Abstract：
Patient satisfaction and quality of life are integral to assessing oral health care quality. For many Americans still using conventional complete dentures (CDs) or implant-retained mandibular overdentures (IODs), it remains essential to consider improving their oral health outcomes and quality of life. Due to inexperienced student dentists providing dental care to dental school patients, patient grievances are generally considered a problem. Patient feedback and satisfaction have proven valuable resources for monitoring and improving patient safety. While CDs and IODs are the 2 leading treatment options for edentulism, more comparative studies in the literature need to compare their outcomes in a school setting. The research question that guided this comparative analysis was, \"Is patient satisfaction and quality of life affected by the type of prostheses and provider?\" A validated questionnaire was mailed to 520 individuals selected from records of patients who had received treatment for edentulous mandible at a student prosthodontic clinic at the University of Kentucky College of Dentistry from 2014 to 2016 with at least 1 year of follow-up time. A validated questionnaire for edentulous patients based on the Oral Health Impact Profile (OHIP-19) was used. In addition, information on patients\' oral health-related quality of life, including questions related to the edentulous patients\' satisfaction with their dentures, was collected. The response rate was 33% (N = 171). The study\'s findings confirm previous findings, suggesting that IODs may significantly impact oral health-related quality of life. Data show that 76% of the IOD group reported improvement in experience when using the implants to retain the mandibular denture. However, there were no statistically significant differences in the OHIP scores between overall CD and IOD patient groups. Males with IODs had lower physical pain, limitations, and disability scores than males with CD. However, females with IODs reported more significant concerns associated with a social disability and handicap domains. Comparing users who had experiences with both treatment options, this study discerned essential characteristics that contribute to increased patient satisfaction with IODs and identified significance in outcomes by gender. These findings guide prosthodontic practitioners\' patient care practices and identify a continuing need to discuss CD and IOD treatment protocols within dental school curricula.
摘要：
患者满意度和生活质量是评估口腔保健质量的组成部分。对于许多仍在使用传统全口义齿（CD）或种植体保留的下颌覆盖义齿（IOD）的美国人来说，考虑改善他们的口腔健康结果和生活质量仍然至关重要.由于没有经验的学生牙医为牙科学校的患者提供牙科护理，病人的不满通常被认为是一个问题。患者反馈和满意度已被证明是监测和提高患者安全性的宝贵资源。虽然CD和IOD是两种主要的治疗方法，文献中更多的比较研究需要在学校环境中比较它们的结果。指导这种比较分析的研究问题是，“患者满意度和生活质量是否受假体类型和提供者的影响？”从2014年至2016年在肯塔基大学牙科学院学生口腔修复诊所接受无牙下颌骨治疗的患者记录中选出的520名患者邮寄了经过验证的问卷，随访时间至少1年。使用基于口腔健康影响概况（OHIP-19）的无牙患者的经过验证的问卷。此外,关于患者口腔健康相关生活质量的信息，包括与无牙患者对假牙的满意度有关的问题，被收集。应答率为33%(N=171)。这项研究的发现证实了以前的发现，提示IOD可能显著影响口腔健康相关生活质量。数据显示，IOD组中有76％的人报告说，在使用植入物保留下颌义齿时，经验有所改善。然而,总体CD组和IOD患者组之间的OHIP评分无统计学差异.患有IOD的男性身体疼痛较低，局限性,和残疾分数比男性有CD。然而,患有IOD的女性报告了与社会残疾和残疾领域相关的更重要的担忧。比较对两种治疗方案都有经验的用户，这项研究发现了有助于提高患者对IOD满意度的基本特征,并确定了性别对结局的意义.这些发现指导了口腔修复医生的患者护理实践，并确定了在牙科学校课程中讨论CD和IOD治疗方案的持续需求。
