Kawai Yasuhiko, Murakami Hiroshi, Shariati Batoul, Klemetti Esa, Blomfield John V, Billette Lucie, Lund James P, Feine Jocelyne S
Department of Gnatho-Oral Prosthetic Rehabilitation, Nihon University School of Dentistry at Matsudo, Chiba, Japan.
J Dent. 2005 Sep;33(8):659-68. doi: 10.1016/j.jdent.2005.01.005.
To compare the quality of conventional complete dentures fabricated with two different techniques. A randomized controlled clinical trial was conducted to compare traditional (T) and simplified (S) methods of making complete conventional dentures on patients' ratings of satisfaction, comfort and function at 3 and 6 months following delivery. The quality of the prostheses was rated by prosthodontists at 6 months.
One hundred twenty-two male and female edentulous individuals, aged 45-75 years, were randomly allocated into groups that received dentures made with either T or S methods. Following delivery, patients' ratings of several denture-related factors were measured using 100mm visual analogue scales, and denture quality was assessed by blinded prosthodontists using ratings on a validated quantitative scale.
There were no significant differences between the two groups in patient ratings for overall satisfaction (3 months: mean T = 83 mm, mean S = 83 mm, P = 0.97; 6 months: mean T = 79 mm, mean S = 79 mm, P = 0.96) or in prosthodontists' ratings of denture quality (T = 66, S = 63; P = 0.38).
These results show that the quality of complete dentures does not suffer when manufacturing techniques are simplified to save time and materials. Dental educators should consider these findings when re-designing prosthodontic training programs.
比较用两种不同技术制作的传统全口义齿的质量。进行了一项随机对照临床试验,以比较制作传统全口义齿的传统(T)方法和简化(S)方法在义齿交付后3个月和6个月时患者对满意度、舒适度和功能的评分。在6个月时由口腔修复医生对义齿质量进行评分。
122名年龄在45 - 75岁之间的无牙颌男女被随机分为两组,分别接受用T方法或S方法制作的义齿。义齿交付后,使用100毫米视觉模拟量表测量患者对几个与义齿相关因素的评分,并由不知情的口腔修复医生使用经过验证的定量量表评分来评估义齿质量。
两组患者在总体满意度评分上无显著差异(3个月时:T组均值 = 83毫米,S组均值 = 83毫米,P = 0.97;6个月时:T组均值 = 79毫米,S组均值 = 79毫米,P = 0.96),在口腔修复医生对义齿质量的评分上也无显著差异(T组 = 66,S组 = 63;P = 0.38)。
这些结果表明,在简化制作技术以节省时间和材料时,全口义齿的质量不受影响。牙科教育工作者在重新设计口腔修复培训课程时应考虑这些发现。