义齿软衬材料对全口义齿满意度的影响

目的 :研究义齿软衬材料对全口义齿满意度的影响。方法 :选择 11例戴用全口义齿的患者 ,用满意度问卷调查患者使用义齿软衬材料前后的满意度 ,结果用配对t检验统计分析。结果 :使用义齿软衬材料前后 ,与满意度有关的 5项内容中 ,美观度和语音功能没有显著改变 ,咀嚼功能、固位功能及舒适性有显著改善。结论 :义齿软衬材料可提高全口义齿满意度     

全口义齿满意度调查表的设计与研究

目的：了解患者对全口义齿修复效果的主观评价。方法：设计一种评价全口义齿满意度的调查表,并对结果进行效度研究。结果：患者对全口义齿外观的满意度比对全口义齿的咀嚼功能恢复、稳固性等高。语言、咀嚼、稳固、舒适等方面满意度第三月比第一月高,下颌固位满意度比上颌差。结论：调查表具有良好的实用性、可靠性,适合临床科研应用。     

心理疏导对全口义齿修复患者满意度的影响

目的：探讨心理疏导对老年患者全口义齿修复效果的影响.方法：选择就诊于聊城市人民医院口腔修复门诊160例无牙颌修复患者,实施心理疏导,实验组80例;未进行心理疏导,对照组80例.全口义齿修复过程中,对心理疏导组患者进行系统的和有针对性的口腔健康教育和心理疏导,调查患者修复后第一个月和第三个月的全口义齿满意度及通过对义齿牙面食糜宽度的测量进行效果评估.结果：实验组和对照组中各组患者试戴全口义齿第1个月与第3个月满意度相比,语音、固位、舒适性差异均有统计学意义（P＜0.05）;实验组和对照组相比较,第1个月和第3个月的语音、咀嚼、固位、舒适性也存在差异,并且有统计学意义（P＜0.05）.心理疏导组患者全口义齿牙面食糜宽度为（0.39±0.13）ram,未进行心理疏导组为（1.78±0.04）mm,差异有统计学意义（P＜0.01）.结论：对无牙颌患者进行心理疏导可提高其对全口义齿的满意度和修复治疗效果.     

义齿黏附剂和口腔湿润剂联合使用提高口干症患者全口义齿满意度的临床评价

目的：探讨义齿黏附剂和口腔湿润剂联合使用对牙槽嵴低平的口干症患者配戴全口义齿效果的影响。方法：选择10例牙槽嵴低平的无牙颌口干症患者,于义齿黏附剂使用前和使用后1个月及义齿黏附剂和口腔湿润剂联合使用后1个月、3个月及6个月对患者进行义齿满意度问卷调查, 采用SPSS17.0软件包对数据进行统计学分析。结果：义齿黏附剂与口腔湿润剂联合应用于全口义齿后6个月和使用口腔湿润剂前比较, 临床使用效果满意, 在总体满意度、咀嚼功能、舒适度以及下颌全口义齿固位效果等4个方面均显著提高)P<0.05) ; 而单独使用义齿黏附剂1个月后,患者配戴全口义齿的舒适度显著下降(P<0.05)。结论：对伴有口干症的牙槽嵴低平的无牙颌患者,联合应用义齿黏附剂和口腔湿润剂,可提高配戴全口义齿的满意度。     

104例佩戴全口义齿患者满意度与义齿质量间关系的研究

目的 研究患者对全口义齿满意度与义齿质量间是否存在联系.方法 对104例佩戴全口义齿3-10个月的患者进行满意度问卷调查,同时进行义齿质量相关检查,包括义齿基托边缘伸展、人工牙排列、义齿稳定状况、义齿的固位、咬合关系和息止(牙合)间隙.结果 影响全口义齿患者满意度的主要因素为义齿基托边缘伸展、人工牙排列、咬合关系和息止(牙合)间隙.结论 患者对全口义齿外观、咀嚼能力、义齿稳固性、舒适性方面的满意度受义齿质量临床评价相关参数的影响.     

