Motasum Abu-Awwad, Laila Hailkal, Mohammad Bustani, Nadia Ereifej, Dima Abu Baker, Mahmoud K Al-Omiri
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引用次数: 0
Abstract
Purpose: To compare the effects of acrylic resin and metal palatal bases in complete dentures on patient satisfaction and quality of life.
Materials and methods: This randomized, two-period crossover clinical trial involved 30 edentulous participants. Each received complete dentures with either an acrylic resin or a metal palatal base, followed by the alternative after 2 months. Participant satisfaction was assessed using a visual analog scale, and quality of life was evaluated via the Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT). The Wilcoxon signed-rank test and effect size (ES) analyze satisfaction ratings and OHIP-EDENT scores. Regression analysis was conducted to identify predictors of general satisfaction and OHIP-EDENT scores. Fisher's exact test assessed the association between denture wearing experience and material preference.
Results: Of the 30 participants, 25 completed the study (48% first-time wearers, 52% experienced wearers). No statistically significant differences were found for general satisfaction (p = 0.386), eating (p = 0.292), taste (p = 0.775), speech (p = 0.497), phonetics (p = 0.570), cleaning (p = 0.905), palate design (p = 0.773), or OHIP-EDENT score (p = 0.381). Phonetics demonstrated a moderate ES (r = 0.38) in favor of metal bases. Other domains had small ES (r = 0.02-0.21). Metal bases were associated with increased embarrassment (p = 0.034, r = 0.42). Regression analyses revealed no significant predictors of general satisfaction (p = 0.397) or OHIP-EDENT scores (p = 0.685). First-time wearers tended to prefer acrylic resin bases; experienced wearers were evenly divided (p = 0.097).
Conclusion: Both acrylic resin and metal palatal bases yielded comparable satisfaction and quality of life outcomes. However, metal bases caused more embarrassment. Material preference appeared to vary based on prior denture-wearing experience.
期刊介绍:
The Journal of Prosthodontics promotes the advanced study and practice of prosthodontics, implant, esthetic, and reconstructive dentistry. It is the official journal of the American College of Prosthodontists, the American Dental Association-recognized voice of the Specialty of Prosthodontics. The journal publishes evidence-based original scientific articles presenting information that is relevant and useful to prosthodontists. Additionally, it publishes reports of innovative techniques, new instructional methodologies, and instructive clinical reports with an interdisciplinary flair. The journal is particularly focused on promoting the study and use of cutting-edge technology and positioning prosthodontists as the early-adopters of new technology in the dental community.