de Villa Camargos Germana, Armenine Tamires Enrico, Paleari André Gustavo, Nascimento Gabriela Mayara Oliveira, Munhoz Maira Foresti Vieira
Germana de Villa Camargos, DDS, MSH, PhD, is Adjunct Professor, Discipline of Removable Complete Denture, Department of Restorative Dentistry, Alfenas Dental School, UNIFAL-MG Federal University of Alfenas, Alfenas, MG, Brazil; Tamires Enrico Armenine, DDS, is a general dentist in private practice, Alfenas, MG, Brazil; André Gustavo Paleari, DDS, MSH, PhD, is Adjunct Professor, Discipline of Fixed Prosthodontics, Department of Restorative Dentistry, Alfenas Dental School, UNIFAL-MG Federal University of Alfenas, Alfenas, MG, Brazil; Gabriela Mayara Oliveira Nascimento, DDS, MSH, is a postgraduate student, Department of Restorative Dentistry, Alfenas Dental School, UNIFAL-MG Federal University of Alfenas, Alfenas, MG, Brazil; and Maira Foresti Vieira Munhoz, DDS, MSH, PhD, is Associated Professor, Discipline of Removable Complete Denture, Department of Restorative Dentistry, Alfenas Dental School, UNIFAL-MG Federal University of Alfenas, Alfenas, MG, Brazil.
J Dent Educ. 2019 Mar;83(3):303-313. doi: 10.21815/JDE.019.023. Epub 2019 Jan 28.
With populations aging around the world, the need for complete dentures is likely to increase in Brazil and other developing countries, as well among low-income populations globally, making the teaching of cost-efficient techniques to dental students essential. The aim of this study was to evaluate the effectiveness of complete dentures fabricated by the simplified method in comparison to the conventional method regarding patients' oral health-related quality of life (OHRQoL) and satisfaction, dentures' functional quality, and masticatory performance of patients who were rehabilitated by dental students. From February 2016 to April 2017, final-year dental students at the Federal University of Alfenas, Brazil, were instructed to fabricate new complete dentures for 36 edentulous patients, who were randomly divided into two groups according to denture manufacturing method: simplified method or conventional method. Patients' OHRQoL and satisfaction and the prostheses quality were evaluated at one, three, and six months. Masticatory performance was evaluated at three months. The results showed there was no significant difference between the two methods regarding OHRQoL, patient satisfaction, prostheses quality, or masticatory performance (p>0.05). All aspects evaluated also remained constant for the same group (simplified method or conventional method) in all periods of evaluation (p>0.05). The study concluded that the simplified method for complete denture fabrication was able to produce protheses with functional quality and patient satisfaction comparable to those produced with the conventional method, even when made by dental students.
随着全球人口老龄化，巴西和其他发展中国家以及全球低收入人群对全口义齿的需求可能会增加，因此向牙科学生传授具有成本效益的技术至关重要。本研究的目的是比较简化方法和传统方法制作的全口义齿在患者口腔健康相关生活质量（OHRQoL）、满意度、义齿功能质量以及接受牙科学生修复的患者咀嚼性能方面的有效性。2016年2月至2017年4月，巴西阿尔费纳斯联邦大学的最后一年牙科学生被要求为36名无牙患者制作新的全口义齿，这些患者根据义齿制作方法随机分为两组：简化方法组或传统方法组。在1个月、3个月和6个月时评估患者的OHRQoL、满意度和假体质量。在3个月时评估咀嚼性能。结果显示，在OHRQoL、患者满意度、假体质量或咀嚼性能方面，两种方法之间没有显著差异（p>0.05）。在所有评估期间，同一组（简化方法组或传统方法组）评估的所有方面也保持不变（p>0.05）。该研究得出结论，即使是由牙科学生制作，全口义齿制作的简化方法也能够生产出功能质量和患者满意度与传统方法相当的假体。