Prognostic indicators for conventional complete denture therapy: A review of the literature

Objectives

To review the current literature on prognostic indicators for conventional complete denture therapy.

Data

Original articles studying outcome measures and patient satisfaction with conventional complete dentures.

Sources

Ovid databases from 1988 to present and subsequent review of related articles from the 1960s onwards. Searches were limited to English language only and used a variety of keywords.

Conclusions

There remains a paucity of research in this area. From the best available data, construction of technically correct dentures, a well-formed mandibular ridge and accuracy of jaw relations are positive indicators for success. Patient neuroticism and a poorly formed mandibular ridge are negative indicators for success. Other prognostic indicators have not been shown to be of significant value. There exists a minority of patients who will never adapt to any conventional complete denture. This problem is more acute in the mandible than the maxilla. There is need for further research in this area.     

含牛初乳凝胶提高口干症患者全口义齿满意度的临床评价

目的:探讨含牛初乳湿润凝胶对口干症患者配戴全口义齿效果的影响.方法:选择23例有口干症的全口义齿患者,于使用口腔湿润凝胶治疗前和治疗后1周、1个月、3个月让患者填写满意度问卷调查表,采用SPSS11.0软件包对数据进行分析.结果:湿润凝胶治疗后3个月和治疗前比较,治疗效果满意,在总体满意度、语音功能、咀嚼功能、舒适度以及下颌全口义齿同位效果等5个方面均有显著提高(P＜0.05);而上颌全口义齿固位效果未见明显差异(P＞0.05).治疗后1个月,总体满意率高于治疗后1周,治疗后3个月与治疗后1个月比较,则无显著差异.结论:伴有口干症的全口义齿患者,使用口腔湿润凝胶治疗,可以提高其对配戴全口义齿的满意度.     

Sex differences in denture satisfaction

OBJECTIVES: Males and females differ in their responses to many health conditions and treatments. The aim of this randomized clinical trial was to determine whether there are differences in the way that male and female edentulous elders rate their satisfaction with new mandibular implant overdentures (IODs) and conventional dentures (CDs), at 6 and 12 months following delivery. METHODS: Edentulous elders (n=256) were randomly assigned to receive maxillary conventional dentures and either mandibular overdentures supported by two implants with ball attachments or conventional dentures. Participants rated their general satisfaction, as well as other features of their dentures (comfort, stability, ability to chew, aesthetics, etc.) prior to treatment and 6 and 12 months after delivery. RESULTS: Ratings of satisfaction with IODs were significantly higher than with CDs. Six months after delivery, females in the CD group rated their general satisfaction and satisfaction with ability to chew and aesthetics significantly lower than did the males. The sex differences in the CD group remained at 12 months after delivery. However, males and females in the IOD group rated their general satisfaction and all six subcategories equally. CONCLUSIONS: Elderly females are less satisfied with conventional dentures than elderly males with regards to aesthetics and ability to chew, but equally satisfied with implant overdentures. At 6 and 12 months after delivery, elderly edentulous males and females wearing mandibular implant overdentures were significantly more satisfied than those wearing conventional dentures.     

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目的探讨心理干预对全口义齿修复满意度的影响。方法选择2008年2月至2010年8月在山东省鱼台县人民医院口腔科就诊的全口无牙颌患者78例,随机分为试验组和对照组。试验组38例,全口义齿修复前后全程进行心理干预;对照组40例,全口义齿修复后常规医嘱。义齿戴用后1个月和3个月调查患者对义齿的满意度。结果试验组和对照组义齿戴用3个月时外观、语音、固位、舒适性均较其戴用1个月时有所提高,差异有统计学意义(均P<0.05);但咀嚼方面差异无统计学意义(P>0.05)。试验组义齿戴用1、3个月时外观、语音、咀嚼、舒适性分别与对照组比较,差异均有统计学意义(均P<0.05);但固位方面差异无统计学意义(P>0.05)。结论心理干预可提高患者对全口义齿修复的满意度。     

