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治疗五年后全口义齿的临床判断与患者评价。一项随访研究。

Clinical judgement and patients' evaluation of complete dentures five years after treatment. A follow-up study.

作者信息

Magnusson T

出版信息

Swed Dent J. 1986;10(1-2):29-35.

PMID:3518112
Abstract

An investigation of 39 complete denture wearers five year after receiving new dentures showed that the great majority of the patients were satisfied with their dentures. In the examiner's opinion, 60 per cent of the dentures were in need of corrections or replacement. A positive, but not statistically significant, correlation between the subjective and objective evaluation of the dentures was found. Although the patients were strongly advised not to wear their dentures at night, in order to preserve the denture-bearing tissue, most patients preferred to wear the dentures also at night. The patients had also been told to contact the clinic at least every two years for a clinical check-up, but more than half of the patients had not been in contact with a dentist during the five-year period. Those who had been to a dentist had, in all cases, done so because of acute problems. It is concluded that the agreement between patients' and examiners' opinions about the function of complete dentures is poor, and that denture acceptance is related to many variables. No single variable has a decisive effect on denture acceptance but the subjective opinion of the fit of the upper denture seemed to be the most important one. It is also stressed that a regular recall system is important for complete denture wearers. It is likely that if these patients had been seen regularly, minor corrections to the dentures could have been made, thus preventing or delaying the deterioration of the dentures.

摘要

一项针对39名全口义齿佩戴者在佩戴新义齿五年后的调查显示,绝大多数患者对自己的义齿感到满意。在检查者看来,60%的义齿需要校正或更换。义齿主观评价与客观评价之间存在正相关,但无统计学意义。尽管强烈建议患者夜间不要佩戴义齿,以保护义齿承托组织,但大多数患者还是更喜欢夜间也佩戴义齿。患者还被告知至少每两年联系诊所进行一次临床检查,但超过一半的患者在五年期间未与牙医联系过。那些看过牙医的患者,无一例外都是因为出现了急性问题才去的。研究得出结论,患者和检查者对全口义齿功能的看法一致性较差,义齿接受度与许多变量有关。没有单一变量对义齿接受度有决定性影响,但上颌义齿贴合度的主观意见似乎是最重要的。还强调了定期回访系统对全口义齿佩戴者的重要性。很可能如果这些患者能得到定期检查,就可以对义齿进行 minor corrections,从而防止或延缓义齿的 deterioration。 (原文中“minor corrections”和“deterioration”未明确给出中文释义,保留英文)

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