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AlZarea BK. Randomized controlled clinical investigation on the association between personality profiles and the impacts of two types of maxillary anterior implant-supported crown restorations on daily living and dental satisfaction. Clin Implant Dent Relat Res 2019; 21:602-612. [PMID: 30993795 DOI: 10.1111/cid.12776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 03/21/2019] [Accepted: 04/03/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Personality factors might influence participants' satisfaction and the effects of dental management on daily living. PURPOSE This randomized controlled clinical trial aimed to assess the impacts of two types of implant-supported maxillary anterior crown restorations on daily living and participants' satisfaction, and its correlations with personality profiles. MATERIALS AND METHODS One hundred and seventy participants (84 males and 86 females; mean age = 35 ± 9 years) obtained maxillary anterior implant-supported crowns. They were allocated into two treatment groups (85 participants each: 43 females and 42 males). Group 1 was treated with titanium abutment-supported porcelain fused to metal (PFM) restorations. Group 2 was treated with zirconium abutment-supported ceramic restorations. A control group (85 participants each: 43 females and 42 males) that matched the treatment groups in gender and age was recruited. Precise clinical standards were followed to judge the clinical success of treatment. The NEO Five-Factor Inventory was used to evaluate participants' personality profiles. The dental impact on daily living questionnaire (DIDL) was used to evaluate restoration impacts on daily living and participants' satisfaction. Statistical analysis was carried out with probability of α = .05. RESULTS Higher DIDL scores were reported after crown treatments (P < .001). Group 2 participants reported highest levels of satisfaction with appearance (P = .007). DIDL scores were significantly associated with neuroticism, extraversion, and openness scores (P < .05) before restoration, and, with neuroticism, extraversion, agreeableness, openness, and conscientiousness scores (P < .05) after restoration. CONCLUSION Implant-supported crown restorations in anterior maxillary region were associated with positive impacts on daily living and participants' satisfaction. Implant-supported ceramic crowns and abutments were accompanied with higher levels of satisfaction with appearance than implant-supported PFM crowns and titanium abutments. Certain personality and psychological features (neuroticism, extraversion, agreeableness, openness, and conscientiousness) might affect and predict dental satisfaction and impacts on daily living.
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Affiliation(s)
- Bader K AlZarea
- Department of Prosthetic Dentistry, School of Dentistry, Aljouf University, Saudi Arabia
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Changes in oral health-related quality of life during implant treatment in partially edentulous patients: A prospective study. J Prosthodont Res 2016; 60:258-264. [DOI: 10.1016/j.jpor.2016.01.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 01/13/2016] [Accepted: 01/27/2016] [Indexed: 11/20/2022]
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Sghaireen MG, Al-Omiri MK. Relationship between impact of maxillary anterior fixed prosthodontic rehabilitation on daily living, satisfaction, and personality profiles. J Prosthet Dent 2015; 115:170-6. [PMID: 26443068 DOI: 10.1016/j.prosdent.2015.07.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 07/26/2015] [Accepted: 07/28/2015] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Personality profiles may affect the impact of dental treatment on daily living and patient satisfaction. PURPOSE The purpose of this clinical trial was to evaluate the impact of maxillary anterior fixed prosthodontic rehabilitation on daily living and the satisfaction of patients and to investigate its relationship with personality profiles. MATERIAL AND METHODS Fifty-nine participants (25 men and 34 women; mean age 32.4 ± 6.9 years) received maxillary anterior partial fixed dental prostheses. The clinical success of the prostheses was evaluated following specific criteria. The Dental Impact on Daily Living (DIDL) questionnaire was used to measure satisfaction with the prostheses and their impact on daily living. The Neuroticism-Extraversion-Openness Five-Factor Inventory (NEO-FFI) was used to measure patients' personality profiles. The paired sample t test was used to compare satisfaction and personality scores before and after treatment (α=.05). RESULTS Participants' total satisfaction and their satisfaction with appearance, pain tolerance, oral comfort, general performance, and eating improved after treatment (P<.05). Before treatment, women were less satisfied with general performance (P=.047) and scored higher on the Neuroticism score (P=.039); however, after treatment, women were more satisfied with appearance (P=.004). Age and sex had no significant correlation with personality profiles after treatment. Before treatment, Neuroticism, Openness, and Conscientiousness scores were associated with dental satisfaction and impact on daily life (P<.05). After treatment, Neuroticism, Openness, and Extraversion scores were associated with dental satisfaction and impact on daily life (P<.05). CONCLUSIONS Patient satisfaction with their oral condition improved after partial fixed dental prosthetic rehabilitation in the maxillary anterior esthetic zone. Psychological profiles (Neuroticism, Extraversion, Openness, and Conscientiousness) may be involved in and explain the impact on daily living and the degree of patient satisfaction with their prostheses.
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Affiliation(s)
- Mohd G Sghaireen
- Assistant Professor and Consultant, Department of Prosthetic Dentistry, Faculty of Dentistry, Aljouf University, Sakaka, Saudi Arabia; and Professor, City of London School of Dentistry, London, UK
| | - Mahmoud K Al-Omiri
- Professor and Senior Consultant, Faculty of Dentistry, University of Jordan, Amman, Jordan; and Professor, City of London School of Dentistry, London, UK.