Effect of dentist's clinical experience on treatment satisfaction of a complete denture

The relationship between the prosthodontic experience of dentists and satisfaction of complete denture wearers remains unknown. To investigate whether a prosthodontist's clinical experience affects treatment satisfaction of a complete denture wearer. From April 2004 to July 2006, we conducted a randomised controlled trial at two centres, including 74 edentulous patients; of these, 32 and 30 were randomly allocated to the ED or ID group, respectively. All the patients rated their satisfaction with dentures, including general satisfaction and satisfaction of chewing ability, speaking, cleaning, stability, retention, comfort and aesthetics. These satisfaction ratings were measured by a 100‐mm visual analog scale (VAS). Perceived chewing ability to foods, divided into five grades, was measured using a questionnaire. The mastication index (MI) was calculated for each grade. General satisfaction and satisfaction of speaking, stability and retention were significantly higher in the ED than in the ID group (P = 0·049, 0·003, 0·019 and 0·041, respectively). No significant difference existed between the MI of the ED (71·3 ± 18·4) and ID group (64·1 ± 16·53). However, the perceived chewing ability of grade 5 food, whose texture was the hardest among all the grades, was significantly higher in the ED group than in the ID group. Within its limitations, this study showed that a clinician's prosthodontic experience affects a complete denture wearer's satisfaction ratings.     

软衬材料对全口义齿满意度影响的临床观察

目的:探讨自凝硅橡胶软衬材料对全口义齿患者满意度的影响。方法:选择20例因牙槽嵴条件差而导致下颌总义齿固位不良或压痛的患者,使用SofrelinerMS自凝硅橡胶软衬材料在口内衬垫,于衬垫前和衬垫后1周,3个月,6个月用满意度问卷调查患者,SPSS10.0统计软件进行数据分析。结果:软衬材料使用前和使用后比较,在固位效果、咀嚼功能、舒适度方面的满意度有显著差异(P<0.01),软衬后6个月的固位效果和咀嚼功能满意度低于3个月(P<0.05)。结论:对因牙槽嵴条件差而导致的下颌全口义齿固位不良或压痛,使用SofrelinerMS软衬材料可以提高其义齿使用的满意度,但是软衬义齿戴用6个月后的满意度有下降趋势。     

Evaluation of psychological guidance impact on complete denture wearer's satisfaction

The purpose of this study was to evaluate the impact of psychological intervention on edentulous patients’ satisfaction with complete clinically satisfactory complete dentures. The survey was conducted in China Medical University involving 84 individuals receiving complete dentures at this institution from August 2013 to March 2014. Participants were randomly allocated to intervention and control groups consisting of 42 subjects, respectively. In the intervention group, individuals received oral health education and psychological intervention before and after the whole process. In the control group, 42 cases received doctor's regular advice after treatment. Satisfaction regarding aesthetic, speech, mastication, retention and comfort was rated in the first and third month after prosthesis treatment. Patients overall aesthetic, speech, mastication and retention were significantly improved in both intervention and control groups in 3 months later after prosthesis treatment when compared with the first month (P < 0·05). No significant difference existed for comfort in control group. Patient scores on aesthetic, speech, mastication and retention at both first and third month evaluations (P < 0·05) differed between the control and intervention groups. However, there was no difference for their scores related to comfort (P > 0·05) in first and third month. The study concludes that psychological intervention plays a significant role in improving patient satisfaction with complete dentures.     

