有床義歯補綴診療のガイドライン · 3 1. 文...

82
(2009改訂版) 有床義歯補綴診療のガイドライン 日本補綴歯科学会 社団法人 2009

Transcript of 有床義歯補綴診療のガイドライン · 3 1. 文...

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10 1) Frank RP, Milgrom P, Leroux BG, Hawkins NR. Treatment outcomes with
mandibular removable partial dentures: A population-based study of patient satisfaction. J Prosthet Dent 1998 ; 80 : 36−45.
2) Panek H, Krawczykowska H, Dobosz A, Napadek P, Panek BA, Sosna-Gramza M. Follow-up visits as a measure of adaptation process to removable prostheses. Gerodontology 2006 ; 23 : 87−92.
3) Triantos D. Intra-oral findings and general health conditions among institutionalized and non-institutionalized elderly in Greece. J Oral Pathol Med 2005 ; 34 : 577−582.
4) Kadir T, Pisiriciler R, Akyüz S, Yarat A, Emekli N, Ipbüker A. Mycological and cytological examination of oral candidal carriage in diabetic patients and non-diabetic control subjects: Through analysis of local aetiologic and systemic factors. J Oral Rehabil 2002 ; 29 : 452−457.
5) Sandberg GE, Sundberg HE, Wikblad KF. A controlled study of oral self-care and self-perceived oral health in type 2 diabetic patients. Acta Odontol Scand 2001 ; 59 : 28−33.
6) Campisi G, Panzarella V, Matranga D, Calvino F, Pizzo G, Lo Muzio L et al. Risk factors of oral candidosis: a twofold approach of study by fuzzy logic and traditional statistic. Archs Oral Biol 2008 ; 53 : 388−397.
7) Ikebe K, Morii K, Kashiwagi J, Nokubi T, Ettinger RL. Impact of dry mouth on oral symptoms and function in removable denture wearers in Japan. Oral Surg Oral Med Oral Pathol Oral Rad and Endodont 2005 ; 99 : 704−710.
8) Xie Q, Wolf J, Tilvis R, Ainamo A. Resorption of mandibular canal wall in the edentulous aged population. J Prosthet Dent 1997 ; 77 : 596−600.
9) Shulman JD, Rivera-Hidalgo F, Beach MM. Risk factors associated with denture stomatitis in the United States. J Oral Pathol Med 2005 ; 34 : 340−346.
10) , . . 2007 ; 33 : 55−66.
11) Ciftci Y, Kocadereli I, Canay S, Senyilmaz P. Cephalometric evaluation of maxillo- mandibular relationships in patients wearing complete dentures: A pilot study. Angle Orthod 2005 ; 75 : 821−825.
12) Hildebrandt GH, Dominguez BL, Schork MA, Loesche WJ. Functional units, chewing, swallowing, and food avoidance among the elderly. J Prosthet Dent 1997 ; 77 : 588−595.
13) . . 1996 ; 40 : 1194−1204.
2009
1E
E221
20
14) Koshino H, Hirai T, Ishijima T, Ohtomo K. Influence of mandibular residual ridge shape on masticatory efficiency in complete denture wearers. Int J Prosthodont 2002 ; 15 : 295−298.
15) Wolff A, Gadre A, Begleiter A, Moskona D, Cardash H. Correlation between patient satisfaction with complete dentures and denture quality, oral condition, and flow rate of submandibular/sublingual salivary glands. Int J Prosthodont 2003 ; 16 : 45−48.
16) Brunello DL, Mandikos MN. Construction faults, age, gender, and relative medical health: Factors associated with complaints in complete denture patients. J Prosthet Dent 1998 ; 79 : 545−554.
17) Masood F, Robinson W, Beavers KS, Haney KL. Findings from panoramic radiographs of the edentulous population and review of the literature. Quintessence Int 2007 ; 38 : e298−305.
18) Sumer AP, Sumer M, Güler AU, Biçer I. Panoramic radiographic examination of edentulous mouths. Quintessence Int 2007 ; 38 : e399−403.
19) . Quality
. 1999 ; 43 : 312−320. 20) . 3.5
. 2001 ; 68 : 254−261. 21) .
. 1997 ; 41 : 302−311. 22) , . .
1994 ; 9 : 73−83. 23) Penhall B, Roder D, Esterman A. Increased tolerance to complete dentures after
surgical modification of mylohyoid ridges. J Prosthet Dent 1985 ; 54: 230−232. 24) . .
2001 ; 45 : 220−221. 25) .
. 1987 ; 14 : 89−96. 26) . .
2001 ; 45 : 434−435. 27) , . .
1992 ; 80 : 840−864. 28) . .
45 ; 2001 426−427. 29) . . 2003 ; 47 :
681−682.
1E
E222
21
30) Garrett NR, Perez P, Elbert C, Kapur KK. Effects of improvements of poorly fitting dentures and new dentures on masticatory performance. J Prosthet Dent 1996 ; 75 : 269−275.
31) Kawai Y, Murakami H, Shariati B, Klemetti E, Blomfield J.V, Blillette L et al. Do traditional techniques produce better conventional complete dentures than simplified techniques? J Dent 2005 ; 33 : 659−668.
32) Dimmer A. A clinical assessment of a functional impression technique for the complete lower denture. Gerodontics 1985 ; 1: 217−219.
33) . . 2006 ; 50 : 280−283. 34) Ishizuka I, Mizokami T. Relationship between impression method of mucosa-borne
area and denture pressure supportability. Bull Tokyo Dent Coll 1993 ; 34 : 23−32. 35) .