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Xie Q, Ding T, Yang G. Rehabilitation of oral function with removable dentures - still an option? J Oral Rehabil 2014; 42:234-42. [PMID: 25327636 DOI: 10.1111/joor.12246] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Q. Xie
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - T. Ding
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - G. Yang
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
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Effect of Patient's Personality on Satisfaction with Their Present Complete Denture and after Increasing the Occlusal Vertical Dimension: A Study of Edentulous Egyptian Patients. Int J Dent 2014; 2014:635943. [PMID: 25110475 PMCID: PMC4119631 DOI: 10.1155/2014/635943] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 06/08/2014] [Accepted: 06/23/2014] [Indexed: 11/18/2022] Open
Abstract
Complete denture wearers often find it difficult to accept a new denture. Personality traits are among the factors that possibly affect patient satisfaction with a complete denture. Our aim was to investigate the influence of patients' personality on satisfaction with their present denture and after an increase in the occlusal vertical dimension (OVD). Sixty edentulous patients with complete dentures (22 men and 38 women, mean age 66 years, and range 50–75 years) participated in the study. The age of their complete dentures ranged from 5 to 16 years. Patients' personalities were evaluated using the Arabic version of the Eysenck Personality Questionnaire. Their satisfaction with their dentures before and after restoration of the OVD and relining of the mandibular denture was evaluated using two questionnaires (I and II), Patients with a high score of neuroticism were less satisfied with their original dentures and after relining and an increase of OVD compared with patients with an average score in that trait. The personality trait of psychoticism was significant to patients' acceptance of an increase in OVD; that is, patients with a high score were less satisfied with their dentures after increase of OVD than patients with an average score. It is concluded that personality traits affect patients' acceptance of their complete dentures.
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Misumi S, Nakamoto T, Kondo Y, Mukaibo T, Masaki C, Hosokawa R. A prospective study of changes in oral health-related quality of life during immediate function implant procedures for edentulous individuals. Clin Oral Implants Res 2014; 26:696-700. [PMID: 24666378 DOI: 10.1111/clr.12371] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2014] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this prospective clinical study was to evaluate longitudinal changes in oral health-related quality of life (OHRQoL) attributable to fixed dental prostheses during All-on-4(®) treatment in one or both jaws. MATERIALS AND METHODS Ten patients underwent placement of four or six endosteal dental implants on the basis of the All-on-4(®) treatment concept in the edentulous maxilla or both jaws and immediate loading with acrylic interim prostheses. The prostheses were replaced after 3-6 months, and definitive prostheses with titanium framework and reinforced resin facing were fixed after another 5 months or more. The subjects completed the shortened Japanese version of the Oral Health Impact Profile (OHIP-J14) before the surgery (T0), 1 week after the initial (T1) and secondary (T2) interim prostheses were placed, and 3 months after definitive prosthesis placement (T3). Complete data of nine subjects were analyzed with the Wilcoxon signed-rank test. RESULTS The total OHIP-J14 score significantly reduced only at T3 (P < 0.05). "Functional limitation," "physical pain," "physical disability," and "psychological disability" scores significantly decreased at T3, and "psychological discomfort" scores also significantly dropped at T2. "Social disability" and "handicap" scores remained unchanged throughout. CONCLUSION Fixed definitive prostheses with metal framework are more effective than fixed all-acrylic prostheses in improving OHRQoL during All-on-4(®) treatment.
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Affiliation(s)
- Saori Misumi
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Kitakyushu City, Fukuoka, Japan
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AL-Omiri MK, Sghaireen MG, Al-Qudah AA, Hammad OA, Lynch CD, Lynch E. Relationship between impacts of removable prosthodontic rehabilitation on daily living, satisfaction and personality profiles. J Dent 2014; 42:366-72. [DOI: 10.1016/j.jdent.2013.12.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 12/07/2013] [Accepted: 12/18/2013] [Indexed: 10/25/2022] Open
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Hantash ROA, AL-Omiri MK, Yunis MA, Dar-Odeh N, Lynch E. Relationship between impacts of complete denture treatment on daily living, satisfaction and personality profiles. J Contemp Dent Pract 2011; 12:200-207. [PMID: 22186817 DOI: 10.5005/jp-journals-10024-1035] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVES To investigate the association between satisfaction with conventional complete denture prostheses (CDs), impacts of CDs on daily living and personality profiles. MATERIALS AND METHODS Fifty-six patients (28 males and 28 females; mean age 53.79 ± 7.762 years) with fitted upper and lower removable CDs were recruited for this study. Clinical success of CDs was assessed according to specific clinical criteria. The dental impact on daily living questionnaire (DIDL) was used to measure satisfaction with CDs and their impacts on daily living. NEO five factor inventory (NEO - FFI) was used to measure patients' personality profiles. Pearson correlation test and regression models were used to analyze the collected data. RESULTS Females were more satisfied with appearance and less satisfied with eating and scored higher on neuroticism, and lower on extraversion and openness personality domains (p < 0.05). Older patients were more satisfied with appearance and less satisfied with oral comfort and general performance (p < 0.05). Neuroticism, extraversion, openness and agreeableness personality profiles could predict and had significant relationship with CDs impacts on daily living and satisfaction with CDs. CONCLUSION Psychological profiles (e.g. neuroticism, extraversion, openness and agreeableness) might play a role and explain CDs impacts on daily living and patients' satisfaction with their oral status and CD treatment, therefore, might be used to predict satisfactory outcomes of CD treatment. In this regard, technical aspects of CDs are less essential when the prosthesis is clinically successful. CLINICAL SIGNIFICANCE Psychological factors may play a role and also provide valuable information for the prediction of satisfactory outcomes of complete denture treatment.
