Bors Andrea, Szekely Melinda, Beresescu Liana, Maier Alexandra, Beresescu Felicia
Faculty of Dentistry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology; 38 Gheorghe Marinescu Street, 540142 Targu Mures, Romania.
ISmileLab, Bd 1848 Street, 540429 Targu Mures, Romania.
Dent J (Basel). 2025 Jun 27;13(7):291. doi: 10.3390/dj13070291.
Patient satisfaction is a critical outcome in the rehabilitation of edentulous patients. While conventional fabrication methods are widely used, digital workflows are emerging as viable alternatives. However, direct comparative evidence from the patient's perspective remains limited. To compare patient satisfaction between conventional complete dentures (C-CD) and digital complete dentures (D-CD) in maxillary edentulous patients, including changes in perceptions over time and final prosthesis preference. A prospective, randomized crossover clinical trial was conducted in 2023-2024 involving 40 completely maxillary edentulous patients meeting specific inclusion criteria. Participants were randomly allocated into two sequence groups: Group 1 (n = 20) received C-CD first, and Group 2 (n = 20) received D-CD first, each for 6 months (T1), followed by crossover to the alternate denture for another 6 months (T2). Patient satisfaction was measured using a 10-item questionnaire at 6 and 12 months. Wilcoxon signed-rank tests were used for within-subject comparisons of denture types, and Mann-Whitney U tests for between-group comparisons, with significance set at ≤ 0.05. Using the paired crossover analysis, D-CD showed significantly better comfort than C-CD ( < 0.05). D-CD scored significantly higher than C-CD in most satisfaction domains, including comfort, retention, speech, esthetics, and need for adjustments ( ≤ 0.05). Median scores for retention, speech, esthetics, and other domains were slightly higher with D-CD but did not reach statistical significance ( > 0.05). Additionally, the D-CD required fewer post-insertion adjustment visits than the C-CD ( < 0.05). By the end of the trial, 28 patients (70%) preferred the digital denture as their final prosthesis, whereas 12 patients (30%) preferred the conventional denture. Incorporating digital technology in the fabrication of complete dentures significantly enhances patient satisfaction compared to conventional methods. This study highlights the clinical relevance of modern dental prosthesis technology and supports the wider integration of digital workflows. Within the limitations of this pilot study, digitally fabricated complete dentures provided overall patient satisfaction comparable to conventional dentures, with the D-CD offering a notable improvement in comfort. The majority of patients ultimately favored the digital denture, supporting the clinical viability of CAD/CAM workflows.
患者满意度是无牙颌患者康复的关键结果。虽然传统制作方法被广泛使用，但数字工作流程正成为可行的替代方案。然而，从患者角度的直接比较证据仍然有限。为比较上颌无牙颌患者使用传统全口义齿（C-CD）和数字全口义齿（D-CD）后的患者满意度，包括随时间的认知变化和最终义齿偏好。2023年至2024年进行了一项前瞻性、随机交叉临床试验，纳入40名符合特定纳入标准的上颌完全无牙颌患者。参与者被随机分为两个序列组：第1组（n = 20）先接受C-CD，第2组（n = 20）先接受D-CD，每组佩戴6个月（T1），然后交叉佩戴另一种义齿6个月（T2）。在6个月和12个月时使用10项问卷测量患者满意度。采用Wilcoxon符号秩检验进行义齿类型的组内比较，采用Mann-Whitney U检验进行组间比较，显著性设定为≤0.05。使用配对交叉分析，D-CD的舒适度明显优于C-CD（<0.05）。在大多数满意度领域，D-CD的得分明显高于C-CD，包括舒适度、固位、语音、美观和调整需求（≤0.05）。D-CD在固位、语音、美观和其他领域的中位数得分略高，但未达到统计学显著性（>0.05）。此外，D-CD插入后所需的调整就诊次数比C-CD少（<0.05）。到试验结束时，28名患者（70%）更喜欢数字义齿作为他们的最终义齿，而12名患者（30%）更喜欢传统义齿。与传统方法相比，在全口义齿制作中采用数字技术可显著提高患者满意度。本研究强调了现代假牙技术的临床相关性，并支持数字工作流程的更广泛整合。在这项初步研究的局限性内，数字制作的全口义齿提供的总体患者满意度与传统义齿相当，D-CD在舒适度方面有显著改善。大多数患者最终更喜欢数字义齿，支持了CAD/CAM工作流程的临床可行性。