. 1989 ; 33 : 757−770. 36) , , . 6
. 1998 ; 8 : 283−296. 37) Sofou AM, Diakoyianni-Mordohai I, Pissiotis AL, Emmanuel I. Fabrication of a
custom-made impression tray for making preliminary impressions of edentulous mandibles. Quintessence Int 1998 ; 29 : 513−516.
38) Petropoulos VC, Rashedi B. Current concepts and techniques in complete denture final impression procedures. J Prosthodont 2003 ; 12 : 280−287.
39) Fenlon MR, Sherriff M, Walter JD. Association between the accuracy of intermaxillary relations and complete denture usage. J Prosthet Dent 1999 ; 81 : 520−525.
40) . . 2008 ; 52 : 236−239.
41) .
. 2001 ; 45 : 106−116.
42) Kivovics P, Jáhn M, Borbély J, Márton K. Frequency and location of traumatic ulcerations following placement of complete dentures. Int J Prosthodont 2007 ; 20 : 397−401.
43) Peltola P, Vehkalahti MM, Simoila R. Effects of 11-month interventions on oral cleanliness among the long-term hospitalised elderly. Gerodontology 2007 ; 24 : 14−21.
44) Zissis A, Yannikakis S, Harrison A. Comparison of denture stomatitis prevalence in 2 population groups. Int J Prosthodont 2006 ; 19 : 621−625.
45) , , .
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19
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1990 ; 18 : 21−22. 46) Fenlon MR, Sherriff M, Walter JD. Factors associated with the presence of denture
related stomatitis in complete denture wearers: A preliminary investigation. Eur J Prosthodont Restor Dent 1998 ; 6 : 145−147.
47) Nicol R, Petrina Sweeney M, McHugh S et al. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dent Oral Epidemiol 2005 ; 33 : 115−124.
48) , , , , .
. 1991 ; 5 : 23−29. 49) , , , , , .
2 .
1986 ; 49 : 98−106. 50) Wolff A, Ofer S, Raviv M, Helft M, Cardash HS. The flow rate of whole and
submandibular/ sublingual gland saliva in patients receiving replacement complete dentures. J Oral Rehabil 2004 ; 31 : 340−343.
51) Cleary TJ, Hutter L, Blunt-Emerson M, Hutton JE. The effect of diet on the bearing mucosa during adjustment to new complete dentures: A pilot study. J Prosthet Dent 1997 ; 78 : 479−485.
52) .
. 2002 ; 46 : 530−538. 53) Sumi Y, Miura H, Sunakawa M, Michiwaki Y, Sakagami N. Colonization of denture
plaque by respiratory pathogens in dependent elderly. Gerodontology 2002 ; 19 : 25−29.
54) Bassi F, Schierano G, Lorenzetti M, Preti G. Oral conditions and attitude to receive implants in patients with removable partial dentures: A cross-sectional study. Part 1. Oral conditions. J Oral Rehabil 1996 ; 23 : 50−54.
55) Ettinger RL, Jakobsen J. Periodontal considerations in an overdenture population. Int J Prosthodont 1996 ; 9 : 230−238.
56) Utz KH. Studies of changes in occlusion after the insertion of complete dentures (part II). J Oral Rehabil 1997 ; 24 : 376−384.
1 22009
1.
1983 1 2008 12 A192
((/TH not /TH) and ) and (AB=Y PT= SB= )
A and RD=0 A and RD=2 A and RD=1 A and RD=22 A and (/AL or (/TH or /AL))4 A and (/TH or /AL)7 A and (X /TH or /AL)3 A and /AL51
MEDLINE1982 1 2008 12 A1018
((Edentulous[MeSH Terms] OR (Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms])) AND (Diagnosis, Oral[MeSH Terms] OR examination)) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
A AND "Meta-Analysis"0 A AND "Randomized Controlled Trial"36 A AND "Clinical Trial"57 A AND "Cohort Studies"22 A AND "Case Control Studies"21 A AND "general health"13 A AND Dental Models[MeSH Terms]31 A AND Radiography, Dental[MeSH Terms]276 A AND (Mastication[MeSH Terms] OR Deglutition[MeSH Terms] OR
Phonation[MeSH Terms])62 2.
1983 1 2008 12 A215
((/TH not /TH) and /TH) and (AB=Y PT= SB=)
A and RD=0 A and RD=0
2009
21
E22E
24
A and RD=0 A and RD=4 B45
((/TH not /TH) and (/TH or /AL)) and (AB=Y PT= SB=)
B and RD=0 B and RD=0 B and RD=0 B and RD=0 C32
((/TH not /TH) and (/TH or /AL)) and (AB=Y PT= SB=)
C and RD=0 C and RD=0 C and RD=0 C and RD=0
MEDLINE1982 1 2008 12 A1303
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND Surgical Procedure[MeSH Terms]) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
A AND "Meta-Analysis"7 A AND "Randomized Controlled Trial"89 A AND "Clinical Trial"174 A AND "Cohort Studies"11 A AND "Case Control Studies"9 B48
(Dentures[MeSH Terms] AND Tissue Conditioning, Dental[MeSH Terms]) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
B AND "Meta-Analysis"0 B AND "Randomized Controlled Trial"5 B AND "Clinical Trial"6 B AND "Cohort Studies"0 B AND "Case Control Studies"0 C6