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Al-Zubeidi MI, Alsabeeha NHM, Thomson WM, Payne AGT. Patient satisfaction and dissatisfaction with mandibular two-implant overdentures using different attachment systems: 5-year outcomes. Clin Implant Dent Relat Res 2010; 14:696-707. [PMID: 21166990 DOI: 10.1111/j.1708-8208.2010.00306.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Different attachment systems for mandibular two-implant overdentures could influence levels of patient satisfaction. Positive consensus of the majority of patients being satisfied does not preclude the possibility of dissatisfaction for some. PURPOSE To evaluate patient satisfaction and dissatisfaction before and after 5 years of wearing mandibular two implant overdentures using different attachment systems ; to determine the prognostic relevance of pretreatment complete denture complaints to treatment outcomes. MATERIALS AND METHODS A total of 106 edentulous participants enrolled in a clinical trial completed a preliminary self-report inventory of their original complete denture complaints.New complete maxillary dentures and mandibular two-implant overdentures were provided to each participant using one of six different attachment systems. Patient satisfaction was determined at pretreatment; at baseline with mandibular two-implant overdenture insertion; and then annually for 5 years, using visual analogue and Likert-type scales. RESULTS Patient satisfaction with mandibular two-implant overdentures showed significant changes pre- to posttreatment(baseline) in all domains, but these were significant immediately and maintained without further significance for 5 years, other than pain with the overdenture. After 5 years, no significant differences were observed with all the attachment systems. Highly significant differences were found with some social and psychological aspects by the fifth year compared to baseline. Diagnostic and prognostic indicators from a pretreatment inventory identified 12 participants (13.5%) who were dissatisfied. These indicators revealed a maladaptive predisposition to mandibular two-implant overdentures. CONCLUSIONS The provision of mandibular two-implant overdentures will, in the majority of patients, significantly enhance levels of patient satisfaction for 5 years, as compared to complete mandibular dentures, regardless of the attachment system. Careful evaluation of pretreatment complaints with conventional dentures can possibly identify patient dissatisfaction with mandibular two-implant overdentures [corrected].
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Affiliation(s)
- Mohammed I Al-Zubeidi
- Oral Implantology Research Group, Sir John Walsh Research Institute, School of Dentistry, University of Otago, Dunedin, New Zealand
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Kanatas A, Rogers S. A systematic review of patient self-completed questionnaires suitable for oral and maxillofacial surgery. Br J Oral Maxillofac Surg 2010; 48:579-90. [DOI: 10.1016/j.bjoms.2009.12.004] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2009] [Accepted: 12/02/2009] [Indexed: 11/16/2022]
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Affiliation(s)
- Brian L Schmidt
- Department of Oral and Maxillofacial Surgery, University of California, 521 Parnassus Avenue, C-522 Box 0440, San Francisco, CA 94143-0440, USA.
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Anastassiadou V, Robin Heath M. The effect of denture quality attributes on satisfaction and eating difficulties. Gerodontology 2006; 23:23-32. [PMID: 16433638 DOI: 10.1111/j.1741-2358.2006.00094.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The development of a measure, with complimentary normative and perceived needs, for the investigation of functional impairment of individual patients and the investigation of the physical causative bases of impairment. SUBJECTS A consecutive sample of 119 complete denture (CD) wearers attending a Greek department of prosthetic dentistry took part in the study. All subjects presented with some complaint(s) of their dentures. METHOD Functional assessment of dentures (FAD) criteria and structured questionnaires were used covering denture satisfaction (DS) and food difficulties with CDs. The questions used a five-point Likert scale. RESULTS The results showed that there were statistically significant associations between satisfaction from dentures and eating specified foods. Statistically significant associations were also found between denture qualities and movement of upper dentures and difficulty eating specified foods, but not with an open question on the difficulty of eating unspecified foods. CONCLUSIONS This study successfully validated a suitable model for the combined evaluation of denture quality with clear diagnostic criteria and closed questions on DS and perceived difficulties when eating specified foods. This could predict the need for treatment, monitor the impact of care and provide a feasible measure to meet the need of everyday clinical situations.
