RESUMO
To clinically evaluate the patient satisfaction and associated costs of dentures made using a simplified procedure that eliminates assembly on the articulator and dentures made with the conventional technique. Single-blind randomised clinical trial. Forty edentulous patients were randomly divided into 2 groups. One group received dentures made using the conventional method (CG), and the other using a simplified technique (SG) that omits the use of functional impressions (with modelling compound and ZOE impression paste) and an articulator to assemble the models. Overall patient satisfaction was assessed at 3 and 6 months by means of a Numerical Rating Scale (NRS). The comparisons were made using a repeated measures ANOVA (P = .05). No significant differences were found in terms of the satisfaction stated by the patients or the quality of the prosthesis evaluated by a professional among the dentures made using the traditional (n = 17) and simplified (n = 21) techniques. The rehabilitation of an edentulous patient with a simplified technique for the preparation of a total prosthesis is a feasible, more economical alternative and accepted by most patients.
Assuntos
Técnica de Moldagem Odontológica , Planejamento de Dentadura , Prótese Total , Boca Edêntula/reabilitação , Satisfação do Paciente/estatística & dados numéricos , Idoso , Análise de Variância , Análise Custo-Benefício , Técnica de Moldagem Odontológica/economia , Planejamento de Dentadura/economia , Retenção de Dentadura , Prótese Total/economia , Estética Dentária , Estudos de Viabilidade , Feminino , Humanos , Masculino , Resultado do TratamentoRESUMO
PURPOSE: This study aimed to quantify the costs of complete denture fabrication by a simplified method compared with a conventional protocol. MATERIALS AND METHODS: A sample of edentulous patients needing conventional maxillary and mandibular complete dentures was randomly divided into group S, which received dentures fabricated by a simplified method, and group C, which received conventionally fabricated dentures. We calculated direct and indirect costs for each participant including unscheduled procedures. This study assessed 19 and 20 participants allocated into groups S and C, respectively, and comparisons between groups were conducted by the Mann-Whitney and Student's t-test (α = 0.05). RESULTS: Complete denture fabrication demanded median time periods of 173.2 and 284.5 minutes from the operator for groups S and C respectively, and 46.6 and 61.7 minutes from the dental assistant (significant differences, p < 0.05). There was no difference between groups regarding postinsertion adjustments. Group S showed lower values for costs with materials and time spent by patients than group C during the fabrication stage, but not during adjustments. CONCLUSIONS: The median direct cost of complete denture treatment was 34.9% lower for the simplified method. It can be concluded that the simplified method is less costly for patients and the health system when compared with a conventional protocol for the rehabilitation of edentulous patients.