("treatment denture" OR "treatment dentures" OR "treatment prosthesis" OR
1 22009
"treatment prostheses") AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
C AND "Meta-Analysis"0 C AND "Randomized Controlled Trial"1 C AND "Clinical Trial"1 C AND "Cohort Studies"0 C AND "Case Control Studies"0
3.
1983 1 2008 12 A55
((/TH not /TH) and ((/TH or /AL) or (
/TH or /AL))) and (AB=Y PT= SB=) A and RD=0 A and RD=1 A and RD=0 A and RD=1 A and (/AL or /AL or /AL)2 A and (/AL or /AL)2 A and (/AL or /AL)6 B30
((/TH not /TH) and (/TH or /AL or
/AL)) and (AB=Y PT= SB=) B and RD=0 B and RD=0 B and RD=0 B and RD=1 C44
((/TH not /TH) and ((/TH or /AL) and (/AL or /TH or /AL))) and (AB=Y PT= SB=)
C and RD=0 C and RD=0 C and RD=0 C and RD=1 D17
((/TH not /TH) and (/TH or (/TH or /AL))) and (AB=Y PT= SB=)
2009
23
E22E
26
D and RD=0 21 D and RD=1 22 D and RD=0 23 D and RD=4
MEDLINE1982 1 2008 12 A318
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND (Dental Impression Technique[MeSH Terms] OR Dental Impression Materials[MeSH Terms])) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
A AND "Meta-Analysis"0 A AND "Randomized Controlled Trial"4 A AND "Clinical Trial"6 A AND "Cohort Studies"0 A AND "Case Control Studies"0 A AND ("functional impression" OR "anatomical impression")32 A AND ("pressure impression" OR "non-pressure impression" OR "mucostatic
impression")4 AND ("individual tray" OR "custom tray")16 B84
((Edentulous[MeSH Terms] OR (Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms])) AND (Jaw Relation Record[MeSH Terms] AND Vertical Dimension[MeSH Terms])) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
B AND "Meta-Analysis"0 B AND "Randomized Controlled Trial"0 B AND "Clinical Trial"1 B AND "Cohort Studies"0 B AND "Case Control Studies"0 C110
((Edentulous[MeSH Terms] OR (Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms])) AND (Jaw Relation Record[MeSH Terms] AND Dental Occlusion, Centric[MeSH Terms])) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
C AND "Meta-Analysis"0 C AND "Randomized Controlled Trial"1 C AND "Clinical Trial"2
1 22009
24
E22E
27
C AND "Cohort Studies"0 21 C AND "Case Control Studies"0 22 D88 (Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND
Prosthesis Fitting[MeSH Terms] 23 D AND "Meta-Analysis"0 24 D AND "Randomized Controlled Trial"4 25 D AND "Clinical Trial"3 26 D AND "Cohort Studies"0 27 D AND "Case Control Studies"0
4.
1983 1 2008 12 A8
(/TH not /TH) and (/TH or /AL or
/AL) and (AB=Y PT= SB=) A and RD=0 A and RD=0 A and RD=0 A and RD=1 B76
(/TH not /TH) and (/AL OR /AL) and (AB=Y PT= SB=)
B and RD=0 B and RD=0 B and RD=0 B and RD=2 C104
(/TH not /TH) and ((/TH or /AL) or
/AL or (/TH or /AL)) and (AB=Y PT= SB=)
C and RD=0 C and RD=1 C and RD=0 C and RD=5 D49
(/TH not /TH) and ((/TH or /AL) or ("
()"/TH or /AL) or /AL or /AL)
2009
2E
E229
28
and (AB=Y PT= SB=) D and RD=0 D and RD=0 D and RD=0 D and RD=3
MEDLINE1982 1 2008 12 A213
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND Education[MeSH Terms]) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
A AND "Meta-Analysis"0 A AND "Randomized Controlled Trial"8 A AND "Clinical Trial"8 A AND "Cohort Studies"2 A AND "Case Control Studies"1 B208
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND adaptation) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
B AND "Meta-Analysis"1 B AND "Randomized Controlled Trial"10 B AND "Clinical Trial"13 B AND "Cohort Studies"0 B AND "Case Control Studies"3 C244
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND (Oral hygiene[MeSH Terms] OR Denture plaque[MeSH Terms])) AND (hasabstract[text] AND "humans"[MeSH Terms] AND English[lang] AND jsubsetd[text])
C AND "Meta-Analysis"1 C AND "Randomized Controlled Trial"24 C AND "Clinical Trial"30 C AND "Cohort Studies"3 C AND "Case Control Studies"9 D916
((Dentures[MeSH Terms] NOT Denture, Partial, Fixed[MeSH Terms]) AND (maintenance OR follow-up OR recall)) AND (hasabstract[text] AND
1 22009
2E
E230
29
"humans"[MeSH Terms] AND English[lang] AND jsubsetd[text]) D AND "Meta-Analysis"9 21 D AND "Randomized Controlled Trial"106 22 D AND "Clinical Trial"177 23 D AND "Cohort Studies"16 24 D AND "Case Control Studies"7
2009
1 Treatment outcomes with mandibular removable partial dentures: A
population-based study of patient satisfaction Frank RP, Milgrom P, Leroux BG, Hawkins NR J Prosthet Dent 1998 ; 80 : 36−45 Levelb 800 410
59 Kennedy I : 59II : 22III : 13IV : 6
RPD
DSQ : Rand Dental Satisfaction QuestionnaireSF-36 : SF-36 Health Survey 4


