Skip to main content
Download PDF

The Patient’s Denture Assessment (Thai version) is a valid and reliable tool for evaluating the outcome of treatment with complete denture

BMC Oral Health volume 21, Article number: 56 (2021) Cite this article

Abstract

Background

Complete tooth losses are still being major problems which resulted in lesser quality of life especially for elderly patients. However, there are still lack of questionnaire to evaluate the treatment outcome from the patient’s aspect. The objective of this study is to evaluate the reliability and validity of the Patient’s Denture Assessment-Thai version (PDA-T), then use this questionnaire to assess patient satisfaction with complete denture treatment outcome also investigates the factors involving their satisfaction.

Methods

The subjects comprised 120 edentulous adult patients (49 men/71 women; average age 70 years-old) from the Prosthodontic and the Geriatric Dentistry and Special Patients Care Clinic at the Faculty of Dentistry, Chulalongkorn University during 2019 March‒2020 March. The patients were divided into two groups: the group experienced (Exper) (n = 54) with wearing complete dentures, and the non-experienced (NonExper) group (n = 66). The patients used the validated PDA-T to self-assess their treatment at different times. The Exper group completed the questionnaire at t0 (during treatment), t0.5 (2‒8-weeks after t0), and t1 (final follow-up). The NonExper group completed the questionnaire only at t1.

Results

In the Exper group, Cronbach’s α and average inter-item correlation was 0.95 (range 0.76‒0.95) and 0.47 (range 0.57‒0.83), respectively. The intraclass correlation coefficients (n = 18, 95% confidence interval) were 0.98 overall. The paired t-test (p < 0.05) between t0 and t1 indicated a significant difference between t0 and t1 in every PDA-T topic, and the effect size was 1.71. In the NonExper group, the Pearson correlation analysis indicated no significant correlation between the patients' demographics and masticatory function.

Conclusion

The reliability and validity of the PDA-T indicate it is a valuable tool for evaluating complete denture treatment. Treatment success affected the patients' satisfaction but was not associated with the type of doctors, genders, ages, or educational level.

Peer Review reports

Background

Although oral health prevention and promotion methods have improved, tooth loss remains a problem at the national level in some countries [1]. According to the 8th National Oral health survey in Thailand, the amount of tooth loss remains high and results in major oral problems. There are many studies on the relationship between tooth loss and oral health related quality of life, specifically in aging people [2, 3]. Moreover, many surveys [4,5,6,7] have demonstrated a significant decline in Quality of Life (QoL) when people lose teeth and when denture wearers cannot adapt to their new prosthesis. A study using the Oral Impacts on Daily Performance Index (OIDP) found increased problems from tooth loss and a significantly decreased QoL for the five distal teeth [8]. The prosthesis for an edentulous ridge can be a partial or total denture that restores function and appearance [9]. For edentulous patients, conventional complete denture treatment remains the treatment of choice compared with an implant-retained denture for its simple and inexpensive procedures [10,11,12].

Many previous studies have used General Oral Health Assessment Index (GOHAI) [13, 14], Oral Health Impact Profile (OHIP) [15], or Oral Impacts on Daily Performance Index (OIDP) [16], to interpret patients’ Oral Health related Quality of Life (OHRQoL) [17, 18]. However, The Patient’s Denture Assessment (PDA) [9], determines QoL based on aspects of wearing a complete denture. The optimum denture treatment outcome requires a careful, systematic evaluation of the existing tissue and oral conditions to accurately fabricate the denture. At every clinical step, dentists and patients (including the patients’ family) share their opinions and evaluate the step results, such as tooth color selection, tooth arrangement try-in or the clinical remount for the occlusion. Furthermore, when using the denture, reevaluation and recall after a period of denture usage is needed. The success of prosthodontic treatment should be evaluated both by dentists and patients aspect [19,20,21]. Therefore, at the final follow-up visit, the patient’s evaluation of their denture should considered by two-way communication with the dentist. A patient-centered evaluation is an important part of successful denture treatment. Patient satisfaction is usually determined by various factors, including pain, well-fitting, esthetics, retention, stabilization, sense of comfort, and the denture’s chewing ability [9]. A valid and reliable multidimensional self-assessment tool to evaluate patients’ satisfaction and a clinical examination of the denture is needed, so that the dentist can identify the patient-based factors affecting treatment success.

The PDA is an instrument for patient self-assessment. This questionnaire was originally developed in Japanese for edentulous patients with complete dentures at the Tokyo Medical and Dental University, Japan [22]. The PDA allows the patient to self-assess their satisfaction with their complete dentures based on perceptions and feelings [9, 22]. The PDA is used for making a diagnosis, determining the prognosis, and comparing the efficacy of the complete denture (before and after treatment) [9]. Some questionnaires that use many different factors to evaluate the treatment result and measure QoL have not had their reliability and validity determined, however, some methods included several questions concerning the multidimensional evaluation of patient satisfaction [21, 23,24,25].

The PDA Thai version (PDA-T) was developed using the WHO cross-cultural process. After psychometric (face validity and content validity) testing, an additional question was added to the PDA-T for a total of 23 questions (Table 1) [26]. The purpose of this study was to evaluate the reliability and the validity of the PDA-T, and then use this self-assessment form to evaluate Thai patients’ satisfaction toward the complete denture outcome and also investigates the factors involving their satisfaction which included: type of doctor (undergraduate/postgraduate dental student), ages, genders, and highest education. The hypotheses in this study were that the PDA-T is a valid and reliable tool for evaluating the outcome of the complete denture treatment.