影响全口义齿期望值与满意度的因素分析

目的分析影响全口义齿修复前期望值与修复后满意度的相关因素,为口腔修复医师提供一定的参考价值。方法收集临床全口义齿修复患者68例,修复前进行患者的年龄、性别、拔牙时间、拔牙目的、教育程度、有无佩戴活动义齿经验、对义齿了解程度等因素以及患者在外观、语音、咀嚼、固位稳定、舒适度等方面的期望值问卷,并在佩戴义齿1个月、3个月以及1年后进行满意度问卷,运用SPSS 13.0统计软件,采用单因素方差及t-检验方法进行统计学分析。结果 1）女性对咀嚼和舒适度的期望值高于男性,而男性对外观和发音的满意度更高;2）〈55岁组对各方面的期望值偏低,56~65岁组的期望值和满意度均最高,〉66岁组的满意度偏低;3）拔牙时间〉3年组对外观和咀嚼的期望值高于其它两组,但各组的满意度总体无显著差异;4）主动拔牙组对咀嚼的期望值高于被动拔牙组,但后者的各方面满意度高于前者;5）无活动义齿佩戴经验组对外观、咀嚼、固位稳定、舒适度的期望值高于有经验组,但后者对固位稳定的满意度更高;6）文化程度初级及以下组对外观、发音、咀嚼、固位稳定的期望值高于高级及以上组,但后者对咀嚼的满意度更高;7）义齿不了解组对各方面的期望值均显著高于了解组,但满意度中两组无明显差异;8）1个月时患者对语音、咀嚼、固位稳定和舒适度的满意度低于期望值,但3个月时满意度明显提高,到1年时,患者对发音、咀嚼、舒适度的满意度要高于3个月时的满意度。以上差异皆具有统计学意义（P〈0.01）。结论全口义齿的期望值和满意度与其个体因素密切相关,口腔修复医师需要在术前与患者进行良好的沟通,对特殊患者如女性、老年患者、过早缺失牙者、初戴者、文化程度低者、对义齿缺乏了解者等在义齿的功能和修复效果上应做更多的解释。     

A randomised trial on simplified and conventional methods for complete denture fabrication: Masticatory performance and ability

Objectives

To compare a simplified method to a conventional protocol for complete denture fabrication regarding masticatory performance and ability.

Methods

A sample was formed by edentulous patients requesting treatment with maxillary and mandibular complete dentures. Participants were randomly divided into two groups: Group S, which received dentures fabricated by a simplified method, and Group C (n = 21 each), which received conventionally fabricated dentures. After three months following insertion, masticatory performance was evaluated by a colorimetric assay based on chewing two capsules as test food during twenty and forty cycles. Masticatory ability was assessed by a questionnaire with binary answers and a single question answered by means of a 0–10 scale. A third group (DN) formed by seventeen dentate volunteers served as an external comparator. Groups were compared by statistical tests suitable for data distribution (α = 0.05).

Results

Thirty-nine participants were assessed for three months (twenty from Group C and nineteen from Group S). Groups C and S presented similar masticatory performance which corresponded to approximately 30% of Group DN. Results for masticatory ability showed similarity between S and C, regardless of the assessment method, although an isolate questionnaire item showed more favourable results for the first group.

Conclusions

The simplified method for complete denture fabrication is able to restore masticatory function to a level comparable to a conventional protocol, both physiologically and according to patient's perceptions.

Clinical significance

Although masticatory function is impaired by the loss of natural teeth and dentures can restore only a fraction of such function, patients can benefit from a simplified protocol for complete denture fabrication to the same extent they would by conventional techniques.     

Correlation between quality of life and denture satisfaction in elderly complete denture wearers

PURPOSE: This study was done to clarify the correlation between the quality of life (QOL), defined as overall satisfaction with daily life, and denture satisfaction in elderly complete denture wearers. MATERIALS AND METHODS: A new method for quantifying overall satisfaction with daily life (QOL) among 2,079 elderly people (age > or = 65 years) was developed by evaluating the contribution of 13 factors (eating, health problems, daily exercise, fatigue, sleep quality, smooth communication, physical comfort, aging, loneliness, job and hobbies, meaningfulness, social life, and economic problems) to overall daily life satisfaction by a multiple regression analysis. Then, correlation between the QOL and denture satisfaction was analyzed by the regression model in 84 randomly selected complete denture wearers from the above population. RESULTS: Quantification of the QOL was completed by converting category scores to integers between 0 and 100 for eight highly correlated factors (eating, smooth communication, physical comfort, loneliness, job and hobbies, meaningfulness, social life, and economic problems) to overall satisfaction with daily life (P < 0.01). Significant positive correlation was found between the QOL score and denture satisfaction score (P < 0.05). CONCLUSION: Edentulous elderly people who are well satisfied with their daily lives are also satisfied with their complete dentures.     

