Nono David, Akugizibwe Mathias, Bagenda Godfrey, Okullo Isaac, Rwenyonyi Charles Mugisha
Department of Clinical Research, Central University of Nicaragua, Managua, Nicaragua.
Department of Clinical Research, Texila American University, Georgetown, Guyana.
Clin Cosmet Investig Dent. 2024 Dec 6;16:499-511. doi: 10.2147/CCIDE.S495315. eCollection 2024.
Globally, there is growing concern regarding mouth sores, occlusion, cost, ridge resorption, and retention, in the delivery of removable complete dentures fabrication services brought about by the aging of the population and poor oral healthcare. The therapy for edentulous patients can be realized through the use of conventional removable complete dentures, implant-supported prostheses, and computer-aided design/computer-aided manufacturing (CAD/CAM). In Uganda, the therapy for edentulous patients has predominantly been realized through the use of conventional removable complete dentures. There has been a discernible difference in the number of visits and remake rate between removable complete dentures that were made conventionally and digitally. This present study, therefore, aimed to explore dental clinicians' and technologists' experiences and perspectives on removable complete denture fabrication services.
The study employed a qualitative design, 25 in-depth interviews were conducted with dental clinicians and technologists at Makerere University Dental Hospital. Both practicing dental technologists and clinicians were purposively selected after providing written informed consent. Interviews' audios were transcribed verbatim, coded in NVivo 14 and data were analyzed thematically.
Clinical and socio-demographic assessments like age, oral hygiene, ridge level, underlying health conditions, and mental stability of the patient were done by dental clinicians before removable complete denture fabrication. Dental technologists and clinicians mentioned patients having a lot of expectations relating to being able to eat whatever they like and improving physical appearance. However, the patients also had fears and concerns about discomfort, and some worried that they would swallow the dentures.
Prior assessments were the basis for planning for complete denture therapy. Patients' fears and expectations can effectively be addressed in the consent process since adequate information can be shared and the patients can be psychologically prepared to receive the denture treatment.
在全球范围内，由于人口老龄化和口腔保健不佳，在提供可摘全口义齿制作服务时，人们对口疮、咬合、成本、牙槽嵴吸收和固位等问题的关注度日益增加。无牙患者的治疗可以通过使用传统的可摘全口义齿、种植支持的修复体以及计算机辅助设计/计算机辅助制造（CAD/CAM）来实现。在乌干达，无牙患者的治疗主要通过使用传统的可摘全口义齿来实现。传统制作和数字化制作的可摘全口义齿在就诊次数和重制率方面存在明显差异。因此，本研究旨在探讨牙科临床医生和技术人员对可摘全口义齿制作服务的经验和看法。
本研究采用定性设计，在马凯雷雷大学牙科学院医院对牙科临床医生和技术人员进行了25次深入访谈。在获得书面知情同意后，有目的地选择了执业牙科技术人员和临床医生。访谈音频逐字转录，在NVivo 14中编码，并对数据进行主题分析。
在制作可摘全口义齿之前，牙科临床医生会对患者进行临床和社会人口统计学评估，如年龄、口腔卫生、牙槽嵴水平、潜在健康状况和心理稳定性。牙科技术人员和临床医生提到，患者对能够想吃什么就吃什么以及改善外貌有很多期望。然而，患者也对不适感到恐惧和担忧，有些人担心会吞下假牙。
先前的评估是全口义齿治疗计划的基础。在同意过程中，可以有效地解决患者的恐惧和期望，因为可以分享足够的信息，并且患者可以在心理上做好接受假牙治疗的准备。
