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18.09.2015 | Original Article

Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

verfasst von: Kássia De Carvalho Dias, Adriana Da Fonte Porto Carreiro, Camila Maria Bastos Machado Resende, Ana Clara Soares Paiva Tôrres, Wilson Mestriner Júnior

Erschienen in: Clinical Oral Investigations | Ausgabe 5/2016

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Abstract

Objectives

To evaluate the change in masticatory efficiency and quality of life of patients treated with mandibular Kennedy class I removable partial dentures (RPDs) and maxillary complete dentures at the Department of Dentistry of the Federal University of Rio Grande do Norte.

Materials and methods

A total of 33 Kennedy class I patients were rehabilitated with maxillary complete dentures, and mandibular RPDs were selected for this non-randomized prospective intervention study. The patients had a mean age of 59.1 years. Masticatory efficiency was evaluated by colorimetric assay using fuchsin capsules. The measurements were conducted at baseline and 2 and 6 months after prosthesis insertion. Quality of life was evaluated using the Oral Health Impact Profile (OHIP-14) at baseline and 6 months after denture insertion. The Kolmogorov-Smirnov normality test was applied. Masticatory efficiency was evaluated by repeated measures ANOVA. Oral health-related quality of life was compared using the paired t test.

Results

There was no statistically significant difference in masticatory efficiency after denture insertion (p = 0.101). Significant differences were found (p = 0.010) for oral health-related quality of life. A significant improvement in psychological discomfort (p < 0.01) and psychological disability (p < 0.01) was observed. Mean difference value (95 % confidence interval) was 6.8 (3.8 to 9.7) points, reflecting a low impact of oral health on quality of life, considering the 0–56 range of variation of the OHIP-14 and a Cohen’s d of 1.13.

Conclusion

According to the results of the present study, rehabilitation with Kennedy class I RPDs and complete dentures did not influence masticatory efficiency but improved oral health-related quality of life.

Clinical relevance

The association between the patient’s quality of life and the masticatory efficiency is important for treatment predictability.

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Titel: Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?
verfasst von: Kássia De Carvalho Dias
Adriana Da Fonte Porto Carreiro
Camila Maria Bastos Machado Resende
Ana Clara Soares Paiva Tôrres
Wilson Mestriner Júnior
Publikationsdatum: 18.09.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 5/2016
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-015-1596-z

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Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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Abstract

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Materials and methods

Results

Conclusion

Clinical relevance

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