60 60
: 1.7 : 1.9
: 1.9
: 3.1 Kennedy

60 RPD RPD

2 Follow-up visits as a measure of adaptation process to removable
1 22009
2E
E232
31
prostheses Panek H, Krawczykowska H, Dobosz A, Napadek P, Panek BA,
Sosna-Gramza M Gerodontology 2006 ; 23 : 87−92 Levelb 300 2692 106 194



0 12 3 3
45 4560 60

χ2
χ2=0.65, P =0.721 160 53.3 52.8 53.6 92 30.7, 33.0 29.4 48 16.0 14.2 17.0
12 60.8 51.7
χ2=3.38, P =0.0658 3
χ2=4.32, P =0.037622.231.5 0
χ2=0.53, P =0.768 3 60 4560
1.5 χ2=3.78, P =0.151 χ2=23.63, P =0.0001
0 22.8
10.7 11.4
χ2=11.42, P =0.0033 3
22.4 39.8
21.4
χ2=15.83, P =0.0004
2009
29
E233
32
χ2=1.22, P =0.544 0 29.4
317.6014.8 3 29.2
3 29.5 0 13
27.6 1108.312.3
3 50.0
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3 Intra-oral findings and general health conditions among institutionalized
and non-institutionalized elderly in Greece Triantos D J Oral Pathol Med 2005 ; 34 : 577−582 Levelb 65
Athens Community Open Care Centres12
150 59 91 6594 74 ChalkidaTripolisKalamata
166 61 105 6599 81



