Comparison between denture wearer's evaluation and clinician's rating for complete denture

Jin-Soo Byun; Yoon-Hyuk Huh; Lee-La Cho; Chan-Jin Park

doi:10.4047/jkap.2016.54.4.364

Journal List > J Korean Acad Prosthodont > v.54(4) > 1034892

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Byun, Huh, Cho, and Park: Comparison between denture wearer's evaluation and clinician's rating for complete denture

ORIGINAL ARTICLE

J Korean Acad Prosthodont 2016;54(4):364-369.

Published online: NaN October 2016

DOI: https://doi.org/10.4047/jkap.2016.54.4.364

Comparison between denture wearer's evaluation and clinician's rating for complete denture

Jin-Soo Byun¹, Yoon-Hyuk Huh², Lee-La Cho², Chan-Jin Park^2,^∗

^¹Department of Prosthodontics, Wonkwang University Sanbon Dental Hospital, Gunpo, Republic of Korea

^²Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea

∗Corresponding Author: Chan-Jin Park Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Jukheongil 7, Gangneung, 25457, Republic of Korea +82 (0)33 640 3153: e-mail, doctorcj@gwnu.ac.kr

Received 16 March 201619 April 2016 Accepted 7 July 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aim of this study was to compare denture wearer's evaluation and clinician's technical rating for complete denture used on edentulous patients.

Materials and methods

Total 43 edentulous patients who had complete denture fabricated more than one year ago were recalled. The questionnaire based on the various literatures was modified and applied to patients for subjective assessments. Functional aspects related to retention, stability, occlusion and denture condition were included in operator's evaluation. In addition, correlations were evaluated between patient's subjective and operator's objective assessments. Friedman test and Cohen's Kappa value were used for statistical analysis.

Results

It was found that denture wearers' evaluations were slightly or fairly agree to clinician's rating for complete denture. More differences were found in maxillary denture than mandibular denture and moderate difference was found in esthetic, occlusion aspects.

Conclusion

There were slightly or fairly agreement between subjective and objective evaluations. (J Korean Acad Prosthodont 2016;54:364-9)

Keywords: Complete denture, Patient evaluation, Clinician's rating, Cohen's Kappa value

REFERENCES

1.Yoshizumi DT. An evaluation of factors pertinent to the success of complete denture service. J Prosthet Dent. 1964. 14:866–78.

2.van Waas MA. The influence of psychologic factors on patient satisfaction with complete dentures. J Prosthet Dent. 1990. 63:545–8.

3.Berg E. The influence of some anamnestic, demographic, and clinical variables on patient acceptance of new complete dentures. Acta Odontol Scand. 1984. 42:119–27.

4.Berg E., Johnsen TB., Ingebretsen R. Social variables and patient acceptance of complete dentures. A study of patients attending a dental school. Acta Odontol Scand. 1985. 43:199–203.

5.Davis EL., Albino JE., Tedesco LA., Portenoy BS., Ortman LF. Expectations and satisfaction of denture patients in a university clinic. J Prosthet Dent. 1986. 55:59–63.

6.Carlsson GE., Otterland A., Wennström A., Odont D. Patient factors in appreciation of complete dentures. J Prosthet Dent. 1967. 17:322–8.

7.Bergman B., Carlsson GE. Review of 54 complete denture wearers. Patients' opinions 1 year after treatment. Acta Odontol Scand. 1972. 30:399–414.

8.Langer A., Michman J., Seifert I. Factors influencing satisfaction with complete dentures in geriatric patients. J Prosthet Dent. 1961. 11:1019–31.

9.Heyink J., Heezen J., Schaub R. Dentist and patient appraisal of complete dentures in a Dutch elderly population. Community Dent Oral Epidemiol. 1986. 14:323–6.

10.Pietrokovski J., Harfin J., Mostavoy R., Levy F. Oral findings in elderly nursing home residents in selected countries: quality of and satisfaction with complete dentures. J Prosthet Dent. 1995. 73:132–5.

11.Seifert I., Langer A., Michmann J. Evaluation of psychologic factors in geriatric denture patients. J Prosthet Dent. 1962. 3:516–23.

12.Smith M. Measurement of personality traits and their relation to patient satisfaction with complete dentures. J Prosthet Dent. 1976. 35:492–503.

13.Bergman B., Carlsson GE. Clinical long-term study of complete denture wearers. J Prosthet Dent. 1985. 53:56–61.

14.de Baat C., van Aken AA., Mulder J., Kalk W. "Prosthetic condition" and patients' judgment of complete dentures. J Prosthet Dent. 1997. 78:472–8.

15.Rayson JH., Rahn AO., Ellinger CW., Wesley RC., Frazier QZ., Lutes MR., Henderson D., Haley JV. The value of subjective evaluation in clinical research. J Prosthet Dent. 1971. 26:111–8.

16.van Waas MA. Determinants of dissatisfaction with dentures: a multiple regression analysis. J Prosthet Dent. 1990. 64:569–72.

17.Woelfel JB., Paffenbarger GC., Sweeney WT. Clinical evaluation of complete dentures made of 11 different types of denture base materials. J Am Dent Assoc. 1965. 70:1170–88.

18.Wolff A., Gadre A., Begleiter A., Moskona D., Cardash H. Correlation between patient satisfaction with complete dentures and denture quality, oral condition, and flow rate of sub-mandibular/sublingual salivary glands. Int J Prosthodont. 2003. 16:45–8.

