.: ORİJİNAL ARAŞTIRMA
Rezorbe Krete Sahip Total Protez Kullanan Hastaların Memnuniyetinin Değerlendirilmesi: Kesitsel Çalışma
Assessment of Patient Satisfaction with Complete Dentures in the Presence of Resorbed Alveolar Ridges: Cross-Sectional Research
Turkiye Klinikleri J Dental Sci. 2025;31(2):274-83
doi: 10.5336/dentalsci.2024-106585
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Bu çalışma Atatürk Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Ana Bilim Dalına başvuran, rezorbe kreti olan geleneksel tam protez kullanan hastaların memnuniyetini ve bu protetik başarıyı etkileyen faktörleri belirlemeyi amaçlamaktadır. Daha iyi klinik sonuçlara ulaşmak ve hastaların yaşam kalitesini iyileştirmek hedeflenmektedir. Gereç ve Yöntemler: Çalışmaya Atatürk Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Ana Bilim Dalına başvuran rezore krete sahip geleneksel tam protez kullanan hastalar dâhil edildi. Katılımcılar 100 kişiydi. (%50 erkek, %50 kadın). Yaşam kalitesi ve memnuniyeti değerlendirmek amacıyla Geriatrik Ağız Sağlığı Değerlendirme İndeksi [Geriatric Oral Health Assessment Index (GOHAI)] ve Ağız sağlığı etki profili [Oral Health Impact Profile-14 (OHIP-14)] ölçeği kullanıldı. Bulgular: İstatiktiksel analizler; cinsiyet, medeni durum, sigara ve protez temizleyicisi kullanmanın hastaların memnuniyet düzeyini etkilemediğini ortaya çıkardı. Kliniğimize başvurma sebebi yüksek oranda protezleriyle ilgili problemlerinden kaynaklanmaktaydı (%67). Hastaların %79'u protez temizleyicisi kullanmaktaydı. Çok büyük bir oranda önceden protez kullanan hastalar mevcuttu (%78). Hastanın önceden protez kullanıyor olması ve sistemik hastalık hikayesi protez başarısına istatistiksel olarak anlamlı katkısı oldu (p<0,05). Ortalama GOHAI ve OHIP-14 skorları sırasıyla 2,34 ve 2,37 olarak hesaplandı. Sonuç: Rezorbe krete sahip geleneksel tam protez kullananlarda GOHAI ve OHIP-14 ölçekleriyle yapılan değerlendirmelerde yaşam kalitelerinin ve hasta memnuniyetinin yeterli düzeyde olduğu belirlenmiştir. Hastaların yaşı, eğitim durumu ve önceki durumları göz ardı edilerek, özellikle mevcut sistemik hastalık durumu ve protez kullanma tecrübesi göz önünde bulundurularak başarıya ulaşmanın mümkün olduğu gösterilmiştir. Memnuniyeti artırmak için protezin tüm aşamalar titizlikle yapılmalıdır. Ayrıca hastanın kişiliği ve psikolojik durumu, yaşlanma süreci, nöromüsküler adaptasyon gibi faktörler de göz önünde bulundurulmalıdır.
Anahtar Kelimeler: Protez; tam protez; hasta memnuniyeti; hasta yaşam kalitesi
Amaç: Bu çalışma Atatürk Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Ana Bilim Dalına başvuran, rezorbe kreti olan geleneksel tam protez kullanan hastaların memnuniyetini ve bu protetik başarıyı etkileyen faktörleri belirlemeyi amaçlamaktadır. Daha iyi klinik sonuçlara ulaşmak ve hastaların yaşam kalitesini iyileştirmek hedeflenmektedir. Gereç ve Yöntemler: Çalışmaya Atatürk Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi Ana Bilim Dalına başvuran rezore krete sahip geleneksel tam protez kullanan hastalar dâhil edildi. Katılımcılar 100 kişiydi. (%50 erkek, %50 kadın). Yaşam kalitesi ve memnuniyeti değerlendirmek amacıyla Geriatrik Ağız Sağlığı Değerlendirme İndeksi [Geriatric Oral Health Assessment Index (GOHAI)] ve Ağız sağlığı etki profili [Oral Health Impact Profile-14 (OHIP-14)] ölçeği kullanıldı. Bulgular: İstatiktiksel analizler; cinsiyet, medeni durum, sigara ve protez temizleyicisi kullanmanın hastaların memnuniyet düzeyini etkilemediğini ortaya çıkardı. Kliniğimize başvurma sebebi yüksek oranda protezleriyle ilgili problemlerinden kaynaklanmaktaydı (%67). Hastaların %79'u protez temizleyicisi kullanmaktaydı. Çok büyük bir oranda önceden protez kullanan hastalar mevcuttu (%78). Hastanın önceden protez kullanıyor olması ve sistemik hastalık hikayesi protez başarısına istatistiksel olarak anlamlı katkısı oldu (p<0,05). Ortalama GOHAI ve OHIP-14 skorları sırasıyla 2,34 ve 2,37 olarak hesaplandı. Sonuç: Rezorbe krete sahip geleneksel tam protez kullananlarda GOHAI ve OHIP-14 ölçekleriyle yapılan değerlendirmelerde yaşam kalitelerinin ve hasta memnuniyetinin yeterli düzeyde olduğu belirlenmiştir. Hastaların yaşı, eğitim durumu ve önceki durumları göz ardı edilerek, özellikle mevcut sistemik hastalık durumu ve protez kullanma tecrübesi göz önünde bulundurularak başarıya ulaşmanın mümkün olduğu gösterilmiştir. Memnuniyeti artırmak için protezin tüm aşamalar titizlikle yapılmalıdır. Ayrıca hastanın kişiliği ve psikolojik durumu, yaşlanma süreci, nöromüsküler adaptasyon gibi faktörler de göz önünde bulundurulmalıdır.