Fisher’s exact two-sided test
1 22009
30
E234
33

79 68 88.5 67 97 46.5 47 47.2 46.2
78 1 17 2 5 3
27 17.214.6
10.59.86.8
90 87 93
2
4 23 5641
3918.516
12 10


4 Mycological and cytological examination of oral candidal carriage in
diabetic patients and non-diabetic control subjects: Thorough analysis of local aetiologic and systemic factors
Kadir T, Pisiriciler R, Akyüz S, Yarat A, Emekli N, Ipbüker A J Oral Rehabil 2002 ; 29 : 452−457 Levelb
55 44.3 ±10.9 : 11 : 89
45 47.8 ±11.9

2009
31
E23E
34
pH glucose oxidase method
t χ2

serum glucose values
pH C. albicans
C. glabrata C.
albicans


5 A controlled study of oral self-care and self-perceived oral health in type 2
diabetic patients Sandberg GE, Sundberg HE, Wikblad KF Acta Odontol Scand 2001 ; 59 : 28−33 Levelb

1 22009
32
E23E
35
102 63 39 64.8 ±8.4 102



χ2 2
83 48
90
83



6 Risk factors of oral candidosis: a twofold approach of study by fuzzy logic
and traditional statistic Campisi G, Panzarella V, Matranga D, Calvino F, Pizzo G, Lo Muzio L,
Porter S Arch Oral Biol 2008 ; 53 : 388−397 Levelb
2009

1999 1 2001 7 Palermo
OC 89 31 58 3588 66 19 70 2
19 24 43 12 34 46 98 53
45 2076 41.2 25 73
54 54



OC OC
OC

7 Impact of dry mouth on oral symptoms and function in removable denture
wearers in Japan Ikebe K, Morii K, Kashiwagi J, Nokubi T, Ettinger RL Oral Surg Oral Med Oral Pathol Oral Rad and Endodont 2005 ; 99 :
704−710 Levelb

34
E23E
37
60 493 258 235
67.3 129 364




5
14.7
: 10.5
: 3.5 : 6.3
: 2.7

: 2.8 2.1

8 Resorption of mandibular canal wall in the edentulous aged population Xie Q, Wolf J, Tilvis R, Ainamo A J Prosthet Dent 1997 ; 77 : 596−600 Levelb 128 32 96


t
P <0.0001
P <0.0001
76 86 P <0.05

: 6.0 : 3.04
: 2.74



9 Risk factors associated with denture stomatitis in the United States Shulman JD, Rivera-Hidalgo F, Beach MM J Oral Pathol Med 2005 ; 34 : 340−346 Levelb NHANES III
NHANES III 19,528
3,450 59.2 57.7
NHANES III WHO 3
1 22009

AB12CDE A1c



A
10 2007 ; 33 : 55−66 Levela
36
68.2±7.1 50.9±7.5
72.6±6.9
45 VAS
2009

32 6
6 8 18
6
4

0.980.860.81 0.600.64 5
0.350.45
-0.28

11 Cephalometric evaluation of maxillomandibular relationships in patients
wearing complete dentures: A pilot study Ciftci Y, Kocadereli I, Canay S, Senyilmaz P Angle Orthod 2005 ; 75 : 821−825 Level
15 7 8
63.5 : 616

1 22009
3E
E242
41
ANS−MeFMA Gonion gnathion−SN SNA SNB SND ANB Maxillary depth Wilcoxon


Lower facial height ANS-Me SNB
SND Facial depth


12 Functional units, chewing, swallowing, and food avoidance among the
elderly Hildebrandt GH, Dominguez BL, Schork MA, Loesche WJ J Prosthet Dent 1997 ; 77 : 588−595 Levelb FUs
60 602 70±8

N/P P/N
0/0 FUsMFU FUsPFU FUsAFU
Wilcoxon
FUs N/NMFUPFU 0/0

48
N/N 0/0 FUs
0/0 FUs
FUs FUs 0/0



13 1996 ; 40 : 1194−1204 Levelb
28 6 22 75.6±4.8

20

r =0.392P <0.05 r =0.377P <0.05 r =0.569P <0.01
4
R =0.843P <0.01
β 0.640P <0.01 0.531P <0.01 0.489P <0.05 0.321P <0.05

