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下颌种植覆盖义齿和传统全口义齿是否能满足无牙患者的期望?

Do mandibular implant overdentures and conventional complete dentures meet the expectations of edentulous patients?

作者信息

Heydecke Guido, Thomason J Mark, Awad Manal A, Lund James P, Feine Jocelyne S

机构信息

Faculty of Dentistry, McGill University, Montreal, QC, Canada.

出版信息

Quintessence Int. 2008 Nov;39(10):803-9.

PMID:19093056
Abstract

OBJECTIVES

To measure expectations of satisfaction with implant and conventional denture treatment in 2 groups of edentulous people and compare them with their resultant ratings of satisfaction to determine if either treatment meets the pretreatment expectation.

METHOD AND MATERIALS

One hundred sixty-two edentulous middle-aged (MA, n = 102) and senior (S, n = 60) patients were enrolled in 2 trials and, after randomization, received either a mandibular 2-implant overdenture (IOD) or a new conventional denture (CD). Before randomization, each subject rated their satisfaction with their current denture and expectations of satisfaction with both IOD and CD treatment on 100-mm visual analog scales (VAS). Six months posttreatment, all rated their satisfaction with their new prostheses on similar VAS. Expectations and satisfaction with treatment were compared.

RESULTS

Posttreatment satisfaction with CD treatment was significantly lower than pretreatment expected satisfaction in both study populations (MA, P < .0001; S, P = .036). There was no (or only borderline) significant difference between pretreatment expectation and posttreatment satisfaction for patients receiving IODs in both study populations (MA, P = .078; S, P = .057).

CONCLUSION

Posttreatment CD satisfaction failed to meet patients' pretreatment expectations of satisfaction; this was not the case for IODs, for which expectations were largely met.

摘要

目的

测量两组无牙患者对种植义齿和传统义齿治疗的满意度期望,并将其与最终的满意度评分进行比较,以确定两种治疗方法是否达到治疗前的期望。

方法和材料

162名无牙的中年(MA,n = 102)和老年(S,n = 60)患者参与两项试验,随机分组后,分别接受下颌双种植覆盖义齿(IOD)或新型传统义齿(CD)。在随机分组前,每位受试者在100毫米视觉模拟量表(VAS)上对其当前义齿的满意度以及对IOD和CD治疗的满意度期望进行评分。治疗后6个月,所有人在类似的VAS上对其新修复体的满意度进行评分。比较治疗的期望和满意度。

结果

在两个研究人群中,CD治疗后的满意度均显著低于治疗前预期的满意度(MA,P <.0001;S,P =.036)。在两个研究人群中,接受IOD治疗的患者治疗前期望与治疗后满意度之间无(或仅为临界)显著差异(MA,P =.078;S,P =.057)。

结论

CD治疗后的满意度未达到患者治疗前的满意度期望;而IODs则不然,其期望基本得到满足。

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