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Relationship Between Clinical Measures of Denture Quality and Patients’ Satisfaction with Complete Dentures

دراسة العلاقة بين المقاييس السريرية لجودة الأجهزة الكاملة و بين تقبل المرضى لهذه الأجهزة

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 Publication date 2014
and research's language is العربية
 Created by Shamra Editor




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Background& Objective: Prosthodontists always do their best in order to make dentures that fulfill all the functional and esthetic requirements of the patients. The purpose of this study is to evaluate the relationship between patients’ satisfaction with traditional complete dentures and clinical measures of denture quality, which include clinical assessment of retention, stability, support, occlusion, esthetics and speech. Materials & Methods: 104 patients participated in our study (65 males, 39 females). The range of their ages was (40 – 78) years (median=60.9). Traditional complete dentures were made for all these patients, and then they were followed for 4-6 weeks. After that, a questionnaire was filled for each patient. This questionnaire includes questions about patient satisfaction and assessment of the new denture. The clinical measures of quality of the denture were also assessed by a prosthodontist. Results: The results of this study showed that there was a poor significant relationship between patients’ rating of the retention of their dentures and the clinical measures of retention, stabililty and support (r<0.04). At each of the surveyed situations, the patient considered their dentures better than the examiner did (P<0.05). There was also a poor, significant relationship between the accuracy of reproduction of centric relation and the patient ability to masticate with his denture(r=0.27). Conclusion: Within the limits of this study, it can be concluded that clinical measures of denture quality affect the retention of the denture as perceived by the patient. They also affect the comfort of the patient during mastication. For that, the dentist must always do his best to make dentures with enhanced quality. On the other hand, clinical measures of quality are not the only factor that affects the patient satisfaction with denture.


Artificial intelligence review:
Research summary
تسعى هذه الدراسة إلى تقييم العلاقة بين تقبل المرضى للأجهزة الكاملة التقليدية وتقييمهم لها وبين المقاييس السريرية لجودة هذه الأجهزة. شملت الدراسة 104 مرضى (65 ذكورًا و39 إناثًا) تتراوح أعمارهم بين 40 و78 عامًا. تم تصنيع أجهزة كاملة علوية وسفلية تقليدية لكل مريض، وتمت متابعتهم لمدة 4-6 أسابيع. بعد ذلك، تم ملء استمارة لكل مريض لتقييم مدى تقبله للجهاز من جميع النواحي. كما قام اختصاصي في التعويضات المتحركة بتقييم المعايير السريرية لجودة الجهاز. أظهرت النتائج وجود علاقة طردية ضعيفة بين شعور المرضى بثبات أجهزتهم وتقييم الطبيب لثبات واستقرار ودعم هذه الأجهزة. كما كانت تقييمات المرضى للثبات واللفظ والنواحي التجميلية أفضل من تقييمات الطبيب. واستنتجت الدراسة أن المقاييس السريرية لجودة الجهاز تؤثر في شعور المريض بثبات الجهاز وراحته أثناء المضغ، لكنها ليست العامل الوحيد في تقبل المرضى لأجهزتهم.
Critical review
دراسة نقدية: تقدم هذه الدراسة نظرة شاملة على العلاقة بين تقبل المرضى للأجهزة الكاملة التقليدية وتقييمهم لها وبين المقاييس السريرية لجودة هذه الأجهزة. ومع ذلك، يمكن الإشارة إلى بعض النقاط التي قد تحتاج إلى تحسين. أولاً، قد تكون العينة المستخدمة غير كافية لتمثيل جميع الفئات العمرية والجنسية بشكل متوازن. ثانياً، قد يكون من المفيد تضمين عوامل نفسية واجتماعية أخرى قد تؤثر على تقبل المرضى للأجهزة. وأخيراً، يمكن أن تكون الدراسة أكثر شمولية إذا تم متابعة المرضى لفترة أطول من 4-6 أسابيع لتقييم تأثير الزمن على تقبل الجهاز.
Questions related to the research
  1. ما هي أهداف هذه الدراسة؟

    تهدف الدراسة إلى تقييم العلاقة بين تقبل المرضى للأجهزة الكاملة التقليدية وتقييمهم لها وبين المقاييس السريرية لجودة هذه الأجهزة.

  2. ما هي العينة المستخدمة في الدراسة؟

    شملت الدراسة 104 مرضى (65 ذكورًا و39 إناثًا) تتراوح أعمارهم بين 40 و78 عامًا.

  3. ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟

    أظهرت النتائج وجود علاقة طردية ضعيفة بين شعور المرضى بثبات أجهزتهم وتقييم الطبيب لثبات واستقرار ودعم هذه الأجهزة. كما كانت تقييمات المرضى للثبات واللفظ والنواحي التجميلية أفضل من تقييمات الطبيب.

  4. ما هي الاستنتاجات التي توصلت إليها الدراسة؟

    استنتجت الدراسة أن المقاييس السريرية لجودة الجهاز تؤثر في شعور المريض بثبات الجهاز وراحته أثناء المضغ، لكنها ليست العامل الوحيد في تقبل المرضى لأجهزتهم.


References used
Nalcaci R, Erdemir EO, Baran I . Evaluation of the oral health status of the people aged 65 years and over living in near rural district of Middle Anatolia, Turkey. Arch. Gerontol. Geriatr. 2007; 45: 55–64
Brunello DL, Mandikos MN. Construction faults, age, gender, and relative medical health: factors associated with complaints in complete denture patients. J Prosthet Dent 1998 ; 79: 545–54
Garrett NR, Kapur KK, Perez P. Effects of improvements of poorly fitting dentures and new dentures on patient satisfaction. J Prosthet Dent 1996; 76: 403–13
Yoshizumi DT. An evaluation of the factors pertinent to the success of a complete denture service. J Prosthet Dent 1964;14:866–78
Carlsson GE, Otterland MD, Wennstrom A. Patient factors in appreciation of complete dentures. J Prosthet Dent 1967;17:322–8
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