A randomised trial of a simplified method for complete denture fabrication: patient perception and quality

Abstract

Complete denture fabrication involves a series of complex technical procedures. Nevertheless, simplified methods may be as effective as conventional ones albeit the lesser use of time and resources, without disadvantage for the patient. This study compared a simplified method for complete denture fabrication to a conventional protocol in terms of oral health-related quality of life (OHRQoL), patient satisfaction and denture quality. Forty-two edentulous patients requesting treatment with complete dentures were randomly allocated into two study groups. Group S received dentures fabricated by a simplified method and Group C received conventionally fabricated dentures. Before interventions and after three and 6 months following insertion, OHRQoL and patient satisfaction were analysed by specific instruments. A prosthodontist assessed denture quality 3 months after delivery. Groups presented no difference for OHRQoL, denture quality and general satisfaction. Differences regarding patient satisfaction with some aspects of the dentures were found after 3 months (S > C), but were insignificant at 6 months. It was concluded that the simplified method is able to produce dentures of a quality comparable to those produced by the conventional method, influencing OHRQoL and patient satisfaction similarly.

Método simplificado versus convencional de confecção de próteses totais: práticas adotadas pelos Cirurgiões-Dentistas

“…Ainda que a maioria dos Cirurgiões-Dentistas entrevistados realize técnicas por vezes simplificadas e, na maioria das vezes, sem base científica fundamentada, ou seja, apenas pela própria experiência clínica, muitos são os relatos na literatura que descrevem o método simplificado como capaz de garantir próteses totais satisfatórias em todos os aspectos [12][13][14][15][16][17][18]27 .…”

“…Em setembro de 2013, realizou-se uma busca sistemática na base PubMed, conforme descrito por Della Vecchia et al 12 . Dentre os 531 títulos e resumos resultantes, foram encontrados alguns relatos de ensaios clínicos randomizados que tentaram avaliar métodos simplificados para a confecção de próteses totais e compará-los aos métodos tradicionais [12][13][14][15][16][17][18] . Três desses ensaios buscaram comparar a ausência de uma segunda moldagem (funcional com moldeira de estoque) e do uso do arco facial, no Brasil 12,13,18 , Canadá 15,16 e Kuwait 17 .…”

“…Em todos os casos, os métodos convencionais não resultaram em diferentes resultados em termos de satisfação do paciente e qualidade das próteses. Porém, o custo e o tempo envolvidos na confecção de próteses totais pelo método convencional foram significativamente maiores em relação ao simplificado, indicando que o método simplificado é de melhor relação custo-efetividade 12,13,[15][16][17][18] .…”

Simplified versus traditional techniques for complete denture fabrication: A systematic review

“…5,6 Despite the existence of alternative techniques, such as implantretained prostheses, the great majority of patients will continue to wear conventional dentures, particularly due to cost and the lack of access to care. 1,[6][7][8] Thus, society's need for conventional complete dental prostheses will remain for the foreseeable future. 1,6,7 A number of methods have been described for the fabrication of complete dentures 3 ; two most common ways are the traditional method and the simplified method.…”

“…9 Meanwhile, most general dentists treat patients who are edentulous with simplified techniques to reduce the number of visits and the time required to make the prostheses. [1][2][3][6][7][8] Most assessments of the techniques have been through case reports or retrospective studies, which cannot provide high levels of evidence regarding the effect of a treatment. Questions regarding the efficacy or effectiveness of a treatment can be better answered by randomized trials and systematic reviews.…”