14 Influence of mandibular residual ridge shape on masticatory efficiency in
complete denture wearers Koshino H, Hirai T, Ishijima T, Ohtomo K Int J Prosthodont 2002 ; 15 : 295−298 Levelb 28 75.6±4.8



: r =0.64P <0.01 : r =0.49P <0.01 : r =0.39P <0.05

15 Correlation between patient satisfaction with complete dentures and
denture quality, oral condition, and flow rate of submandibular/sublingual salivary glands
Wolff A, Gadre A, Begleiter A, Moskona D, Cardash H Int J Prosthodont 2003 ; 16 : 45−48 Levelb quality
50 18 32 5289 67
7

5

goodfairpoorbad 4 goodfairpoor 3 goodpoor 2
9 1
Pearson χ2
fairgood
fairpoor good fair fair 0.024±0.040ml / min / gland

16 Construction faults, age, gender, and relative medical health: Factors
associated with complaints in complete denture patients Brunello DL, Mandikos MN J Prosthet Dent 1998 ; 79 : 545−554 Levelb 100 500 100 63
37 4390 68.7
5 PainEatingLoosenessFoodSpeech
Present Not present
RetentionJaw relationshipTooth position

χ2t Fisher
1
28 1 40
24

43
E24E
46
31 16 5 Pain
88 86 34
94 72 68
Retantion Loose Jaw
relationship Eating

17 Findings from panoramic radiographs of the edentulous population and
review of the literature Masood F, Robinson W, Beavers KS, Haney KL Quintessence Int 2007 ; 38 : e298−305 Levelb
1998200230827
90 61.5 260 48
591 326 265



177 57.5131
42.5 51 19 32 39 21 17 15 8
7
22 7 15 3 21 3
131 5


18 Panoramic radiographic examination of edentulous mouths Sumer AP, Sumer M, Güler AU, Biçer I Quintessence Int 2007 ; 38 : e399−403 Levelb
2002 2004 Ondokuz Mayis 338
183 155


676 47.6 43.5 56.5
52 15.4 21 6.2 3
0.9 41 12.1 15 4.4 29 8.6

4E
E249
48
19 Quality 1999 ; 43 : 312−320 Levelb Quality
70 20 50 3482 68.0±9.4

Quality Score Median Quality G1 Quality
G2 MRI T1 6
3

Scheffe F
Pearson

G1 G2 G1 G2
P <0.001P <0.01P <0.05 G2 G1
P <0.05G1
G1
1 22009
r =0.393P <0.05G2
G1G2 Quality score r =0.393P <0.001r =0.36
P <0.01r =0.377P <0.01
Quality score r =0.309P <0.01r =0.315
P <0.01r =0.094 ns
Quality
20 3.5
2001 ; 68 : 254−261 Levela 7 4 3 58
6 1 2 3 3.5

EMG


400 N6 3.5 800930 N
400 N6 530 N1 3.5 610 630 N

4E
E2E1
50
6 502 3
20 3

6 1
1


6 3.5 1201503 3.5


3.5
21 1997 ; 41 : 302−311 Levela

60 15 45 67.2±7.8


Pearson


counterclockwise Menton
CPI
Y-axisMandubular plane angleRamus inclination
clockwise rotation
Menton CPI

AI
clockwise rotation

22 1994 ; 9 : 73−83 Level 5 2
3 6788
2009







23 Increased tolerance to complete dentures after surgical modification of
mylohyoid ridges Penhall B, Roder D, and Esterman A J Prosthet Dent 1985 ; 54 : 230−232 Level 8
521

Stepwise logistic regression model logistic analysis
1 22009
3 A 17.4
B 7.2C
26.6A C B
B C



1 3


1 3 25 1987 ; 14 : 89−96 Level 24 8 16
4787


25
26 2001 ; 45 : 434−435 Level


7 27 1992 ; 80 : 840−864 Levela 1 20 10
10 4975 63.6 20 30 13
17 23.0
1 22009
EMG



28 2001 ; 45 : 426−427 Level
2009
3 6 MRI



3 6
29 2003 ; 47 : 681−682 Level



4
30 Effects of improvements of poorly fitting dentures and new dentures on
masticatory performance Garrett NR, Perez P, Elbert C, Kapur KK J Prosthet Dent 1996 ; 75 : 269−275 Levela 4
1 22009
E4
E2EE
57
21 5779 67.7±5.4
4 2 (1) (2) 3 mm (3) Denture adhesive (4)
2
20 40
4 2 34
12 t



