Kimoto Suguru, Kimoto Katsuhiko, Gunji Atsuko, Kawai Yasuhiko, Murakami Hiroshi, Tanaka Kinya, Syu Kazuyoshi, Aoki Hiromichi, Tani Masaaki, Toyoda Minoru, Kobayashi Kihei
Department of Gnatho-Oral Prosthetic Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
Nihon Hotetsu Shika Gakkai Zasshi. 2008 Apr;52(2):160-6. doi: 10.2186/jjps.52.160.
The purpose of this study was to investigate whether edentulous patients with a permanent acrylic resilient liner denture (RLD) in mandibles exhibit significant improvements in their satisfaction ratings at the first appointment following the delivery of RLD dentures when compared to those with conventional heat-activated acrylic resin dentures (ARD) in mandibles.
Seventy-four subjects were randomly allocated into RLD and ARD groups by a random permuted block within the strata method after written informed consent. A parallel-randomized controlled clinical trial at two centers was conducted from April 2004 to July 2006. The outcomes were satisfaction ratings with a 100 mm visual analog scale (VAS) involving general satisfaction as well as satisfaction related to chewing, speaking, cleaning, stability, retention, comfort, and esthetics. The pain rating was also measured by the VAS. The outcomes were analyzed by Student t-test and Pearson's correlation coefficient.
A significant difference between the RLD and ARD group in the maxillary denture was only obtained in the satisfaction rating of speaking. A significant difference between the RLD and ARD groups for the mandibular dentures was obtained in every satisfaction rating. The pain rating of the RLD group was significantly lower than that of the ARD group. The satisfaction ratings of mandibular denture functions significantly correlated with ratings of comfort and pain.
Despite the limitation of a short-term observation, the mandibular satisfaction ratings were dramatically higher in RLD wearers than in ARD wearers.
本研究旨在调查下颌佩戴永久性丙烯酸弹性衬里义齿(RLD)的无牙患者,与下颌佩戴传统热固化丙烯酸树脂义齿(ARD)的患者相比,在RLD义齿交付后的首次就诊时,其满意度评分是否有显著提高。
在获得书面知情同意后,采用分层内随机排列区组法将74名受试者随机分为RLD组和ARD组。2004年4月至2006年7月在两个中心进行了一项平行随机对照临床试验。结果采用100mm视觉模拟量表(VAS)进行满意度评分,包括总体满意度以及与咀嚼、说话、清洁、稳定性、固位、舒适度和美观度相关的满意度。疼痛评分也采用VAS进行测量。结果采用Student t检验和Pearson相关系数进行分析。
在上颌义齿方面,RLD组和ARD组之间仅在说话满意度评分上存在显著差异。在下颌义齿方面,RLD组和ARD组在各项满意度评分上均存在显著差异。RLD组疼痛评分显著低于ARD组。下颌义齿功能的满意度评分与舒适度和疼痛评分显著相关。
尽管存在短期观察的局限性,但佩戴RLD的患者下颌满意度评分显著高于佩戴ARD的患者。