Purpose. This study introduces the concept "prosthetic condition", which combines the quality of complete dentures and residual alveolar ridges.
Material and methods.A pilot study was performed to select quality criteria with an acceptable interobserver agreement. With these criteria, a clinical examination was performed to assess the quality of the existing complete dentures and the residual alveolar ridges of 397 complete denture wearers. During clinical examination, the interobserver agreement of the selected criteria was retested. The "prosthetic condition" was assessed by combining the scores for denture quality and quality of the residual alveolar ridges. Subsequently, participants* satisfaction widi and complaints about their dentures were scored according to their answers to specific questions.Results. Logistic regression analysis demonstrated that no variable of the "prosthetic condition" proved to explain the denture satisfaction. Some variables of die "prostiietic condition" had a significant but not relevant correlation with some denture complaints.
Conclusions.More research is necessary to substantiate the concept "prosthetic condition" as an acceptable measure of professionally quality assessment of dentures and denture-bearing surfaces. How ever, in determining the treatment need of community-dwelling groups, this concept seems a more realistic measure than denture quality only. (J Prosthet Dent 1997;78:472-8.)
CLINICAL IMPLICATIONSIn this study the concept "prosthetic condition^ combining the quality of complete dentures and residual alveolar ridges, was introduced, In determining the treatment need of community-Spelling groups, this concept seems a more realistic measure than denture quality only; however, no variable of the "prosthetic condition'1 proved to ex plain denture satisfaction. r p JL he professionally assessed quality of complete dentures does not agree with the subjective judgment of die patients. In some studies, it has been demonstrated diat no statistically significant positive correlations be tween the two variables have been recorded;1'4 in other studies, weak or moderately significant positive correla tions were found.5'10 Prosthodontic and surgical treat ments are developed to improve patients5 denture satis faction.11'17 However, in complete denture treatment, the delivery of technically and biologically acceptable dentures should not be the only goal; psychologic fac tors should also be considered. Psychological assessments of patients have been found to be without influence on patients' judgment of dentures,1"3,18'21 whereas others have been reported to distinguish significantly between satisfied and dissatisfied denture wearers.22'27 Several stud- ies demonstrated that patients5 judgment can be pre dicted by information related to patient perceptions, ex pectations, and prior experiences,8,28-32 Denture quality is defined in relation to a number of factors, such as retention, stability, fit, vertical dimen sion, occlusion, and esthetics. All diese factors are diffi cu...