients with first-time dentures, a short period of being edentulous, and with better quality mandibular denture-bearing areas gave lower ratings to the retention and comfort of wearing mandibular dentures.
Level of education, self-perception of affective and economic status, and quality of life are all related to patient satisfaction. However, the quality of dentures shows the strongest correlation with patient satisfaction. Not only the quality of the denture-bearing area but the denture-wearing experience itself seems to be more important in determining patient satisfaction with mandibular CDs.
除义齿质量外，许多其他因素与患者对全口义齿（CDs）的满意度相关。
共有222名佩戴CDs的患者参与本研究。患者和牙医分别独立完成一份分为三部分的问卷。患者使用1至5分的量表对其义齿进行评分（1 = 不满意至5 = 优秀），牙医对义齿质量和义齿承托区进行评分。
患者大多对其CDs的质量感到满意。只有7.2%的患者对其义齿完全不满意。受教育程度低的患者总体上对其美观程度更满意。对自身情感状态和生活质量有更好自我认知的患者总体满意度更高。对自身经济状况有更好自我认知的患者满意度较低。首次佩戴义齿、无牙时间短且上颌义齿承托区质量较好的年轻患者对上颌CDs的固位更满意。相比之下，首次佩戴义齿、无牙时间短且下颌义齿承托区质量较好的年轻患者对下颌义齿的固位和佩戴舒适度评分较低。
受教育程度、对情感和经济状况的自我认知以及生活质量均与患者满意度相关。然而，义齿质量与患者满意度的相关性最强。在决定患者对下颌CDs的满意度方面，不仅义齿承托区的质量，义齿佩戴体验本身似乎更重要。