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Heydecke G, Tedesco LA, Kowalski C, Inglehart MR. Complete dentures and oral health-related quality of life -- do coping styles matter? Community Dent Oral Epidemiol 2004; 32:297-306. [PMID: 15239781 DOI: 10.1111/j.1600-0528.2004.00169.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
UNLABELLED Oral health-related quality of life (OHRQOL) in edentulous patients with complete dentures is often impaired. This paper investigates the effect of different coping styles on OHRQOL. PURPOSE (a) To assess OHRQOL of edentulous patients with conventional complete dentures, and (b) to investigate if individual differences in these patients' styles of coping with stress affect their OHRQOL. MATERIALS AND METHODS Data were collected from 249 fully edentulous patients with complete dentures (mean age: 66.0 years) who responded to a mailed survey (adjusted response rate: 48.8%). OHRQOL was measured with the 14-item short form of the oral health impact profile (OHIP). Ratings of coping strategies were obtained using the 28-item Brief COPE, an instrument measuring various styles of coping with stress. Linear regression analyses were used to explore the relationships between coping styles, background variables such as age, gender, income, and age of prosthesis, and the patients' OHRQOL. RESULTS About 35% of the respondents reported impacts from their oral conditions on their overall OHRQOL (OHIP-14 total score) occasionally, fairly often, or often. Physical pain was even more prevalent, with 53.3% of the respondents reporting pain impacts. The linear regression model (P < 0.0001) explained 31.1% of the variation in the OHIP-14 total score. The coping variables instrumental support, behavioral disengagement, substance abuse, denial, and religion were significant negative predictors of OHRQOL. Only emotional support was a significant positive predictor of OHRQOL. CONCLUSION Wearing conventional complete dentures has a significant impact on OHRQOL. This impact is moderated by the styles a patient uses to cope with stress. Using emotional support has a positive effect on OHRQOL, while other coping styles, namely instrumental support, behavioral disengagement, substance abuse, denial, and religion are significant negative predictors of OHRQOL.
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Affiliation(s)
- Guido Heydecke
- Faculty of Dentistry, McGill University, Montréal, Canada.
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Schmidt BL, Pogrel MA, Young CW, Sharma A. Reconstruction of extensive maxillary defects using zygomaticus implants. J Oral Maxillofac Surg 2004; 62:82-9. [PMID: 15332185 DOI: 10.1016/j.joms.2004.06.027] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
PURPOSE Maxillary reconstruction after maxillectomy remains a great challenge for the reconstructive oral and maxillofacial surgeon. This article is a clinical retrospective analysis of patients reconstructed with zygomaticus implants after maxillary ablation. PATIENTS AND METHODS The design of the study was a retrospective review of 9 patients requiring near-total or total maxillectomy for pathologic reasons. Clinical records, photographs, and radiographs were studied. Financial billing statements were reviewed to determine charges for implant reconstruction and method of payment. RESULTS Maxillary reconstruction using zygomaticus and standard endosseous implants was performed in 9 patients. Maxillary resection was performed for the following reasons: salivary gland malignancy (n = 2), squamous cell carcinoma (n = 5), maxillary mucormycosis (n = 1), and extensive maxillary atrophy and infection secondary to subperiosteal maxillary implant placement (n = 1). A total of 28 zygomaticus implants and 10 standard endosseous implants were used to reconstruct the 9 patients. Six zygomaticus implants and 3 standard endosseous implants failed. The time of zygomaticus implant placement ranged from placement at the time of resection to 3.2 years after the resection. Five patients received radiation therapy. Five patients have been reconstructed with a maxillary obturator and have been functioning with the prosthesis for a minimum of 2 years. CONCLUSION The combination of zygomaticus and standard endosseous implants can be used to reliably reconstruct patients after extensive resection of the maxilla.
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Affiliation(s)
- Brian L Schmidt
- Department of Oral and Maxillofacial Surgery, University of California, San Francisco, 94143-0440, USA.
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Celebić A, Knezović-Zlatarić D. A comparison of patient's satisfaction between complete and partial removable denture wearers. J Dent 2003; 31:445-51. [PMID: 12927455 DOI: 10.1016/s0300-5712(03)00094-0] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVES The aim of this study was to compare satisfaction between complete denture (CD) and Kennedy Class I removable partial denture (RPD) wearers. MATERIALS AND METHODS A total of 156 CD and 112 RPD wearers took a part in this study. From the primary group of the examined patients, only those whose RPDs and CDs were assessed as excellent or very good by the dentist, took a part in this study. Patients graded satisfaction of their dentures by using an analogue scale from 1 to 5 (1=unsatisfactory; 5=excellent). RESULTS Both CD and RPD wearers were mostly satisfied with their dentures (the distribution of the scores of the patients' assessments was skewed towards the highest scores; more than half of the patients scored all the examined variables to the best score category). Complete Denture wearers were significantly more satisfied with chewing, speech and retention of maxillary denture than RPD wearers (P<0.05). Removable partial denture wearers were significantly more satisfied with the retention and the comfort of wearing mandibular denture (P<0.05). There was no significant difference between CD and RPD wearers for general satisfaction with their dentures, aesthetics and comfort of wearing maxillary denture (P>0.05; N.S.). CONCLUSIONS A majority of CD and RPD wearers were satisfied with the dentures. CD wearers were more satisfied with speech, chewing and retention of maxillary denture, while RPD wearers were more satisfied with the retention and the comfort of wearing mandibular denture. Different groups of denture wearers have to make significant, but different adjustments to wear their dentures successfully.
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MESH Headings
- Attitude to Health
- Denture Design
- Denture Retention
- Denture, Complete/psychology
- Denture, Complete, Upper/psychology
- Denture, Partial, Removable/psychology
- Esthetics, Dental
- Humans
- Jaw, Edentulous, Partially/classification
- Jaw, Edentulous, Partially/rehabilitation
- Mandible
- Mastication/physiology
- Patient Satisfaction
- Speech/physiology
- Statistics, Nonparametric
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Affiliation(s)
- Asja Celebić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000, Zagreb, Croatia.
