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Patient-reported outcomes and efficiency of complete dentures made with simplified methods: A meta-analysis

机译：用简化方法制作的患者报告的全口义齿的效果和效率：荟萃分析

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Background . An increasing lifetime expectancy of the elderly highlights the importance of prosthodontic techniques, such as preparing complete dentures, which can restore the complete loss of teeth. Objectives . The present study compared patient-reported outcomes and efficiency in terms of preparation time and cost of a simplified complete denture (SCD) and a conventional complete denture (CCD) in edentulous patients using a meta-analysis of clinical trials (CTs). Material and Methods . A literature search was conducted for studies comparing SCD and CCD in MEDLINE (PubMed), Scopus and World of Science, and through analyzing the reference lists of the retrieved studies, without language or time limits. Studies fitting the pre-specified inclusion criteria were assessed for quality and the extracted data referred to the following issues: patient satisfaction measured using a 100-millimeter visual analog scale (VAS); impact on quality of life estimated using the Oral Health Impact Profile (OHIP)-19 on a scale from 0 to 38; the proportion of cost of SCD to CCD; and time in minutes to deliver dentures. The results were pooled in meta-analyses and displayed in forest plots. Results . Eleven publications referring to 7 studies were included in the meta-analysis. There were no differences between SCD and CCD in patient satisfaction (mean difference: 0.896, 95% CI (confidence interval): ?2.947, 4.739) or their impact on quality of life (mean difference: 0.379, 95% CI: ?0.994, 1.751). It required significantly less time to deliver SCD (mean difference: ?274.16, 95% CI: ?348.37, ?199.96) and it cost significantly less (proportion: 0.740, 95% CI: 0.597, 0.882). Both SCD and CCD similarly impacted the patient’s quality of life and satisfaction. It took about 4.5 h less to deliver SCD to patients as compared to CCD and the cost of SCD was 75% of the cost of CCD. Conclusion . Compared to CCD, SCD had a similar impact in terms of satisfaction and quality of life with reduced treatment time and cost. More studies are needed in low-resource settings, where SCD may have a greater advantage.
机译：背景 。老年人预期寿命的增加突显了修复牙齿技术的重要性，例如准备完整的假牙，可以修复牙齿的完全脱落。目标。本研究使用临床试验的荟萃分析比较了无牙颌患者在简化时间上的简易全口义齿（SCD）和常规全口义齿（CCD）的准备时间和成本，并比较了患者报告的结果和效率。材料与方法 。进行了文献检索，以比较MEDLINE（PubMed），Scopus和《科学世界》中的SCD和CCD，并通过分析检索到的研究的参考文献列表，而没有语言或时间限制。对符合预定入选标准的研究进行质量评估，提取的数据涉及以下问题：使用100毫米视觉模拟量表（VAS）测量患者满意度;使用口腔健康影响档案（OHIP）-19评估的对生活质量的影响，范围为0至38; SCD与CCD的成本比例;在几分钟内交付假牙。将结果汇总到荟萃分析中，并显示在森林地块中。结果。荟萃分析包括11篇涉及7项研究的出版物。 SCD和CCD在患者满意度（均值差异：0.896，95％CI（置信区间）：? 2.947，4.739）或其对生活质量的影响方面（均值差异：0.379，95％CI：？0.994， 1.751）。交付SCD所需的时间大大减少（平均差：？274.16，95％CI：？348.37，？199.96），成本也大大降低（比例：0.740，95％CI：0.597，0.882）。 SCD和CCD同样会影响患者的生活质量和满意度。与CCD相比，将SCD运送到患者所需的时间减少了4.5小时左右，SCD的费用是CCD费用的75％。结论。与CCD相比，SCD在满意度和生活质量方面具有相似的影响，减少了治疗时间和成本。在资源匮乏的地区，SCD可能具有更大的优势，需要进行更多的研究。

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