Fenlon Michael Robert, Sherriff Martyn
Department of Prosthodontics, GKT Dental Institute, King's College London, Guy's Hospital, Floor 20, London SE1 9RT, UK.
J Dent. 2004 May;32(4):327-33. doi: 10.1016/j.jdent.2004.01.007.
To investigate if clinical quality of new complete dentures predicts patient satisfaction with and usage of those dentures two years after insertion in the same way that it did initially and three months after insertion.
Four hundred and seventeen patients recruited to a denture outcome study two years previously were surveyed. In each case aspects of denture quality had previously been rated according to a validated method at the first post-insertion visit and patients had completed a postal questionnaire three months after denture insertion. When the dentures were two years old, patients were sent another postal questionnaire to assess denture usage and satisfaction with the dentures.
The response rate to the postal survey was 87%. Data were analysed using structural equation modelling and Bayesian belief networks. No significant associations were found between aspects of new denture quality and patient satisfaction with and use of complete dentures after two years. These results contrast with the three month returns from the same patients that demonstrated significant associations between new denture quality and satisfaction with and use of new complete dentures.
The authors conclude that initial clinical quality of new complete dentures is not a significant factor in determining patients' satisfaction with and use of these complete dentures two years after insertion.
探讨新全口义齿的临床质量是否能像最初及义齿插入后三个月那样,预测患者在义齿插入两年后的满意度及使用情况。
对两年前招募到义齿疗效研究中的417名患者进行调查。此前,在每次义齿插入后的首次复诊时,均依据一种经过验证的方法对义齿质量的各个方面进行评分,并且患者在义齿插入三个月后完成了一份邮寄问卷。当义齿使用两年时,向患者发送另一份邮寄问卷,以评估义齿的使用情况及患者对义齿的满意度。
邮寄调查的回复率为87%。使用结构方程模型和贝叶斯信念网络对数据进行分析。两年后,未发现新义齿质量的各个方面与患者对全口义齿的满意度及使用情况之间存在显著关联。这些结果与同一批患者在三个月时的反馈形成对比,当时新义齿质量与新全口义齿的满意度及使用情况之间显示出显著关联。
作者得出结论,新全口义齿的初始临床质量并非决定患者在义齿插入两年后对这些全口义齿的满意度及使用情况的重要因素。