Shiina Miwako, Kono Makiko, Sato Yuji, Muraoka Masahiro, Kitagawa Noboru
Department of Geriatric Dentistry, School of Dentistry, Showa University, Tokyo, Japan.
Nihon Hotetsu Shika Gakkai Zasshi. 2008 Jul;52(3):301-10. doi: 10.2186/jjps.52.301.
With an increase in the aged population in Japan, it is important that clinicians evaluate the outcome of complete denture treatment based on evaluation by dentists and patients to provide high-quality treatment. The purpose of this study was to evaluate the evaluation and to clarify the relationship between them by dentists and patients.
Forty patients wearing complete dentures were selected, after obtaining informed consent. Scores of complete denture, supporting tissue, chewing function, satisfaction and QOL were the factors used for evaluation. These were evaluated at four stages in complete denture treatment: at the initial visit, before insertion of new dentures (just before), first visit after insertion of new dentures (1st visit) and 1 month after insertion. We compared scores obtained just before and at the 1st visit using t-test, and analyzed changes in scores with correlation coefficient. In addition, the relationship between dentists and patients was analyzed with kappa statistic.
Evaluation of the new denture was influenced by the evaluation of the old denture. In case of high evaluation of old dentures, evaluation of new dentures tended to decrease. Conversely, in case of low evaluation of the old dentures, evaluation of new dentures tended to increase (p < 0.01) . There was no significant correlation between the evaluation by the dentists and the patients.
Changes after wearing new dentures and the relationships were clarified. The disagreement of the evaluation by dentists and patients suggests that both evaluations should be done comprehensively.
随着日本老年人口的增加，临床医生基于牙医和患者的评估来评价全口义齿治疗效果以提供高质量治疗至关重要。本研究的目的是评估这种评估，并阐明牙医和患者之间的关系。
在获得知情同意后，选择了40名佩戴全口义齿的患者。全口义齿、支持组织、咀嚼功能、满意度和生活质量得分是用于评估的因素。这些在全口义齿治疗的四个阶段进行评估：初诊时、新义齿插入前（即将插入前）、新义齿插入后的首次就诊（第1次就诊）以及插入后1个月。我们使用t检验比较即将插入前和第1次就诊时获得的得分，并使用相关系数分析得分的变化。此外，使用kappa统计量分析牙医和患者之间的关系。
新义齿的评估受旧义齿评估的影响。如果旧义齿评估高，新义齿评估往往会降低。相反，如果旧义齿评估低，新义齿评估往往会增加（p<0.01）。牙医和患者的评估之间没有显著相关性。
阐明了佩戴新义齿后的变化及关系。牙医和患者评估的不一致表明应综合进行两种评估。