31 Do traditional techniques produce better conventional complete dentures
than simplified techniques? Kawai Y, Murakami H, Shariati B, Klemetti E, Blomfield J.V, Blillette L,
Lund J.P, Feine J.S J Dent 2005 ; 33 : 659−668 Level 2 122 4575
2009
EE
E2E9
58
T 61 S 61 T


3 6 VAS
6
6
T

32 A clinical assessment of a functional impression technique for the complete
lower denture Dimmer A Gerodontics 1985 ; 1 : 217−219 Level
31
Anthropoidal Pouch Technique
1

26 20 2

EE
E2E0
59
33 2006 ; 50 : 280−283 Level

34 Relationship between impression method of mucosa-borne area and
denture pressure supportability Ishizuka I, Mizokami T Bull Tokyo Dent Coll 1993 ; 34 : 23−32 Level 2 1 12 5 7
5 12345 kg


1.32.6
12 2
2009
35
1989 ; 33 : 757−770 Level
6
5 2 3
5



5 3
0.5


6
1998 ; 8 : 283−296 Level
2
2 2
2 3


2

37 Fabrication of a custom-made impression tray for making preliminary
impressions of edentulous mandibles Sofou AM, Diakoyianni-Mordohai I, Pissiotis AL, Emmanuel I Level Quintessence Int 1998 ; 29 : 513−516

2009
38 Current concepts and techniques in complete denture final impression
procedures Petropoulos VC, Rashedi B J Prosthodont 2003 ; 12 : 280−287 Level

11 54 44



98%
73% 86 399
45‘’‘’ 22
36 Boucher technique34 modified Boucher technique

39 Association between the accuracy of intermaxillary relationship and
complete denture usage Fenlon MR, Sherriff M, Walter JD J Prosthet Dent 1999 ; 81 : 520−525 Levela
523

3 11

Woelfel's classification Major error Class1+2 MinorNo error Class3+4
2009
E1
E2EE
64
2 mm 2 mm
Pearson χ2
2 mm 2 mm
3 p=0.018 MinorNo
error Major error 3
p<0.001p=0.003



VAS


41
2001 ; 45 : 106−116
1 22009
Levela
81 35 46 69.2±8.0




χ2

χ2
4.4±1.8 3.8 4.9
P <0.005 0.8±1 mm 0.5 mm
1 mmP <0.01 0.6 mm 37
15 40.5 22 59.5
70 86.4 11 13.6
0.6 mm


E3
E2EE
66
42 Frequency and location of traumatic ulcerations following placement of
complete dentures Kivovics P, Jáhn M, Borbély J, Márton K Int J Prosthodont 2007 ; 20 : 397−401 Levela 61 5991 69±8 14 47
626 8±5


2 3

122 1 106 87
2 61 50%3 9 7%4
1 2

443718
181413 1 21 13

1 22009
E4
E2EE
67
6.1 2.7 3.5 0.3
3.0 0.92
3

43 Effects of 11-month interventions on oral cleanliness among the long-term
hospitalised elderly Peltola P, Vehkalahti MM, Simoila R Gerodontology 2007 ; 24 : 14−21 Level 130 24 76 71 29
49 A 50 84.5 B 41 82.9 C 39 80.9
A 3
B
C
11
3 5
3 χ2 t ANOVA

2009
30 18
B 0P =0.02 B 11 56
39A 35B
56C 27
13A 26B 0C
7P =0.03
61 57 B 80 48P =0.02

44 Comparison of denture stomatitis prevalence in 2 population groups Zissis A, Yannikakis S, Harrison A Int J Prosthodont 2006 ; 19 : 621−625 Levelb
2
A Bristol 115 47
68 B Athens 136 71
65

1 Newton
24mm
Willis
1 22009
A 27B 39.7
P <0.05 60 6069 69 1 2
2
19 1019 19 19 10
19 19 1
A B
1019 P<0.01
1019 P <0.001P <0.0001
B
A P <0.100P <0.001 P <0.001A 9.6
B 44.1P <0.001
1/3
45 1990 ; 18 : 21−26 Level
10 58 82
5

