Kotkin H, Slabbert J C, Becker P J, Carr L
Department of Prosthetic Dentistry, School of Dentistry, University of the Witwatersrand, Johannesburg, South Africa.
Int J Prosthodont. 1998 May-Jun;11(3):240-5.
The purpose of this study was to facilitate the recognition of denture patients who are unable to adapt to conventional dentures and who are likely to benefit from treatment using implant-supported prostheses.
Sixty-nine patients who where referred for postgraduate prosthetic treatment at Wits Dental School completed a self-report inventory of items related to their dentures in current use. Conventional dentures were fabricated for all subjects. Those patients who could not adapt to conventional complete denture treatment were referred for treatment with implant-supported prostheses provided that they conformed with the recommended criteria for this treatment modality.
Analysis of the inventory of pretreatment denture complaints yielded variables that differentiated between the group who remained with conventional dentures and the group that was referred for implants. Significant variables were the period that a mandibular denture was used before new dentures were requested (P = 0.025); the period that a maxillary denture was used before further treatment was sought (P = 0.03); the discarding of a mandibular denture (P = 0.035); and pain complaints related to maxillary dentures (P = 0.045). A logistic regression model was used to compare the clinical division of the sample with that determined by the mathematic model. Sixty-six percent of the subjects who accepted conventional treatment and 69% of implant patients corresponded for both classifications.
The authors conclude that pretreatment denture complaints can be used diagnostic aids for evaluating patients who are likely to benefit from implant-supported prostheses.
本研究的目的是便于识别那些无法适应传统假牙且可能从种植体支持的修复治疗中获益的假牙患者。
在威特沃特斯兰德大学牙科学院接受研究生修复治疗转诊的69名患者完成了一份关于其当前使用假牙相关项目的自我报告清单。为所有受试者制作了传统假牙。那些无法适应传统全口假牙治疗的患者，只要符合该治疗方式的推荐标准，就会被转诊接受种植体支持的假牙治疗。
对治疗前假牙投诉清单的分析产生了一些变量，这些变量区分了继续使用传统假牙的组和被转诊接受种植体治疗的组。显著变量包括在要求制作新假牙之前使用下颌假牙的时间（P = 0.025）；在寻求进一步治疗之前使用上颌假牙的时间（P = 0.03）；丢弃下颌假牙（P = 0.035）；以及与上颌假牙相关的疼痛投诉（P = 0.045）。使用逻辑回归模型将样本的临床分类与数学模型确定的分类进行比较。接受传统治疗的受试者中有66%，种植体治疗患者中有69%在两种分类中是一致的。
作者得出结论，治疗前的假牙投诉可作为评估可能从种植体支持的假牙中获益的患者的诊断辅助手段。