总义齿、覆盖义齿和种植覆盖义齿修复后患者满意度的比较研究

目的：比较总义齿（CD）、覆盖义齿（COD）和种植覆盖义齿（IOD）修复后的患者满意度。方法：选取CD、COD和IOD修复后的患者各14例，对三组患者分别进行满意度的问卷调查。结果：三组患者对义齿总的满意度的差异没有显著性，对咀嚼功能的满意度IOD组显著高于CD组。三组患者戴用旧义齿的经验没有显著差异。义齿的松动和食物受限情况IOD组明显少于CD组，而义齿修复后的牙槽嵴疼痛和感觉咀嚼无力的情况三组间没有显著差异。结论：IOD修复后患者对咀嚼功能的满意度较CD修复的患者高，出现的问题少，是一种较好的修复无牙颌的方法。     

舌翼全口义齿与传统全口义齿满意度的比较

目的 :比较舌翼全口义齿与传统全口义齿的满意度 ;方法 :通过问卷调查的形式 ;结果 :舌翼全口义齿的满意率较传统全口义齿高 ;结论 :舌翼全口义齿较传统全口义齿性能优越。     

线性(牙合)总义齿固位稳定性的研究

目的：通过对线性He总义齿固位的定量检测及患者的主观评判，验证线性He总义齿的He型设计在静态及动态下对义齿固位与稳定性的影响。方法：利用Hz-1型固位力测试仪对25例线性He总义齿修复患者进行上、下颌总义齿静态固位力的测试，同时针对功能状态下的主观固位感觉进行问卷调查。结果：线性He上凳总义齿在两种状态下均具有良好的固位；剩余牙槽嵴骨吸收严重的线性He下颌总义齿修复患者的静态固位力值低，但主观感觉固位良好；患者戴用线性He总义齿的主观固位感觉明显优于原解剖式He总义齿。结论：对于剩余牙槽骨吸收严重的患者，线性He总义齿在功能状态下可获得良好的义齿固位和稳定性，有利于义齿功能的发挥。     

Effect of a denture adhesive on complete denture dislodgement during mastication

A method of evaluating the denture stabilizing effects of a denture adhesive by means of counting denture dislodgements during the eating of a standardized portion of a test food is described. A reduction in the number of such dislodgements after application of a denture adhesive, as compared to eating the same food without adhesive applied to the denture, was used as a measure of adhesive effectiveness. Subject responses to a number of dentureperformance satisfaction parameters were also obtained. With a test adhesive, significant reductions in dislodgement were found using steak, taffy-apple, a hard-roll sandwich, and celery as test foods among 16 subjects with dentures that fit well. Analysis of subjective evaluations indicated that the test adhesive was perceived as having effected: (1) improved chewing ability, (2) reduced denture wobble, (3) improved confidence, (4) increased comfort, and (5) reduced amount of food particles collecting under the denture, all to a significant degree (p < .01). It is suggested that additional data from controlled clinical studies are needed to allow proper assessment of the usefulness and possible abuse effects of denture adhesive products. This method, and the resulting data, are offered as a stimulus to that end.     

全口义齿印模技术的发展现状

全口义齿修复前,需通过可塑性印模材料来复制无牙颌牙槽嵴和周围软硬组织的解剖形态,清晰准确的口腔印模不仅为后续技工制作义齿提供了良好的结构基础,而且是保证最终修复体固位、稳定及功能的关键.现有研究表明,除印模材料、印模托盘、印模操作和印模消毒外,印模技术也是无牙颌印模制取精度的重要影响因素之一.近年来,随着各类牙科材料的...