5 2 20

EE
E2E1
70
2 1 2 3 4 5 6


2 6.41 9.423 12.013.0 6 14.6 23

2 8.81 12.86 14.8
1

46 Factors associated with the presence of denture related stomatitis in
complete denture wearers: A preliminary investigation Fenlon MR, Sherriff M, Walter JD Eur J Prosthodont Restor Dent 1998 ; 6 : 145−147 Levelb 250
250
Jonckheere−Terpstra
250 210 210 124 59
85 40
JT=8.6P =0.001
1 22009
JT=1.49P =0.14
JT=1.11P =0.28


47 Effectiveness of health care worker training on the oral health of elderly
residents of nursing homes Nicol R, Sweeney MP, McHugh S, Bagg J Community Dent Oral Epidemiol 2005 ; 33 : 115−124 Level
5 78

2 3 9
18
3 9 18 90 6



2009


48 1991 ; 5 : 23−29 Levelb

10 70.3 10 66.4


Kapur KMI

poor
44.0
1 22009

4 KMI

49 2
, , , , , , ,
, 1986 ; 49 : 98−106 Levelb 443

331 341



29% 26
1 mm
2.4 mm 35
2009
63%
50 The flow rate of whole and submandibular/sublingual gland saliva in
patients receiving replacement complete dentures Wolff A, Ofer S, Raviv M, Helft M, Cardash HS J Oral Rehabil 2004 ; 31 : 340−343 Level
10 5

8 11 1
2 3 5

t Kolmogorov−Smirnov
2 0.400.45 ml/min
0.48 ml/min0.65 ml/min
0.58 ml/min 0.690.74 ml/min
0.81 ml/min0.97 ml/min
0.81 ml/min


3
51 The effect of diet on the bearing mucosa during adjustment to new
complete dentures: A pilot study Cleary TJ, Hutter L, Blunt-Emerson M, Hutton JE J Prosthet Dent 1997 ; 78 : 479−485 Level 14
7 7
10
1
3 6 10




8 95.35 ±59.35 21 43 36 12.36 ±13.23 11.07±13.49
23.93±26.11 22.57 ±27.14 0 1 292 283 14 0
431 212 293 7 432114
7
E3
E2EE
76
1 812 1 1216 2 50 50




52 2002 ; 46 : 530−538 Levelb
63
33 30

transfer
medium0.05 0.1M PBS
6
MRSA C. albicansC. glabrataC. tropicalisC. krusei
ASTY 4 B

1 22009
MRSA
C. albicansC. glabrataC. tropicalis
C. albicans B
C. albicans C. glabrata C. tropicalisC. krusei

53 Colonization of denture plaque by respiratory pathogens in dependent
elderly Sumi Y, Miura H, Sunakawa M, Michiwaki Y, Sakagami N Gerodontology 2002 ; 19 : 25−29 Levelb

50 26 24 6089
74.9
35±2 48
18 Streptococcus spp.98Candida spp.80
Neisseria spp.64
Enterobacter cloacae 18Klebsilla
2009
pneumoniae16Staphylococcus aureus10 50 23



54 Oral conditions and aptitude to receive implants in patients with
removable partial dentures: A cross-sectional study. Part 1. Oral conditions
Bassi F, Mantecchini G, Carossa S, Preti G J Oral Rehabil 1996 ; 23 : 50−54 Levelb
57 29 28 57
D0 1/3 D 1/3
2/3D 2/3 Dn=6 n=38n=13 3
1 mm D01 mm D2 mm
D D0DD
D

χ2





55 Periodontal considerations in an overdenture population Ettinger RL, Jakobsen J Int J Prosthodont, 1996 ; 9 : 230−238 Levela 254 157 97
58.6
13.8 1 (
) 6

10 1 5 test-retest
2009
1 10.7 8
50 1 15.1 3
40

2 mm
2 mm

3 4
56 Studies of changes in occlusion after the insertion of complete dentures
(part II) Utz KH J Oral Rehabil 1997 ; 24 : 376−384 Levela 3 1

26
1 22009
EE
E2E2
81
3 1 Wilcoxon

0.62±0.04 mm0.041.76 mm 0.89±0.72 mm0.013.06 mm
0.77±0.85 mm 00.5 mm 7.70.51.0 mm 26.9%1.01.5 mm
32.7%1.52.0 mm 15.4%2.02.5 mm 11.5%2.53.0 mm 1.9%
3.0 mm 3.8%

170-0003 1-43-9