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Knezović Zlatarić D, Celebić A, Valentić-Peruzović M, Jerolimov V, Pandurić J. A survey of treatment outcomes with removable partial dentures. J Oral Rehabil 2003; 30:847-54. [PMID: 12880410 DOI: 10.1046/j.1365-2842.2003.01039.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The patient's satisfaction with removable partial denture (RPD) therapy has become an increasingly important factor in prosthetic treatment. This study examined patients' satisfaction with RPDs in relation to some socio-economic variables, patients' habits of wearing and cleaning RPDs, comfort of wearing RPDs and different RPDs characteristics. A questionnaire was devised for the purpose. Two hundred and five patients were required to assess satisfaction with RPDs. They graded RPDs, depending on the level of satisfaction, on scale ranging from 1 to 5. A dentist determined Kennedy classification, material and denture support, denture base shape, number of missing teeth and evaluated denture construction. Majority of the patients were satisfied with the prosthesis. The patients of a higher education level gave lower grades (P < 0.05) to aesthetics of maxillary RPDs. Almost half of the patients were wearing RPDs during the day. Most of the patients cleaned RPDs three times a day. A significant difference was found between the patients' grades for comfort of wearing mandibular RPDs and number of missing teeth and between hygiene of mandibular RPDs and habits of cleaning them. Majority of the patients treated with RPDs were satisfied with the prosthesis. Dissatisfaction was related to mastication, esthetics, number of missing teeth and maintenance of oral hygiene.
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Affiliation(s)
- D Knezović Zlatarić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia
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Dudic A, Mericske-Stern R. Retention mechanisms and prosthetic complications of implant-supported mandibular overdentures: long-term results. Clin Implant Dent Relat Res 2003; 4:212-9. [PMID: 12685796 DOI: 10.1111/j.1708-8208.2002.tb00173.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Although many studies report high survival rates of mandibular implants supporting an overdenture, complications with prostheses and the need for prosthetic maintenance are not so well documented. PURPOSE The purpose of the present study was to analyze three categories of prosthetic complications in relation to the type of retention mechanism for overdenture connection to the implants (ie, rigid or resilient). MATERIALS AND METHODS One hundred nineteen patients with a total of 258 implants participated in the study. They had been monitored regularly during an observation period of 5 to 15 years (mean 9.3 yr). Seventy-five patients had a resilient retention device (ball anchors or a round clip bar); 44 patients had a rigid bar with or without distal extensions. The incidence and rate of complications were calculated for the overall- and for the 2- and 5-year observation periods. Comparisons were made between the three categories of maintenance and the two types of retention. A Kaplan-Meier analysis was applied for calculations of changes of the retention mechanism. RESULTS The mean number of complications per overdenture during the entire observation period was 3.5; this did not differ statistically between the two retention groups. Some significant differences were found only for the 2- and 5- year period. Broken, loose, or lost female parts were more frequently observed with resilient devices, as were repairs and relining of the resin denture base, whereas tightening of bar retainers was more typical with rigid bars. A change from a resilient retention device to a rigid bar was performed more often than vice versa but not at a statistically significant level. CONCLUSION Although these long-term results do not indicate a significant difference between the retention groups, a slight superiority of the rigid bar is suggested.
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Affiliation(s)
- Alexander Dudic
- Department of Prosthodontics, University of Bern, Switzerland
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Allen PF, McMillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Implants Res 2003; 14:173-9. [PMID: 12656876 DOI: 10.1034/j.1600-0501.2003.140206.x] [Citation(s) in RCA: 161] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
A longitudinal clinical trial involving 103 subjects was undertaken to assess the impact of oral implant therapy on the psychosocial well-being of subjects with complete denture wearing problems. There were four experimental groups: (1) an implant group, where subjects were edentulous/edentate in one jaw and requested and received implants to retain an oral prosthesis (IG); (2) subjects edentulous/edentate in one jaw requesting implants but who received conventional dentures (CDG1); (3) edentulous subjects requesting replacement of their dentures by conventional means (CDG2); (4) dentate subjects requiring routine treatment, who were included for comparison. Data were collected in each group pre- and post-treatment using validated oral specific [the Oral Health Impact Profile (OHIP)], and generic (the SF36) health status measures. Subjects in IG, CDG1 and CDG2 also completed a denture satisfaction scale. IG and CDG1 subjects reported that tooth loss and denture wearing problems had a much greater impact on their quality of life than subjects seeking conventional dentures. Dentate subjects had a much better oral health status compared with denture-wearing subjects. Following treatment, subjects who received implant-retained prostheses (IG) reported a significant improvement in satisfaction and health-related quality of life, as did subjects who requested and received conventional dentures (CDG2). Subjects who requested implants, but received conventional dentures (CDG1), reported little improvement in denture satisfaction and only modest improvement in their quality of life. None of the denture-wearing subjects reported health-related quality of life that was as good as that of dentate subjects. The findings have significant implications in the assessment of outcomes in future clinical trials.
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Affiliation(s)
- P F Allen
- Department of Restorative Dentistry, University Dental School and Hospital, Wilton, Cork, Ireland.
