Acrylic resin versus metal palatal base in complete dentures: A randomized crossover clinical trial of patient-reported outcomes.

IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
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.

丙烯酸树脂与金属腭基托在全口义齿中:一项随机交叉临床试验,患者报告的结果。
目的:比较丙烯酸树脂和金属腭基托对全口义齿患者满意度和生活质量的影响。材料和方法:这项随机、两期交叉临床试验涉及30名无牙患者。每个人都接受丙烯酸树脂或金属腭基的全口义齿,然后在2个月后更换。使用视觉模拟量表评估参与者满意度,并通过无牙患者口腔健康影响档案(OHIP-EDENT)评估生活质量。Wilcoxon sign -rank检验和效应量(ES)分析满意度评分和OHIP-EDENT分数。进行回归分析以确定总体满意度和OHIP-EDENT评分的预测因子。Fisher的精确测试评估了假牙佩戴经验和材料偏好之间的关系。结果:在30名参与者中,25人完成了研究(48%是首次佩戴者,52%是有佩戴经验者)。总体满意度(p = 0.386)、饮食(p = 0.292)、味觉(p = 0.775)、言语(p = 0.497)、语音学(p = 0.570)、清洁(p = 0.905)、味觉设计(p = 0.773)、ochip - edent评分(p = 0.381)方面均无统计学差异。语音学表现出中等ES (r = 0.38),有利于金属碱基。其他区域ES较小(r = 0.02 ~ 0.21)。金属底座与尴尬增加相关(p = 0.034, r = 0.42)。回归分析显示总体满意度(p = 0.397)或OHIP-EDENT评分(p = 0.685)无显著预测因子。第一次佩戴者倾向于丙烯酸树脂底座;经验丰富的佩戴者平均分为两组(p = 0.097)。结论:丙烯酸树脂和金属腭基托的满意度和生活质量相当。然而,金属底座带来了更多的尴尬。材料偏好似乎根据先前的假牙佩戴经验而变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.90
自引率
15.00%
发文量
171
审稿时长
6-12 weeks
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.
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