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全口义齿制作的简化技术与传统技术:一项系统评价

Simplified versus traditional techniques for complete denture fabrication: a systematic review.

作者信息

Paulino Marcília R, Alves Luana R, Gurgel Bruno C V, Calderon Patrícia S

机构信息

Graduate student, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

Student, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

出版信息

J Prosthet Dent. 2015 Jan;113(1):12-6. doi: 10.1016/j.prosdent.2014.08.004. Epub 2014 Oct 11.

Abstract

STATEMENT OF PROBLEM

A number of methods have been described for the fabrication of complete dentures. There are 2 common ways to make conventional complete dentures: a traditional method and a simplified method.

PURPOSE

The purpose of this study was to conduct a systematic review to compare the efficiency of simplified and traditional methods for the fabrication of complete dentures.

MATERIAL AND METHODS

The review was conducted by 3 independent reviewers and included articles published up to December 2013. Three electronic databases were searched: MEDLINE-PubMed, The Cochrane Library, and ISI Web of Science. A manual search also was performed to identify clinical trials of simplified versus traditional fabrication of complete dentures.

RESULTS

Six articles were classified as randomized controlled clinical trials and were included in this review. The majority of the selected articles analyzed general satisfaction, denture stability, chewing ability and function, comfort, hygiene, esthetics, speech function, quality of life, cost, and fabrication time.

CONCLUSIONS

Although the studies reviewed demonstrate some advantages of simplified over traditional prostheses, such as lower cost and clinical time, good chewing efficiency, and a positive effect on the quality of life, the reports related the use of different simplified methods for the fabrication of complete dentures. Additional randomized controlled trials that used similar simplified techniques for the fabrication of complete dentures should be performed with larger sample sizes and longer follow-up periods.

摘要

问题陈述

已经描述了多种制作全口义齿的方法。制作传统全口义齿有两种常见方法:传统方法和简化方法。

目的

本研究的目的是进行系统评价,以比较简化方法和传统方法制作全口义齿的效率。

材料与方法

该评价由3名独立评审员进行,纳入截至2013年12月发表的文章。检索了三个电子数据库:MEDLINE-PubMed、Cochrane图书馆和ISI科学网。还进行了手动检索,以确定简化法与传统法制作全口义齿的临床试验。

结果

六篇文章被归类为随机对照临床试验,并纳入本评价。大多数入选文章分析了总体满意度、义齿稳定性、咀嚼能力和功能、舒适度、卫生状况、美观度、语音功能、生活质量、成本和制作时间。

结论

尽管所综述的研究表明简化义齿相对于传统义齿有一些优势,如成本较低、临床时间较短、咀嚼效率良好以及对生活质量有积极影响,但这些报告涉及使用不同的简化方法制作全口义齿。应进行更多使用类似简化技术制作全口义齿的随机对照试验,样本量更大,随访期更长。

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