de Baat C, van Aken A A, Mulder J, Kalk W
Unit of Oral Function and Prosthetic Dentistry, Faculty of Medical Sciences, University of Nijmegen, The Netherlands.
J Prosthet Dent. 1997 Nov;78(5):472-8. doi: 10.1016/s0022-3913(97)70062-3.
This study introduces the concept "prosthetic condition", which combines the quality of complete dentures and residual alveolar ridges.
A pilot study was performed to select quality criteria with an acceptable interobserver agreement. With these criteria, a clinical examination was performed to assess the quality of the existing complete dentures and the residual alveolar ridges of 397 complete denture wearers. During clinical examination, the interobserver agreement of the selected criteria was retested. The "prosthetic condition" was assessed by combining the scores for denture quality and quality of the residual alveolar ridges. Subsequently, participants' satisfaction with and complaints about their dentures were scored according to their answers to specific questions.
Logistic regression analysis demonstrated that no variable of the "prosthetic condition" proved to explain the denture satisfaction. Some variables of the "prosthetic condition" had a significant but not relevant correlation with some denture complaints.
More research is necessary to substantiate the concept "prosthetic condition" as an acceptable measure of professionally quality assessment of dentures and denture-bearing surfaces. However, in determining the treatment need of community-dwelling groups, this concept seems a more realistic measure than denture quality only.
本研究引入了“修复状况”这一概念，它将全口义齿的质量与剩余牙槽嵴的情况结合起来。
进行了一项初步研究，以选择具有可接受的观察者间一致性的质量标准。依据这些标准，对397名全口义齿佩戴者的现有全口义齿质量和剩余牙槽嵴进行了临床检查。在临床检查期间，对所选标准的观察者间一致性进行了重新测试。通过综合义齿质量得分和剩余牙槽嵴质量得分来评估“修复状况”。随后，根据参与者对特定问题的回答，对他们对义齿的满意度和抱怨进行评分。
逻辑回归分析表明，“修复状况”的任何变量均未被证明可解释义齿满意度。“修复状况”的一些变量与某些义齿抱怨存在显著但不相关的相关性。
需要更多研究来证实“修复状况”这一概念可作为义齿及义齿承托面专业质量评估的可接受指标。然而，在确定社区居住人群的治疗需求时，这一概念似乎比仅考虑义齿质量更为实际。
