Patient satisfaction and preference with thermoplastic resin removable partial dentures: a randomised cross-over trial
Patient satisfaction and preference with thermoplastic resin removable partial dentures: a randomised cross-over trial
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患者对热塑性树脂可摘局部义齿的满意度和偏好：一项随机交叉试验
DOI：
10.1016/j.jpor.2019.05.003
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发表时间：
2019
影响因子：
3.6
通讯作者：
Wakabayashi N.
中科院分区：
文献类型：
--
作者：
Fueki K;Kohno-Yoshida E;Inamochi Y;Wakabayashi N.
目的：这项随机交叉试验旨在比较研究患者对热塑性树脂可摘局部义齿（TR-RPDs）和传统金属卡环固位可摘局部义齿（MC-RPDs）的偏好和满意度。研究方法：入组了28例部分齿状受试者，并随机接受MC-RPD，然后接受TR-RPD，反之亦然（每组n= 14）。在每副义齿戴入后3个月，对受试者的总体满意度和义齿相关参数进行评分。此外，他们还被要求在试验结束时选择自己喜欢的义齿类型。结果：28例受试者中，24例（86%;平均年龄67.3岁）完成了试验。TR-RPDs的总体满意度评分和口腔外观评分明显高于MC-RPDs（P< 0.05）。此外，75%（18/24）和83%（20/24）的受试者报告TR-RPD的总体满意度和口腔外观优于MC-RPD（P< 0.001）。TR-RPD组的粘膜疼痛和食物嵌塞评分显著优于MC-RPD组（P< 0.05）。与MC-RPD相比，TR-RPD的口腔舒适度和言语效果略好，但差异无统计学意义（P> 0.05）。两种类型义齿的咀嚼能力、义齿稳定性和义齿清洁容易性评分几乎相同。结论：这些结果表明，TR-RPD在口腔外观方面比MC-RPD具有优势，并且在后部区域至少有一对咬合的部分齿状牙弓中，TR-RPD比MC-RPD提供更大的满意度。临床试验注册：UMIN临床试验注册（UMIN 00007310）。© 2019日本口腔修复学会。由爱思唯尔有限公司出版。保留所有权利。
Purpose: This randomised cross-over trial aimed to comparatively investigate patient preference and satisfaction with thermoplastic resin removable partial dentures (TR-RPDs) and conventional metal clasp-retained removable partial dentures (MC-RPDs). Methods: Twenty-eight partially dentate subjects were enrolled and randomised to receive MC-RPDs followed by TR-RPDs or vice versa (n= 14, each group). The subjects were asked to score overall satisfaction and denture-related parameters 3 months after delivery of each denture. Additionally, they were asked to choose their preferred denture type at the end of the trial. Results: Of the 28 subjects, 24 (86%; mean age, 67.3 years) completed the trial. The overall satisfaction scores and ratings for oral appearance with TR-RPDs were significantly higher than those with MC-RPDs (P< 0.05). Moreover, 75%(18/24) and 83%(20/24) of the subjects reported greater overall satisfaction and better oral appearance with TR-RPDs than with MC-RPDs (P< 0.001, both). Scores for mucosal pain and food impaction were significantly better with TR-RPDs than with MC-RPDs (P< 0.05). Relative to MC-RPDs, TR-RPDs provided slightly better oral comfort and speech, although the differences were not statistically significant (P> 0.05). Scores for chewing ability, denture stability, and ease of denture cleaning were almost identical for both types of dentures. Conclusions: These results suggest that TR-RPDs hold an advantage over MC-RPDs in terms of oral appearance and can offer greater satisfaction than MC-RPDs in partially dentate arches with at least an occluding pair in the posterior region.Clinical trial registration: UMIN Clinical Trials Registry (UMIN000007310).© 2019 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.