The relationship between various parameters of complete denture quality and patients’ satisfaction

Section: Discussionmentioning

confidence: 99%

Treatment Outcomes Based on Patients’ Self‐Reported Measures after Receiving New Clasp or Precision Attachment‐Retained Removable Partial Dentures

Peršić

Kranjčić

Pavičić

et al. 2015

“…The aging of the world population poses great challenges and directly affects the average oral health of any population. Dental loss is highly prevalent in the elderly population, causing esthetic, functional, psychological, and social inconvenience to the individual .…”

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confidence: 99%

Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study

Miranda

Possebon

Schuster

et al. 2019

Purpose To investigate the influence of impaired masticatory function on the oral health‐related quality of life of conventional complete denture wearers before and after the transition to implant‐retained mandibular overdentures. Materials and Methods Masticatory function and oral health‐related quality of life were evaluated in 40 edentulous patients after 3 months of adaptation to complete dentures and after transition to implant‐retained mandibular overdentures. Masticatory function was evaluated through the swallowing threshold test with a standardized portion of an artificial test food (Optocal) to determine median particle size (×50) and homogenization index (B). After the test, the masticatory function outcomes were used to categorize patients in 2 groups according to chewing performance: (i) satisfactory or (ii) unsatisfactory. The cutoff value for ×50 was based on a preestablished value of 3.68 mm, whereas for the B index, median values were adopted for categorization. The oral health‐related quality of life was analyzed via the Oral Health Impact Profile for Edentulous Adults (OHIP‐EDENT) questionnaire. The Mann‐Whitney test was used to compare masticatory function outcomes and OHIP‐EDENT scores, and associations were checked using the Spearman correlation test and multiple linear regression. Results Masticatory function was significantly correlated with functional limitation (p = 0.02) and physical disability (p = 0.04) for complete denture wearers with unsatisfactory masticatory function. After the transition to implant‐retained mandibular overdentures, only the psychological discomfort domain (p = 0.02) was influenced by the masticatory function category. Multiple linear regression analysis revealed that only the functional limitation domain (p < 0.001) of the complete denture wearers was associated with masticatory function outcomes. Conclusions Implant‐retained mandibular overdentures eliminate the problems that lead to functional limitations, consequently improving masticatory function and oral health‐related quality of life of these individuals; however, patients with unsatisfactory masticatory function after transition to implant‐retained mandibular overdentures still experience more psychological discomfort.

“…A thorough understanding of the parameters that influence patient satisfaction might help to predict treatment outcome and could hence be useful in deciding whether denture replacement is meaningful . Ambiguous results on satisfaction have been found concerning the effect of anatomic and physiological parameters and technical denture quality . The clinical experience of the treating or attending dentists, the relationships between patients and practitioners as well as the demographic and psychological profile of patients have also been reported to play a role .…”

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confidence: 99%

Predictors of Patient Satisfaction with Removable Denture Renewal: A Pilot Study

Krausch‐Hofmann

Cuypers

Ivanova

et al. 2016

Purpose: Conventional removable dentures still play an important role in the treatment of lost teeth. A thorough understanding of the parameters that influence patient satisfaction is useful for deciding whether denture replacement is meaningful. From a clinical perspective, factors that can be measured before starting treatment are relevant. This pilot study investigated whether patient satisfaction after denture renewal was affected by aspects related to the old prostheses, type of jaw, and patient motivation for denture renewal. Materials and Methods: Fifty subjects (mean age 68.2 ± 8.4) were provided with 74 removable dentures (partial n = 20, complete n = 54). Satisfaction was assessed before treatment and 3 months after new prosthesis insertion. Total satisfaction 3-month post-insertion (TSP3) merged 6 individual satisfaction items measured after treatment. Change of total satisfaction 3-month post-insertion (CTS3) represented the difference of total satisfaction when old and new prostheses were compared. The effect of the following independent variables was investigated: reason patients requested new dentures (fit, esthetics, broken denture, wear, advice of dentist, extractions), satisfaction with the old prosthesis (general, retention, stability, comfort, pronunciation, chewing, esthetics), and technical quality of the old prostheses as assessed by a dentist (stability, retention, fit, border, wear, esthetics). Gender, age, and a cognitive screening test were included as confounding variables. Mann-Whitney-U tests and linear mixed model analysis were performed.