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Rogers SN, Lowe D, McNally D, Brown JS, Vaughan ED. Health-related quality of life after maxillectomy: a comparison between prosthetic obturation and free flap. J Oral Maxillofac Surg 2003; 61:174-81. [PMID: 12618993 DOI: 10.1053/joms.2003.50044] [Citation(s) in RCA: 129] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
PURPOSE The purpose of this cross sectional study was to evaluate the health-related quality of life of patients following maxillectomy and to compare obturation and free flap reconstruction. PATIENTS AND METHODS At the Regional Maxillofacial Unit in Liverpool, United Kingdom, between 1992 to 1996, 39 patients underwent maxillectomy for malignant pathology. Of these patients, 28 (10 underwent obturation and 18 underwent free tissue reconstruction) completed a postoperative semi-structured interview. Eight questionnaires were used to test aspects of health-related quality of life and function. RESULTS The main findings were the associations between the size of maxillectomy defect and the University of Washington activity (-0.53; P =.005) and recreation (-0.70; P <.001) domains, and with the physical functioning (-0.58; P =.001) and quality of life (-0.51; P =.007) domains of the European Organization for Research and Treatment of Cancer questionnaire. No statistically significant differences were seen between the obturator and free flap groups. Borderline trends were for obturator patients to be more concerned about their appearance, to have more pain and soreness in their mouths, to be more aware of their upper teeth, more self-conscious and less satisfied with their upper dentures, and less satisfied with function. CONCLUSION Similar subjective outcomes were found for both groups, and a larger longitudinal study is needed to test these relationships more rigorously.
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Affiliation(s)
- Simon N Rogers
- Regional Maxillofacial Unit, University Hospital Aintree, Aintree Trust, Liverpool, United Kingdom.
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20
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Lindsay S, And KM, Jennings K. The psychological benefits of dental implants in patients distressed by untolerated dentures. Psychol Health 2000. [DOI: 10.1080/08870440008402006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Lindquist TJ, Ettinger RL. Patient management and decision making in complete denture fabrication using a duplicate denture procedure: a clinical report. J Prosthet Dent 1999; 82:499-503. [PMID: 10559717 DOI: 10.1016/s0022-3913(99)70044-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
A patient may have difficulty adapting to a new prosthesis for either physical or psychological reasons. This article describes a procedure for duplicating an existing denture and gives the practitioner an alternative to the traditional denture fabrication techniques. The duplicated denture fabrication technique minimizes the changes to the new denture, making it easier for the patient to adapt to new dentures. However, in-depth communication with the patient is necessary for successful denture therapy.
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Affiliation(s)
- T J Lindquist
- College of Dentistry, University of Iowa, Iowa City 52242, USA.
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Rogers SN, McNally D, Mahmoud M, Chan MF, Humphris GM. Psychologic response of the edentulous patient after primary surgery for oral cancer: A cross-sectional study. J Prosthet Dent 1999; 82:317-21. [PMID: 10479259 DOI: 10.1016/s0022-3913(99)70087-9] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
STATEMENT OF PROBLEM Edentulous patients can have difficulty in tolerating dentures and this may lead to psychologic disturbance. The problem is potentially more severe for edentulous patients after primary surgery for oral cancer, where treatment can include composite resection and reconstruction, followed by adjuvant radiotherapy. PURPOSE This study investigated the psychologic response and oral satisfaction of edentulous patients treated by surgery for oral squamous cell carcinoma, and to make a comparison to edentulous noncancer counterparts. METHODS AND MATERIAL The cross-sectional study included patients who were alive and disease-free 2 to 3 years after primary surgery. Seventy patients underwent surgery at the Regional Maxillofacial Unit, Liverpool, in 1993 and 1994. Twenty-eight patients were disease-free; 26 completed questionnaires that included a general health questionnaire (GHQ), a body satisfaction scale, a self-esteem scale, an oral symptom checklist, and a denture satisfaction questionnaire. Comparison was made with 98 noncancer edentulous patients from the same unit. RESULTS There were similarities in psychologic and oral satisfaction scores between the noncancer and cancer edentulous patients. Cancer patients reported lower self-esteem (P <.02). Cancer patients who were not rehabilitated with either conventional or implant-retained prostheses had significant psychologic morbidity as measured by the GHQ, self-esteem, and body satisfaction scales. Cancer patients with implant-retained overdentures reported greater satisfaction with their dentures compared with their counterparts who wore conventional dentures (P <.05). CONCLUSION Edentulous cancer patients who do not achieve oral rehabilitation after surgery for oral cancer exhibited significant psychologic morbidity. Patients with implant-retained overdentures exhibited a tendency to adopt the same psychologic response with improved denture satisfaction as edentulous patients with conventional dentures, despite the former having more extensive disease that would otherwise make the provision of dentures much more difficult if implants were not used.
