Veen, H.J. van der (2011) De invloed van dubbelzijdig vrij eindigende frameprothesen in de onderkaak op de kwaliteit van leven. thesis, Dentistry.
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Abstract
Purpose: The purpose of this study is to assess if wearing of a removable partial denture in the mandible with a Kennedy class I situation has an influence on the quality of life perceived by the patient compared to a Kennedy class I situation without removable partial dentures in the mandible. To keep both groups comparable all patients must have a full denture in the maxilla. Materials and methods: Two groups of patients are selected from the medical records at the faculty for dentistry of the University Medical Centre Groningen (UMCG). The first group consists of 86 patients with a maxillary full denture and a shortened dental arch (maximum P2-P2) in the mandible with removable partial dentures. The second group consists of 44 patients with a maxillary full denture and a shortened dental arch (maximum P2-P2) in the mandible without any prosthetic supplement. All patients were asked to take part in the study. They were invited for a clinical examination and asked to fill in two questionnaires, the validated Dutch translation of the Oral Health Impact Profile (0HIP-NL49) and the validated Dutch translation of the Short-Form Health Survey (SF-36). Of the first group 35 patients and 32 patients of the control group returned the questionnaires. Statistical analysis has been carried out with an independent t-test. Results: Between the groups no statistical significant differences have been found for the OHIP-NL49 or any of the seven subdomains of this questionnaire. Likewise no statistical significant differences were found for the SF-36 or any of the eight subdomains of this questionnaire. Statistical significant differences were only found for the age distribution and the time span patients had a shortened mandibular dental arch or a shortened mandibular dental arch with removable partial dentures. Also no correlation between the OHIP-NL49 and the SF-36 can be verified. Conclusions: In this study most patients in both groups turned out to be quite satisfied with their oral situation. Only 8,1% of the patients with a removable partial denture do not wear them. Since patients with a removable partial denture do not score significantly better on the OHIP-NL49 and SF-36 questionnaires it can be concluded that a removable partial denture does not add up to a better quality of life perceived by the patient in a Kennedy class I situation in the mandible and a full denture in the maxilla. There is no correlation between the scores of the two questionnaires, which means that the individual patient is quite capable to discriminate between oral health and general health. When patients are not satisfied or have a wish for improvement of the retention of the removable partial denture in a Kennedy class I situation in the mandible, there are other treatments possible which may lead to a better outcome. A treatment which is already available in some dental practice's is the placement of dental implants to support a removable partial denture. Although this is already being done there's a lack of scientific research of the treatment. It is recommended to carry out a study tot determine if this treatment leads to a significantly higher quality of life perceived by the patient.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Cune, Prof. dr. M.S. and Jensen, mw. drs. C. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/385 |
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