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AuthorAlmufleh, Balqees
AuthorEmami, Elham
AuthorAlesawy, Aminah
AuthorRodan, Rania
AuthorMorris, Martin
AuthorUmebayashi, Mayumi
AuthorTamimi, Faleh
Available date2021-12-09T10:17:39Z
Publication Date2020-06-01
Publication NameJournal of Prosthodontics
Identifierhttp://dx.doi.org/10.1111/jopr.13169
CitationAlmufleh, B., Emami, E., Alesawy, A., Rodan, R., Morris, M., Umebayashi, M. and Tamimi, F. (2020), Patient-Reported Outcomes of Metal and Acrylic Resin Removable Partial Dentures: A Systematic Review and Meta-Analysis. Journal of Prosthodontics, 29: 378-386. https://doi.org/10.1111/jopr.13169
URIhttp://hdl.handle.net/10576/25458
AbstractMetal removable partial dentures (RPDs) are often considered long-term treatment options for partially edentulous patients, while acrylic resin RPDs are considered interim treatments. The aim of this review was to compare metal and acrylic resin RPDs regarding patient-reported outcomes for partially edentulous individuals. Four databases (MEDLINE, EMBASE, CENTRAL, and Web of Science) were systematically searched for observational studies and randomized controlled trials comparing patient-reported outcomes between metal and acrylic resin RPDs. The primary outcome was patient satisfaction. Included studies were assessed for risk of bias using the Cochrane risk of bias in nonrandomized studies of interventions tool (ROBINS-I) and the Cochrane Collaboration Risk of Bias Tool for Randomized Controlled Trials. The level of evidence was evaluated using Oxford Center for Evidence-based Medicine tool. A random-effects model was used to analyze the data. A total of 15 studies were included in the systematic review; 10 in the meta-analysis. The pooled effect size for patient satisfaction and oral health-related quality of life showed no statistical significant difference between metal and acrylic resin dentures (0.22, 95% confidence interval -0.01, 0.45, p = 0.06; 1.45, 95% confidence interval -2.43, 5.33, p = 0.46, respectively). Compliance with using RPDs was significantly higher in patients with metal compared to patients with acrylic resin dentures (pooled odds ratio = 0.57, 95% confidence interval 0.45, 0.73, p < 0.001). Most studies had critical to serious risk of bias and low level of evidence. The reviewed studies showed that there was no significant difference between metal and acrylic resin RPDs in patient satisfaction and oral health-related quality of life. Metal dentures were associated with higher patient compliance rates and were preferred more by patients compared to acrylic resin dentures. However, the reviewed studies had low levels of evidence and therefore, high-quality randomized controlled trials are needed to conclusively address the question of this review.
Languageen
PublisherWiley
SubjectPatient satisfaction
denture bases
oral health-related quality of life
partially edentulous
TitlePatient-Reported Outcomes of Metal and Acrylic Resin Removable Partial Dentures : A Systematic Review and Meta-Analysis
TypeArticle
Pagination378-386
Issue Number29
dc.accessType Open Access


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