Changes in Outcome Evaluation before and after Wearing New Complete Dentures

佩戴新全口义齿前后结果评估的变化

基本信息

批准号：
17592038
负责人：
KITAGAWA Noboru
金额：
$ 2.37万
依托单位：
Showa University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592038/
关键词：
outcome complete denture technology assessment chewing function satisfaction complete denture quality denture-supporting tissues quality of life 歯学医療 QOL 臨床老化アウトカム

项目摘要

Purpose : As the aged population in Japan increases, clinicians are expected to provide high-quality treatment to improve patients' QOL. The purpose of this study was to evaluate the change of outcome before and after insertion of new dentures and to clarify the causes.Methods : Thirty-five patients wearing complete dentures were selected after obtaining informed consent. Chewing function score, satisfaction score and supporting tissue score were used as the assessment factors. These were evaluated at three stages in complete denture treatment : before insertion of new dentures (old denture), first visit after insertion of new dentures (1st visit), and one month after insertion (1 month). Changes in scores were analyzed with ANOVA, t-test and correlation coefficient. Factors for evaluating chewing function and satisfaction were analyzed in detail.Results : In chewing function, when the score of "old denture" was high, the score after insertion decreased greatly. Satisfaction increased from old denture to 1st visit, and increased further at 1 month. In addition, there were significant relationships between the changes in satisfaction and the satisfaction factor "fit of the maxillary denture" and "comfort of the mandibular denture". There was also a significant correlation between the changes in chewing function and the changes in satisfaction.Conclusion : The changes in outcome were evaluated before and after inserting new dentures and the causes were clarified. In case of the good outcome of old denture, the outcome of new denture tended to decrease. The satisfaction factors "fit of the maxillary denture" and "comfort of the mandibular denture" were suggested to be the key factors after insertion of new dentures.

目的：随着日本老年人口的增加，临床医生期望提供高质量的治疗以改善患者的生活质量。本研究的目的是评估新义齿安装前后的结果变化并阐明其原因。方法：在获得知情同意后选择35名佩戴全口义齿的患者。以咀嚼功能评分、满意度评分和支持组织评分作为评价因素。这些在全口义齿治疗的三个阶段进行评估：插入新义齿前（旧义齿）、插入新义齿后的第一次就诊（第一次就诊）和插入后一个月（1 个月）。用方差分析、t 检验和相关系数分析分数的变化。对咀嚼功能及满意度的评价因素进行了详细分析。结果：在咀嚼功能中，“旧义齿”得分较高时，镶入后得分大幅下降。从旧义齿到第一次就诊的满意度有所提高，并在 1 个月时进一步提高。此外，满意度的变化与满意度因素“上颌假牙的贴合度”和“下颌假牙的舒适度”之间存在显着相关性。咀嚼功能的变化与满意度的变化之间也存在显着的相关性。结论：在安装新假牙之前和之后对结果的变化进行了评估，并阐明了原因。如果旧义齿的效果良好，新义齿的效果往往会下降。认为“上颌假牙的贴合度”和“下颌假牙的舒适度”是安装新假牙后满意度的关键因素。