Abstract
Statement of problem
Different criteria have been developed and used for the clinician evaluation of removable
complete denture (CD) quality. However, the optimal criteria under a specific clinical
or research purpose are unclear.
Purpose
The purpose of this systematic review was to identify the development and clinical
parameters of criteria for the clinician evaluation of CD quality and to evaluate
the measurement properties of each criterion.
Material and methods
An electronic search was conducted through PubMed, Scopus, and Cochrane Database of
Systematic Reviews from database inception to April 2022. A hand search was conducted
based on the references in the included studies. The measurement properties of the
included CD quality criteria were assessed based on the consensus-based standards
for the selection of health measurement instruments (COSMIN) checklist and a previous
study. The articles that supported the measurement properties of the original CD quality
criteria were also included.
Results
Of the 282 abstracts reviewed, 22 clinical studies were included; 17 original articles
that developed a new CD quality criterion and 5 articles that additionally supported
measurement properties of the original criterion. There were 18 CD quality criteria
with 2 to 11 clinical parameters in each criterion, predominantly denture retention
and stability, followed by denture occlusion and articulation, and vertical dimension.
Sixteen criteria possessed criterion validity shown by its associations with patient
performance or patient-reported outcomes. Responsiveness was reported when a CD quality
change was detected after delivery of a new CD, denture adhesive use, or during postinsertion
follow-up.
Conclusions
Eighteen criteria have been developed for clinician evaluation of CD quality with
various clinical parameters, predominantly retention and stability. None of the included
criteria met all measurement properties in the 6 assessed domains, but more than half
of them had relatively high-quality assessment scores.
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Article info
Publication history
Published online: February 14, 2023
Publication stage
In Press Corrected ProofFootnotes
Funding: Supported by Ratchadapiseksompotch Fund Chulalongkorn University [Grant no: ReinUni_65_02_32_33]
Identification
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© 2023 by the Editorial Council for the Journal of Prosthetic Dentistry.
