Kimoto Suguru, Kimoto Katsuhiko, Murakami Hiroshi, Atsuko Gunji, Ogawa Akina, Kawai Yasuhkio
Int J Prosthodont. 2014 Nov-Dec;27(6):561-6. doi: 10.11607/ijp.3935.
The aim of this study was to investigate whether an acrylic resin-based resilient liner (ARL) could improve the satisfaction ratings of complete denture wearers. The null hypothesis was that no difference exists between the satisfaction ratings of conventional acrylic resin denture (CARD) wearers and those of ARL denture (ARLD) wearers.
From April 2004 to July 2006, a randomized controlled trial was conducted at two centers, including 74 edentulous patients. Of these, 37 patients were each randomly allocated to the ARLD and CARD groups. All of the patients rated their satisfaction with dentures, including general satisfaction and satisfaction with chewing ability, speaking, cleaning, stability, retention, comfort, and esthetics. These satisfaction ratings were measured by a 100-mm visual analog scale. Perceived chewing ability of different foods, divided into five grades, was measured using a questionnaire. The mastication index (MI) was calculated for each grade.
General satisfaction, satisfaction with chewing, and satisfaction with speaking were significantly higher in the ARLD than in the CARD group (P = .049, .025, and .049, respectively). The chewing satisfaction with maxillary dentures in the ARLD group was significantly higher than that of the CARD group (P = .02). No significant difference existed between the MI of the ARLD (69.2 ± 17.0) and CARD groups (66.7 ± 18.7).
Within its limitations, this study showed that the ARL improves a complete denture wearer's satisfaction ratings.
本研究旨在调查基于丙烯酸树脂的弹性衬垫(ARL)是否能提高全口义齿佩戴者的满意度评分。零假设是传统丙烯酸树脂义齿(CARD)佩戴者和ARL义齿(ARLD)佩戴者的满意度评分不存在差异。
2004年4月至2006年7月,在两个中心进行了一项随机对照试验,纳入74名无牙患者。其中,37名患者被随机分配至ARLD组和CARD组。所有患者对义齿的满意度进行评分,包括总体满意度以及对咀嚼能力、说话、清洁、稳定性、固位、舒适度和美观度的满意度。这些满意度评分通过100毫米视觉模拟量表进行测量。使用问卷对不同食物的感知咀嚼能力进行测量,分为五个等级。计算每个等级的咀嚼指数(MI)。
ARLD组的总体满意度、咀嚼满意度和说话满意度显著高于CARD组(P分别为0.049、0.025和0.049)。ARLD组对上颌义齿的咀嚼满意度显著高于CARD组(P = 0.02)。ARLD组(69.2±17.0)和CARD组(66.7±18.7)的MI之间无显著差异。
在其局限性范围内,本研究表明ARL可提高全口义齿佩戴者的满意度评分。