Effect of dentist's clinical experience on treatment satisfaction of a complete denture.
The relationship between the prosthodontic experience of dentists and satisfaction of complete denture wearers remains unknown. To investigate whether a prosthodontist's clinical experience affects treatment satisfaction of a complete denture wearer. From April 2004 to July 2006, we conducted a randomised controlled trial at two centres, including 74 edentulous patients; of these, 32 and 30 were randomly allocated to the ED or ID group, respectively. All the patients rated their satisfaction with dentures, including general satisfaction and satisfaction of chewing ability, speaking, cleaning, stability, retention, comfort and aesthetics. These satisfaction ratings were measured by a 100-mm visual analog scale (VAS). Perceived chewing ability to foods, divided into five grades, was measured using a questionnaire. The mastication index (MI) was calculated for each grade. General satisfaction and satisfaction of speaking, stability and retention were significantly higher in the ED than in the ID group (P = 0·049, 0·003, 0·019 and 0·041, respectively). No significant difference existed between the MI of the ED (71·3 ± 18·4) and ID group (64·1 ± 16·53). However, the perceived chewing ability of grade 5 food, whose texture was the hardest among all the grades, was significantly higher in the ED group than in the ID group. Within its limitations, this study showed that a clinician's prosthodontic experience affects a complete denture wearer's satisfaction ratings.
Department of Removable Prosthodontics, Nihon University School of Dentistry, Matsudo, Japan.
S
S
Kimoto
K
K
Kimoto
A
A
Kitamura
M
M
Saita
M
M
Iijima
Y
Y
Kawai
D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence / Q000592:standards*; D003815:Dentists; D003781:Denture Retention / Q000592:standards* / Q000706:statistics & numerical data; D003824:Denture, Complete / Q000592:standards* / Q000706:statistics & numerical data; D004955:Esthetics, Dental / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008409:Mastication / Q000502:physiology*; D009066:Mouth, Edentulous / Q000628:therapy*; D009910:Oral Hygiene; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010549:Personal Satisfaction; D013060:Speech / Q000502:physiology; D011795:Surveys and Questionnaires
complete denture; edentulous patient; prosthodontic experience; randomised controlled trial; satisfaction rating; visual analog scale