無歯顎者の頬舌的顎堤断面形態の診査における主観的評価と客観的評価の関係

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  • The Relationship between Subjective Evaluation and Objective Evaluation in the Examination of the Buccolingual Residual Ridge Shape of Edentulous Patients

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Purpose: In daily clinics, appropriate examination of thebuccolingual residual ridge shape is critical for complete denture treatment. To clarify the possibility of establishing standards for improving the reproducibility of objective evaluations, the relationship between conventional subjective evaluation by several dentists and objective evaluation by model measurement was evaluated.<BR>Methods: The right and left first molar regions in study models (100 sets) of edentulous maxillas and mandibles were evaluated.<BR>Subjective evaluation using a four-grade scale (U shaped, U-V shaped, V shaped, flat) was performed by sixteen dentists (eight with less than 3 years of clinical experience, eight with more than 7 years of clinical experience).<BR>Objective evaluation (breadth of the residual ridge) was performed with digital vernier calipers. The relationship between objective evaluation and subjective evaluation was studied.<BR>Discrimination values for objective evaluation were determined at changeover points for each rate of subjective evaluation.<BR>In addition, we studied agreement between subjective evaluation and objective evaluation as determined by the discrimination values.<BR>Results: Marked variation was noted in subjective evaluation depending on the individual and number of years of clinical experience. Discrimination values were obtained from subjective evaluation by the dentists with more than 7 years of clinical experience: for the maxilla, “V” and “U-V” were 7 mm and “U-V” and “U” were 9 mm; for the mandible, “V” and “U-V” were 5 mm and “U-V” and “U” were 7 mm. Agreement of the subjective evaluation based on these discrimination values was extremely low regardless of the individual's clinical experience.<BR>Conclusions: Reproducibility of subjective evaluation of the residual ridge shape was low. Thus, we need to establish a reproducible and more universally effective evaluation method of residual ridge examination.

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