Department of Prosthodontics, Riga Stradinš University, LV-1007 Riga, Latvia.
Department of Doctoral Studies, Riga Stradinš University, LV-1007 Riga, Latvia.
Medicina (Kaunas). 2022 Feb 24;58(3):344. doi: 10.3390/medicina58030344.
: Edentulism is considered to be an impediment impacting both patients' quality of life and their nutrition. Conventional complete dentures are still a preferred treatment. However, there is no consensus on the most important factors which could substantially reduce the risk of patient dissatisfaction. This study evaluated the following determinants concerning patient satisfaction with complete maxillary and mandibular dentures: sex, denture-related functional and aesthetic aspects, and the degree of bone resorption. : This study included 70 patients aged 34-81 years of age. All complete dentures were made by following the same technology. Visual analogue scales were used to assess patients' overall satisfaction with dentures, comfort, ability to speak and chew, denture aesthetics, stability, and ease of prosthesis cleaning. Satisfaction with upper and lower dentures was rated separately. The degree of bone resorption was classified by using the Kalk and de Baat (1989) method. : The mean (SD) age of the study participants was 67.3 (10.4) years; 65.7% ( = 46) were females and 34.3% ( = 24) were males. There were no significant sex-based differences in resorption of the maxilla or mandibula. There were significant differences between maxillary and mandibular dentures, with lower mean satisfaction scores concerning chewing and maxillary complete dentures, and in regard to stability and comfort for mandibular complete dentures. There was a non-significant overall lower satisfaction with increased age. In multivariate analysis for mandibular complete dentures, aesthetics and stability significantly predicted the patient's comfort levels, and the patient's comfort significantly predicted overall satisfaction. For maxillary complete dentures, patient comfort and aesthetics significantly predicted overall patient satisfaction. : Age, sex, and degree of resorption were not associated with patient satisfaction with complete dentures. Overall, patient satisfaction with both maxillary and mandibular complete dentures was related to their comfort level and denture aesthetics, and patient comfort itself was associated with stability of the mandibular denture.
牙缺失被认为是影响患者生活质量和营养状况的障碍。传统的全口义齿仍然是首选的治疗方法。然而，对于哪些因素是降低患者不满意风险的最重要因素，目前尚无共识。本研究评估了以下与全口上颌和下颌义齿患者满意度相关的决定因素：性别、义齿相关的功能和美观方面以及骨吸收程度。
本研究纳入了 70 名年龄在 34-81 岁的患者。所有全口义齿均采用相同技术制作。使用视觉模拟量表评估患者对义齿的整体满意度、舒适度、言语和咀嚼能力、义齿美观、稳定性和义齿清洁的便利性。分别对上、下颌义齿的满意度进行评分。使用 Kalk 和 de Baat（1989）方法对骨吸收程度进行分类。
研究参与者的平均（SD）年龄为 67.3（10.4）岁；65.7%（n=46）为女性，34.3%（n=24）为男性。上颌或下颌骨吸收在男女之间没有显著差异。上颌和下颌义齿之间存在显著差异，下颌义齿的咀嚼和上颌义齿的满意度评分较低，下颌义齿的稳定性和舒适度评分较低。年龄较大的患者整体满意度略有下降，但无统计学意义。在多变量分析中，下颌义齿的美观和稳定性显著预测患者的舒适度水平，而患者的舒适度显著预测整体满意度。对于上颌义齿，患者的舒适度和美观显著预测患者的整体满意度。
年龄、性别和吸收程度与全口义齿患者的满意度无关。总体而言，上颌和下颌全口义齿的患者满意度与舒适度水平和义齿美观有关，而患者的舒适度与下颌义齿的稳定性有关。