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MESH Headings
- Aged
- Aged, 80 and over
- Analysis of Variance
- Body Image
- Carcinoma, Squamous Cell/complications
- Carcinoma, Squamous Cell/psychology
- Carcinoma, Squamous Cell/rehabilitation
- Carcinoma, Squamous Cell/surgery
- Cross-Sectional Studies
- Dental Prosthesis, Implant-Supported/psychology
- Denture, Complete/psychology
- Female
- Humans
- Male
- Middle Aged
- Mouth Neoplasms/complications
- Mouth Neoplasms/psychology
- Mouth Neoplasms/rehabilitation
- Mouth Neoplasms/surgery
- Mouth, Edentulous/complications
- Mouth, Edentulous/psychology
- Mouth, Edentulous/rehabilitation
- Oropharyngeal Neoplasms/complications
- Oropharyngeal Neoplasms/psychology
- Oropharyngeal Neoplasms/rehabilitation
- Oropharyngeal Neoplasms/surgery
- Patient Satisfaction
- Self Concept
- Surveys and Questionnaires
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Affiliation(s)
- S N Rogers
- Walton Hospital, Aintree Trust, and Liverpool University, Liverpool, United Kingdom.
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McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH. Classification system for complete edentulism. The American College of Prosthodontics. J Prosthodont 1999; 8:27-39. [PMID: 10356552 DOI: 10.1111/j.1532-849x.1999.tb00005.x] [Citation(s) in RCA: 193] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The American College of Prosthodontists has developed a classification system for complete edentulism based on diagnostic findings. These guidelines may help practitioners determine appropriate treatments for their patients. Four categories are defined, ranging from Class I to Class IV, with Class I representing an uncomplicated clinical situation and a Class IV patient representing the most complex and higher-risk situation. Each class is differentiated by specific diagnostic criteria. This system is designed for use by dental professionals who are involved in the diagnosis of patients requiring treatment for complete edentulism. Potential benefits of the system include: 1) better patient care, 2) improved professional communication, 3) more appropriate insurance reimbursement, 4) a better screening tool to assist dental school admission clinics, and 5) standardized criteria for outcomes assessment.
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Affiliation(s)
- T J McGarry
- Department of Restorative Dentistry, University of Detroit Mercy School of Dentistry, MI, USA
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Abstract
The art and science of complete dentures for oral restoration has been espoused and debated for over a century. A tradition of clinical mentoring has passed this prosthodontic trust through time to create an educational cycle where the pupil ultimately became the tutor for yet another pupil. Today's clinical techniques and judgments are an amalgamation of these original prosthodontic philosophies. This article will bring forward some procedures for the fabrication of complete dentures for the scrutiny of their scientific bases. Scrutiny does not imply that aspects of therapy not proved in studies of rigorous scientific design are untruths. However, it is incumbent that those aspects of denture therapy regarded as "public domain" by the corpus of the profession be analyzed. It is also incumbent that possible costly or harmful aspects of denture therapy be identified. There is a paucity of "procedural research" in clinical investigations; research that involves performing an invasive or clinician-intensive procedure. This article also discusses the difficulties in performing procedural research as a means of understanding its importance, but also realizing the reasons that this type of research is not prevalent in the dental and health professional literature. The most common types of investigations used to evaluate patient acceptance and function of dentures will also be discussed.
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Affiliation(s)
- R F Jacob
- Department of Dental Oncology, University of Texas M. D. Anderson Cancer Center, Houston, USA
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Abstract
The loss of teeth is an extremely traumatic and upsetting experience. The accompanying feelings of grief and loss are compounded by the inherent inadequacies of complete dentures. It is hardly surprising that many edentulous people and their dentists have searched long and hard for a viable alternative. This article places in perspective the shift that has occurred in the therapeutic paradigm of treatment as a result of osseointegrated implant therapy.
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Affiliation(s)
- D M Davis
- Department of Prosthetic Dentistry, King's Dental Institute, London, United Kingdom
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Cibirka RM, Razzoog M, Lang BR. Critical evaluation of patient responses to dental implant therapy. J Prosthet Dent 1997; 78:574-81. [PMID: 9421786 DOI: 10.1016/s0022-3913(97)70008-8] [Citation(s) in RCA: 64] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
STATEMENT OF PROBLEM Successful rehabilitation of the edentulous condition requires functional and psychosocial adaptation by the patient. Quality of life is markedly affected by the amount of satisfaction or dissatisfaction with their dental therapy. Patient concerns are primarily related to comfort, function, and esthetics. When these do not meet the patients expectations, anxiety, insecurity, diminished self-esteem, and introversion are typical psychosocial responses. PURPOSE The objectives of the study were to assess the patient's subjective feelings about: (a) comfort, (b) function, (c) esthetics, (d) speech, (e) self-image, and (f) overall dental health with their existing complete dentures, and after implant therapy and prosthodontic rehabilitation. MATERIAL AND METHODS Two health-related quality of life (HRQL) questionnaires were developed to evaluate the effectiveness of dental implant therapy; one dealing with their feelings about their conventional complete dentures, and the second dealing with implant therapy. The first questionnaire was administered with supervision before receiving implant treatment. The second questionnaire was administered within 1 year after completion of prosthetic rehabilitation. Twenty-six patients who received implants to support a mandibular prosthesis and a new maxillary denture formed the experimental population. RESULTS Discriminative and evaluative analysis of subjective patient responses provided reliable, accurate, and reproducible results. Assessment of subject feelings before and after implant therapy and prosthodontic rehabilitation demonstrated significant differences when before treatment responses were compared with the responses after therapy. CONCLUSIONS Significant differences for comfort, function, speech, esthetics, self-image, and dental health were demonstrated when conventional complete dentures and dental implant therapy were compared. HRQL data provided scientific evidence of an improved quality of life after dental implant therapy (p < 0.000).
