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一种简化全口义齿制作方法的随机试验:患者感知和质量。

A randomised trial of a simplified method for complete denture fabrication: patient perception and quality.

机构信息

Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

J Oral Rehabil. 2013 Jul;40(7):535-45. doi: 10.1111/joor.12063. Epub 2013 May 12.

Abstract

Complete denture fabrication involves a series of complex technical procedures. Nevertheless, simplified methods may be as effective as conventional ones albeit the lesser use of time and resources, without disadvantage for the patient. This study compared a simplified method for complete denture fabrication to a conventional protocol in terms of oral health-related quality of life (OHRQoL), patient satisfaction and denture quality. Forty-two edentulous patients requesting treatment with complete dentures were randomly allocated into two study groups. Group S received dentures fabricated by a simplified method and Group C received conventionally fabricated dentures. Before interventions and after three and 6 months following insertion, OHRQoL and patient satisfaction were analysed by specific instruments. A prosthodontist assessed denture quality 3 months after delivery. Groups presented no difference for OHRQoL, denture quality and general satisfaction. Differences regarding patient satisfaction with some aspects of the dentures were found after 3 months (S > C), but were insignificant at 6 months. It was concluded that the simplified method is able to produce dentures of a quality comparable to those produced by the conventional method, influencing OHRQoL and patient satisfaction similarly.

摘要

全口义齿制作涉及一系列复杂的技术程序。然而,简化的方法可能与传统方法一样有效,尽管使用的时间和资源较少,但对患者没有不利影响。本研究比较了简化的全口义齿制作方法与传统方案在口腔健康相关生活质量(OHRQoL)、患者满意度和义齿质量方面的差异。42 名要求用全口义齿治疗的无牙颌患者被随机分配到两个研究组。S 组接受简化方法制作的义齿,C 组接受常规制作的义齿。在干预前和插入后 3 个月和 6 个月,使用特定的仪器分析 OHRQoL 和患者满意度。一名修复医生在交付后 3 个月评估义齿质量。两组在 OHRQoL、义齿质量和总体满意度方面没有差异。在 3 个月时发现患者对某些义齿方面的满意度存在差异(S>C),但 6 个月时无统计学意义。结论是,简化方法能够生产出与传统方法相当的义齿质量,对 OHRQoL 和患者满意度产生相似的影响。

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