PubMed · 4913433
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A P Stephens. Points prosthetic 10. Post-insertion difficulties.. https://pubmed.ncbi.nlm.nih.gov/4913433/
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Maxillary defects are created by surgical treatment of benign or malignant neoplasms, congenital malformation and by trauma. The size and location of the defects influence the degree of impairment and difficulty in prosthetic rehabilitation. Lack of support, retention, and stability are common prosthodontic treatment problems for patients who have had a maxillectomy. A prosthesis used to close a palatal defect in a dentate or edentulous mouth is referred to as an obturator. The obturator prosthesis is used to restore masticatory function and improve speech, deglutition and cosmetics for maxillary defect patients.
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BACKGROUND AND DESIGN: No generally accepted method for classification of clinical quality of complete dentures exists. While various methods have been proposed, little effort has been made to test observer agreement. The purpose of this study was to test observer agreement in the clinical assessment of complete denture quality using a systematic classification. RESULTS: Fifty seven (57) complete denture-wearing patients were examined on two occasions separated by two weeks. Observer agreement was measured using Cohen's? (kappa). High levels of observer agreement were found for upper and lower retention and stability and for quality of retruded jaw relationship. CONCLUSION: High levels of operator agreement were found for a method for classification of clinical quality of complete dentures suggesting that the classification may be useful as a research tool.