Comparison of postinsertion adjustments between conventional and immediate complete dentures and their association with denture survival
Notice bibliographique
Résumé
STATEMENT OF PROBLEM: Patient satisfaction with complete dentures has been linked to the number of postinsertion adjustments. However, evidence on the number of postinsertion appointments and adjustments and their link to denture survival is limited. PURPOSE: The purpose of this retrospective clinical study was to compare patient demographics, the number of postinsertion appointments and types of adjustments between conventional and immediate complete dentures and their association with denture survival 5 years after insertion of the prosthesis. MATERIAL AND METHODS: The records of patients at a university clinic for whom standard and immediate conventional complete dentures were inserted between 2013 and 2015 and followed up for 5 years were examined. The outcome variables included postinsertion appointments, types of major and minor adjustments, and denture survival. Statistical analyses included descriptive statistics for data summarization and chi-squared and Fisher exact tests for categorical variables. Survival analysis (Kaplan-Meier, Cox regression) and logistic regression (simple, multivariable) assessed denture failure risks, while Poisson regression evaluated numerical outcomes (α=.05). RESULTS: The study comprised 246 participants with 195 standard and 113 immediate dentures. There were 135 (54.9%) men, 111 (45.1%) women, with a mean ±standard deviation age of 66.80 ±11.86 years with no significant differences between sexes. Twenty-five dentures failed, representing a failure rate of 8.1%. (Kaplan Meier estimated failure-free time mean=4.39 years with 95% confidence interval 4.16 to 4.61 years). Immediate dentures had a significantly higher failure rate (n=15, 13.3%) compared with standard dentures (n=10, 5.1%), Fisher exact P=.016, and were associated with significantly more postinsertion appointments compared with nonfailed dentures (OR=1.49, 95% CI 1.12 to 1.99, P=.007). The mean number of postinsertion appointments for all dentures was 4.07, median=3; the majority of participants (68.8%) had no major and 68.8% had 4 or fewer minor adjustments. Immediate dentures in general were associated with more postinsertion appointments (Poisson regression, P<.001) with minor (P<.001) and major adjustments, (P<.001) compared with standard dentures. Immediate dentures were separately associated with more minor (multiple Poisson regression), (P<.001) and major adjustments (P=.001) compared with standard dentures. Participants with cardiovascular disorders (mean=0.63) had significantly more major adjustments than those with other medical conditions (mean=0.38), P=.022). CONCLUSIONS: The 5-year survival rate for complete dentures was 91.9%. Immediate dentures had a higher failure rate and required more appointments and adjustments than standard complete dentures.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».