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MESH Headings
- Adaptation, Physiological
- Adaptation, Psychological
- Adult
- Aged
- Anxiety/psychology
- Attitude to Health
- Dental Implantation, Endosseous/psychology
- Dental Implants/psychology
- Dental Prosthesis, Implant-Supported
- Denture, Complete/psychology
- Esthetics, Dental
- Evaluation Studies as Topic
- Female
- Follow-Up Studies
- Humans
- Introversion, Psychological
- Jaw, Edentulous/psychology
- Jaw, Edentulous/rehabilitation
- Jaw, Edentulous/surgery
- Male
- Mandible/surgery
- Mastication/physiology
- Maxilla/surgery
- Middle Aged
- Oral Health
- Patient Satisfaction
- Prospective Studies
- Quality of Life
- Reproducibility of Results
- Self Concept
- Speech/physiology
- Surveys and Questionnaires
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Affiliation(s)
- R M Cibirka
- Department of Oral Rehabilitation, School of Dentistry, Medical College of Georgia, Augusta, USA
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Abstract
A review of the literature on dental treatment was conducted and models presented of the doctor/dentist-patient relationship. These models are listed and divided into two subgroups, empirical and normative models. The models are scrutinized with focus on the dentist-patient communicative relationship exclusively. Different doctor/dentist-patient relationships are described. External factors influencing these relationships are defined. An analysis of dentist-patient communication is made, and a new model of dentist-patient communication is suggested, which states that what is done and what is said during dentist-patient encounters will have an impact on outcome. Three different purposes of dentist-patient communication are presented. The process of attaining these is discussed. It is concluded that a theory of communication is lacking in the dental context, and the need to develop a reliable and valid interaction analysis system for the patient-dentist communication is confirmed.
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Affiliation(s)
- K Sondell
- Department of Prosthodontics, Postgraduate Dental Education Center, Orebro, Sweden
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Abstract
PURPOSE The purpose of this investigation was to evaluate complete denture patients at pretreatment and postinsertion, 6 months and 18 months after denture delivery in order to develop an explanatory model of successful denture therapy to better understand patient acceptance of complete dentures. MATERIALS AND METHODS Sixty complete-denture patients treated at a dental student clinic were followed through denture therapy and for 18 months thereafter. Subjects were examined and completed pretreatment questionnaires and posttreatment interviews. Three outcome measures of denture success were tested, and factors considered substantive in achieving a successful denture outcome were examined using multivariate analyses. RESULTS At post-insertion, 76.7% of subjects were satisfied with their dentures, 74.6% said their expectations were met, and 66.7% said they adjusted easily to their new dentures; reports at 6 and 18 months were similarly high. Logistic regression findings suggest that psychological and interpersonal factors are more important determinants of denture satisfaction than anatomic or clinical factors. CONCLUSIONS Subject characteristics including age, gender, race, income level, education, marital status, and maxillary and mandibular anatomy were not significantly associated with denture success as defined by the three outcome measures used in this study. Although these variables may represent important co-factors in the patient's acceptance of dental services and may affect the way a patient perceives dental care outcomes, statistically significant relationships were not found within our sample. Psychosocial variables, such as pretreatment expectations, satisfaction with the dental care received, and mental health showed a stronger relationship to a successful outcome.
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Affiliation(s)
- R L Diehl
- University of Florida College of Dentistry, Gainesville, USA
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Mersel A, Babayof I, Berkey D, Mann J. Variables affecting denture satisfaction in Israeli elderly: a one year follow-up. Gerodontology 1995; 12:89-94. [PMID: 9084295 DOI: 10.1111/j.1741-2358.1995.tb00136.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The purpose of this study was to investigate patient satisfaction with complete dentures after one year of use and several potential mitigating factors in Israeli elderly. Eight-four patients who were 54 years of age or older and who were rehabilitated with complete dentures were recalled for examination 12-15 months later; 84.5% (n = 70) were interviewed and reexamined by calibrated examiners who judged all prostheses to be clinically acceptable. The mean age of participants was 71.90 years and two-thirds were females. Over 73% reported that they wore their dentures "always." Nearly 79% indicated that they were pleased with their denture appearance. Difficulties were reported by 28.2%, while 46.5% reported difficulties with chewing. Chewing problems were significantly related to swallowing problems (P < .001); food enjoyment "as much now as you did five years ago" (P < 0.001); difficulties speaking (P < 0.05); and "having sores under your dentures" (P < 0.01) which affected 28.2% of the survey group. Married elderly expressed higher satisfaction with denture comfort as compared to "single" patients, and patients suffering from any systemic chronic diseases were more dissatisfied with appearance. A summary satisfaction scale of 7 items was constructed (Cronbach alpha reliability 0.6834) and logistic regression performed to identify key model variables for overall satisfaction. Stat sign findings included: 1) immigration year; 2) neurological or psychological disorder; and 3) age. The model correctly classified 92.75%. Findings suggest that a variety of factors may influence denture satisfaction. Gathering detailed information by means of a questionnaire before new denture fabrication may be an important tool for the dentist in predicting and consequently enhancing patient satisfaction with complete dentures.
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Affiliation(s)
- A Mersel
- Department of Community Dentistry, School of Dental Medicine, Hebrew University, Hadassah, Jerusalem, Israel
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