Mohamed Nusima, Shamsul Rahim Sufi Athirah, Mohd Nidzam Fatihatun Najwa, Ismail Nor Azlina, Alias Aspalilah
Conservative Dentistry and Prosthodontics, Universiti Sains Islam Malaysia, Kuala Lumpur, MYS.
Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, MYS.
Cureus. 2024 Dec 19;16(12):e76003. doi: 10.7759/cureus.76003. eCollection 2024 Dec.
Background Dentures are one of the main treatments dentists deliver to restore the oral function and aesthetics of individuals with missing teeth. Clinical denture fabrication and manufacturing is one of the main training modules for undergraduates during dental clinical training. However, students often face problems during denture delivery due to multiple factors causing discomfort to patients, affecting the quality of the denture and the patient's adaptation period to the denture. This study aims to study the relationship between common problems during the delivery of dentures constructed by third and fourth-year dental clinical students at University Sains Islam Malaysia as well as the causes and factors leading to faulty dentures. Methodology Clinical and denture examinations were done alongside two sets of validated questionnaires distributed to students and patients. Descriptive data were presented and analyzed using the chi-square test in SPSS Version 29 (IBM Corp., Armonk, NY, USA) with p-values <0.05 considered statistically significant to identify the relationship between common problems and their causes and factors. Results The most common problem during denture delivery was pain (47%) which was associated with mechanical factors (85%). Pain mostly occurred among cobalt chrome denture patients (60%). The longer the history of wearing dentures the more it contributed to patient psychological factors (p = 0.004). Although the type of denture was not associated with denture problems during delivery (p = 0.562), alveolar ridge resorption was likely associated with denture problems (p < 0.001). Conclusions This study demonstrated that the common problem encountered during denture delivery was related to faulty dentures instead of patient psychological problems.
背景
假牙是牙医为恢复缺牙患者口腔功能和美观而提供的主要治疗手段之一。临床假牙制作是牙科临床培训期间本科生的主要培训模块之一。然而,由于多种因素导致患者不适、影响假牙质量以及患者对假牙的适应期,学生在假牙交付过程中经常面临问题。本研究旨在探讨马来西亚伊斯兰理科大学牙科临床三、四年级学生制作的假牙交付过程中常见问题之间的关系,以及导致假牙缺陷的原因和因素。
方法
进行临床和假牙检查,并向学生和患者发放两套经过验证的问卷。使用SPSS 29版(美国纽约州阿蒙克市IBM公司)中的卡方检验呈现和分析描述性数据,p值<0.05被认为具有统计学意义,以确定常见问题与其原因和因素之间的关系。
结果
假牙交付过程中最常见的问题是疼痛(47%),这与机械因素(85%)有关。疼痛大多发生在钴铬合金假牙患者中(60%)。戴假牙的时间越长,对患者心理因素的影响就越大(p = 0.004)。虽然假牙类型与交付过程中的假牙问题无关(p = 0.562),但牙槽嵴吸收可能与假牙问题有关(p < 0.001)。
结论
本研究表明,假牙交付过程中遇到的常见问题与假牙缺陷有关,而非患者心理问题。