Associate Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
J Prosthet Dent. 2024 Jan;131(1):50-55. doi: 10.1016/j.prosdent.2022.02.002. Epub 2022 Mar 4.
A simplified approach to complete denture treatment, omitting the border molding and definitive impression appointment, was suggested as an alternative to the conventional approach. However, comparison clinical trials are lacking.
The purpose of this randomized crossover clinical trial was to assess the satisfaction of edentulous patients and their oral health impact profile when provided with complete dentures fabricated through the simplified or the conventional approach.
Forty completely edentulous patients seeking complete dentures were randomly divided into 2 groups (n=20). Each group received 2 sets of dentures. The first group received conventionally fabricated complete dentures, and the second group received complete dentures fabricated through the simplified approach. After 2 months, participants rated their overall satisfaction and their satisfaction regarding comfort, retention, stability, and efficiency of mastication and speech on a 100-mm visual analog scale (VAS). Participants also filled out the oral health impact profile for edentulous patients (OHIP-EDENT) questionnaire. Each group was then given the alternate set of dentures and reviewed again after 2 months. The results were analyzed by using the Mann-Whitney U and Wilcoxon-signed rank tests (α=.05).
The simplified complete dentures had significantly higher VAS scores for general satisfaction with maxillary dentures (P=.036), satisfaction with retention of maxillary dentures (P=.002), satisfaction with stability of maxillary dentures (P=.003), and satisfaction with speaking (P=.002). No statistically significant differences were found between the 2 groups regarding the other VAS items or OHIP-EDENT scores (P>.05).
The simplified denture fabrication approach required fewer appointments and resulted in higher patient satisfaction and similar OHIP-EDENT scores compared with the conventional approach. The simplified approach can be recommended over the conventional approach.
一种简化的全口义齿治疗方法，省略了边缘成型和最终印模预约，被提议作为传统方法的替代方法。然而，缺乏比较临床试验。
本随机交叉临床试验的目的是评估无牙患者对通过简化或传统方法制作的全口义齿的满意度及其口腔健康影响状况。
40 名寻求全口义齿的完全无牙患者被随机分为 2 组（n=20）。每组接受 2 副义齿。第一组接受常规制作的全口义齿，第二组接受简化方法制作的全口义齿。2 个月后，参与者使用 100mm 视觉模拟量表（VAS）对整体满意度以及舒适度、固位、稳定性和咀嚼、言语效率的满意度进行评分。参与者还填写了无牙患者口腔健康影响状况（OHIP-EDENT）问卷。然后，每组使用另一种义齿，2 个月后再次进行评估。使用 Mann-Whitney U 和 Wilcoxon 符号秩检验（α=.05）进行分析。
简化全口义齿在上颌义齿总体满意度（P=.036）、上颌义齿固位满意度（P=.002）、上颌义齿稳定性满意度（P=.003）和说话满意度（P=.002）方面的 VAS 评分明显更高。两组在其他 VAS 项目或 OHIP-EDENT 评分方面无统计学差异（P>.05）。
与传统方法相比，简化义齿制作方法需要更少的就诊次数，可提高患者满意度并获得相似的 OHIP-EDENT 评分。简化方法可推荐用于替代传统方法。