19.Turker SB., Sener ID., Ozkan YK. Satisfaction of the complete denture wearers related to various factors. Arch Gerontol Geriatr. 2009. 49:e126–9.

20.Müller F., Wahl G., Fuhr K. Age-related satisfaction with complete dentures, desire for improvement and attitudes to implant treatment. Gerodontology. 1994. 11:7–12.

21.Carlsson GE. Bite force and chewing efficiency. Front Oral Physiol. 1974. 1:265–92.

22.Haraldson T., Karlsson U., Carlsson GE. Bite force and oral function in complete denture wearers. J Oral Rehabil. 1979. 6:41–8.

23.Smith PW., McCord JF. What do patients expect from complete dentures? J Dent. 2004. 32:3–7.

24.Vervoorn JM., Duinkerke AS., Luteijn F., van de Poel AC. Assessment of denture satisfaction. Community Dent Oral Epidemiol. 1988. 16:364–7.

25.Celebic ′A., Knezovic ′-Zlataric ′D., Papic ′M., Carek V., Baucic ′I., Stipetic ′J. Factors related to patient satisfaction with complete denture therapy. J Gerontol A Biol Sci Med Sci. 2003. 58:M948–53.

Table 1.

Woelfel's indices

Item	Test	Class 4	Class 3	Class 2	Class 1
Retruded jaw relation and position of maximum intercuspation	Repeated closure to first contact along the retruded arc of closure	Retruded jaw relation and position of maximum intercuspation coincide	Slight variation (>0.5 mm) between retruded jaw relation and position of maximum intercuspation	Variation (0.5-1.5 mm) between retruded jaw relation and position of maximum intercuspation	Gross error between retruded jaw relation and position of maximum intercuspation
Retention of mandibular complete denture	Downward force applied to posterior area and incisors, final gymnastics	Extremely difficult to break border seal	Moderately difficult to break border seal	Slight resistance before border seal	No border seal
Stability of maxillary denture	Direct horizontal and rotary forces applied in the first molar region	Little movement on the application of strong direct or rotary force	Little movement to rotary forc dislodged by strong direct force to one side	ce, Dislodged by a moderate rotary force or direct force applied to one side	Slight force causes the denture to move or to become dislodged
Retention of mandibular complete denture	With tongue resting, upward force applied between central incisors using probe	Extremely difficult to break border seal	Moderately difficult to break border seal	Slight resistance before border seal breaks	No border seal
Stability of mandibular complete denture	Direct horizontal and rotary forces applied in the first molar region	Little movement on application of strong direct or rotary force	Little movement to rotary force, dislodged by strong direct force to one side	Dislodged by a moderate rotary force or direct force applied to one side	Slight force causes the denture to move or to become dislodged

Table 2.

Patient's evaluation for various aspects of denture qualities

Item		Satisfied		Not satisfied			Mean (SD)
Item		Very satisfied	Satisfied	Moderate	Dissatisfied	Very dissatisfied	Mean (SD)
Maxillary denture	Retention	30	12		1		4.65 (0.61)
	Fit	27	16				4.63 (0.49)
	Comfort	24	19				4.56 (0.50)
Mandibular denture	Retention	12	13	4	11	3	3.47 (1.33)
	Fit	12	15	4	10	2	3.58 (1.26)
	Comfort	7	13	10	9	4	3.23 (1.23)
Mastication		15	15	6	6	1	3.86 (1.13)
Esthetic appreciation	Artificial teeth	13	19	10	1		4.02 (0.80)
Esthetic appreciation	Denture flange	16	17	10			4.19 (0.77)

Table 3.

Examiner's evaluation for various aspects of denture qualities

Item		Good		Not good		Mean (SD)
Item		Very good	Fairly good	Fairly poor	Very poor	Mean (SD)
Maxillary denture	Retention	17	22	4		3.30 (0.64)
	Stability	18	24	1		3.40 (0.54)
Mandibular denture	Retention		10	19	14	1.91 (0.75)
	Stability	13	20	9	1	3.05 (0.79)
Occlusion		22	20	1		3.49 (0.55)
Harmony with face		11	32			3.26 (0.44)
Maxillary denture state		35	6	1	1	3.74 (0.62)
Mandibular denture state		34	9			3.79 (0.41)

Table 4.

Agreement between examiner and patients' rating for various aspects of denture qualities using Cohen's Kappa

Denture	Item	Kappa	Level of agreement∗
Maxillary	Retention / retention	0.78	4
denture	Fit / stability	0.87	5
	Comfort / stability	0.85	5
Mandibular denture	Retention / retention	0.37	2
	Fit / stability	0.42	3
	Comfort / stability	0.38	2
Both	Mastication / occlusion	0.47	3
Esthetic appreciation	Artificial teeth / harmony with face	0.52	3
	Denture flange / harmony with face	0.54	3
Maxillary denture	Artificial teeth / denture state	0.53	3
	Denture flange / denture state	0.55	3
Mandibular denture	Artificial teeth / denture state	0.53	3
	Denture flange / denture state	0.55	3

∗ Rating using the method of Cohen's Kappa, 1; 0.81-0.99; Almost perfect agreement, 2; 0.61-0.80; Substantial agreement, 3; 0.41-0.60; Moderate agreement, 2; 0.21-0.40; Fair agreement, 1; 0.01-0.20; Slight agreement, 0; < 0; Less than chance agreement

TOOLS

Similar articles