Anahtar Kelimeler: Protez; tam protez; hasta memnuniyeti; hasta yaşam kalitesi
ABSTRACT
Objective: This study aims to evaluate the satisfaction of pa tient with resorbed crests treated with complete dentures at the Department of Prosthodontics, Faculty of Dentistry, Atatürk University, and to identify key factors influencing prosthetic success, contributing to better clinical out comes and patient quality of life. Material and Methods: The study in cluded patients with resorbed crests who were using complete dentures and sought treatment at the Department of Prosthodontic at Atatürk University Faculty of Dentistry. A total of 100 participants (50% male, 50% female) were enrolled. The Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14) scales were used to assess quality of life and patient satisfaction. Results: Statistical analyses revealed that patient satisfaction was not significantly influenced by gender, marital status, smoking habits, or the use of denture cleansers. The primary reason for seeking treatment at our clinic was problems related to existing dentures (67%). A majority of patients (79%) reported using denture cleansers, and a substantial proportion (78%) had prior experience with dentures. Notably, a history of denture use and the presence of systemic disease were statisti cally essential factors influencing prosthetic success (p<0.05). However, the variables such as age, educational background, and the reason for visiting the faculty did not remarkably impact the study outcomes. The mean GOHAI and OHIP-14 scores were recorded as 2.34 and 2.37, respectively. Conclusion: According to GOHAI and OHIP-14 evaluations, the quality of life and the satisfacter level of patients who used complete denture with resorbed crests was found to be at a acceptable level. The findings indicate that favorable prosthetic outcomes can be achieved by considering the patient's current systemic health condition and prior denture experience, irrespective of age, educational level, or previous clinical background. To escalation patient satisfac tion, meticulous attention should be given to all stages of denture process. Moreover, factors such as patient personality, psychological status, the aging process, and neuromuscular adaptation should be considered.
Keywords: Prosthesis; complete denture; patient satisfaction; life quality of patient
Objective: This study aims to evaluate the satisfaction of pa tient with resorbed crests treated with complete dentures at the Department of Prosthodontics, Faculty of Dentistry, Atatürk University, and to identify key factors influencing prosthetic success, contributing to better clinical out comes and patient quality of life. Material and Methods: The study in cluded patients with resorbed crests who were using complete dentures and sought treatment at the Department of Prosthodontic at Atatürk University Faculty of Dentistry. A total of 100 participants (50% male, 50% female) were enrolled. The Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14) scales were used to assess quality of life and patient satisfaction. Results: Statistical analyses revealed that patient satisfaction was not significantly influenced by gender, marital status, smoking habits, or the use of denture cleansers. The primary reason for seeking treatment at our clinic was problems related to existing dentures (67%). A majority of patients (79%) reported using denture cleansers, and a substantial proportion (78%) had prior experience with dentures. Notably, a history of denture use and the presence of systemic disease were statisti cally essential factors influencing prosthetic success (p<0.05). However, the variables such as age, educational background, and the reason for visiting the faculty did not remarkably impact the study outcomes. The mean GOHAI and OHIP-14 scores were recorded as 2.34 and 2.37, respectively. Conclusion: According to GOHAI and OHIP-14 evaluations, the quality of life and the satisfacter level of patients who used complete denture with resorbed crests was found to be at a acceptable level. The findings indicate that favorable prosthetic outcomes can be achieved by considering the patient's current systemic health condition and prior denture experience, irrespective of age, educational level, or previous clinical background. To escalation patient satisfac tion, meticulous attention should be given to all stages of denture process. Moreover, factors such as patient personality, psychological status, the aging process, and neuromuscular adaptation should be considered.
Keywords: Prosthesis; complete denture; patient satisfaction; life quality of patient
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