Sato Y, Tsuga K, Akagawa Y, Tenma H
Department of Removable Prosthodontics, Hiroshima University, School of Dentistry, Japan.
J Prosthet Dent. 1998 Jul;80(1):52-7. doi: 10.1016/s0022-3913(98)70091-5.
Reproducible and quantitative clinical evaluation of complete denture prostheses is of great importance for preoperative diagnosis, treatment planning, and assessment of quality of denture treatment.
This study attempted (1) to clarify the degree of contribution each clinical factor made to the general assessment of experienced prosthodontists to complete denture prostheses, and (2) to develop a method for quantitative assessment of complete denture quality.
Sixteen clinical factors with a three-grade scale were used to evaluate complete denture prostheses in 320 patients. The general assessment of the dentures was conducted with a 10-point scale. The contribution of each grade of the 16 factors to the general assessment level was determined by a multiple regression analysis.
Seven factors were highly correlated to the general assessment. On the basis of these significant contributions, a complete denture scoring method was established followed by the calculation of the category scores of these factors and conversion of the total sum of each category score to an integer number between 0 and 100. The resultant quantification score was closely correlated with the general assessment of the denture.
An evaluation protocol used for scoring of complete dentures was developed based on the scientifically analyzed knowledge of experienced prosthodontists.
全口义齿修复体可重复且定量的临床评估对于术前诊断、治疗计划以及义齿治疗质量评估具有重要意义。
本研究试图（1）明确各临床因素对经验丰富的口腔修复医生对全口义齿总体评估的贡献程度，以及（2）开发一种全口义齿质量的定量评估方法。
采用16个具有三级评分标准的临床因素对320例患者的全口义齿进行评估。义齿的总体评估采用10分制。通过多元回归分析确定16个因素的每个等级对总体评估水平的贡献。
7个因素与总体评估高度相关。基于这些显著贡献，建立了全口义齿评分方法，随后计算这些因素的类别得分，并将每个类别得分的总和转换为0至100之间的整数。所得量化得分与义齿的总体评估密切相关。
基于经验丰富的口腔修复医生的科学分析知识，开发了一种用于全口义齿评分的评估方案。