Table 1 Question items of PDA-T
Full size table

Methods

The patients in this cross-sectional study were randomly selected from the undergraduate clinic (UG), postgraduate Prosthodontic Clinic, and postgraduate Geriatric Dentistry and Special Care Clinic (PG), Dental Hospital, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand during 2019 March‒2020 March. The participants were edentulous patients which divided into two group. The first group was those who had received a complete denture before referred as “experienced group” (Exper), and the second group had never received a complete denture referred as “non-experienced group” (NonExper). From G*Power calculation, suggested that at least 46 patients were necessary to find a significant effect: effect size at 0.50, α < 0.50, and 95% power. The inclusion criteria were that the participants could read and respond in Thai and were without any signs of dementia or any mental disabilities. While the exclusion criteria were that the patient cannot respond consciously or understandably and were not involved as a faculty’s patients. The study protocol was approved by the Human Research Ethics Committee at the Faculty of Dentistry, Chulalongkorn University (HREC-DCU 2019–004). Consent forms were signed prior to enrollment to the study.

The patients’ demographic information and chief complaint were collected. The patients’ satisfaction with their complete denture was measured using the PDA-T. In the Exper group, the participants completed the questionnaire two times: during treatment (t0), and after the final recheck (t1). Eighteen patients were randomly selected from the Exper group to determine test–retest reliability. This was done at any treatment step prior to the final follow-up (t1), and the PDA-T was repeated 2–8 weeks (t0.5). In the NonExper group, the patient complete the questionnaire only once at t1, the final recheck. The data were collected and evaluated by one investigator. Each of the questionnaires’ 6 topics had their own subtopics, comprising groups of items in that particular topic [26].

The patients were requested to mark their answer on the visual analog scale (VAS), where the right-end was the most positive (100), and the left-end was the most negative (0). The diagram for the study flow schematic was presented in Fig. 1. The Dental students treated the patients under the supervision of the faculty clinician from the first visit to the last visit. Thus, the treatment steps were standardized between cases.

Fig. 1
figure 1

Study flow schematic

Full size image

Exper group: Internal reliability was determined using the Cronbach’s α coefficient and the average relationship inter-item correlation tests. The ideal range of the average inter-item correlation is 0.15‒0.50 [27, 28]; however, for clinically useful, the range should be between 0.30 and 0.80 [29]. The external reliability in this study, using the test–retest reliability index, was assessed by determining the intraclass correlation coefficient (ICC) and 95% confidence interval of the test–retest difference for 18 patients. The significant range of clinically acceptable agreement ≥ 0.75 [30]. Discriminant validity means the index can accurately distinguish the characteristics measured by other indicators with different theoretical structures [31]. To compare the PDA-T scores between t0‒t1 in the Exper group, the score was calculated by summing the VAS scores of the question items corresponding to each subtopic. We assessed the differences in PDA-T scores between t0 and t1 using the paired t-test. Furthermore, the summary score of all the question items was divided by the best possible score (it was 100 score per question). An increased value at t1 compared with t0 indicated a better score. The effect size compares the efficacy of different treatments by quantifying the size of the difference between treatments. The effect size in the Exper group was determined using Cohen’s d. Cohen’s d classifies effect sizes as small (d = 0.2), medium (d = 0.5), large (d = 0.8), and very large (d ≥ 1.3) [32].

NonExper group: The concurrent validity in this study using factors related between the undergraduate (UG) and postgraduate (PG) dental students, age, genders, and highest education with PDA-T score was tested by Pearson’s correlation, using the linear relationship criteria for the result (r+: direct linear relationship, r−: inverse linear relationship, r0: non-linear relationship) [33] with a significance level of 5%.

Statistical analysis

G-Power version 3.1 software (Erdfelder et al., 1996) was used for NonExper’s sample size analyses. SPSS version 20.0 (SPSS Bangkok, Thailand) was used for all statistical analyses. The sample size and the statistic evaluation were shown in Table 2.

Table 2 The sample size and the statistic evaluation for each investigation
Full size table

Exper group: The internal consistency of the PDA-T was assessed using Cronbach’s α and average inter-item correlation. The test–retest reliability was assessed with the intraclass correlation coefficients (ICCs) with a 95% confidence interval in 18 random patients (t0, t0.5). Values of p < 0.05 were considered significant for the paired t-test. The ability to detect change was determined based on effect size using Cohen’s d criteria.

NonExper group: Concurrent validity was determined using Pearson correlation at a significance level of 5%.

Results

There were 120 patients (49 men, 71 women) in this study. The demographics of the patients (49 men, 71 women; average age 70 years) are presented in Table 3. Of the 120 patients, 54 patients had received complete dentures at least once before and were placed in the Exper group. The remaining 66 patients who had never worn complete dentures before were assigned to the NonExper. We determined the mean and SD in each topic of the PDA-T0 and PDA-T1 from Table 4. These results revealed a significant increase from t0 to t1 in all subtopics in the Exper group. However, the Lower denture topic questions had the lowest.

Table 3 The denture wearing history of the participants (N = 120)
Full size table
Table 4 Mean values and standard deviations (SDs) for t0 and t1 patient’s denture assessment (PDA) scores in Exper and NonExper group (total n = 120)
Full size table

score compared with the other topics at both evaluation time points, while the least difference in scores between topics was in the Beauty and speech and Importance topics, as well as in Q13 and Q15 in the Expectation topic. At t1 in the NonExper group, there were no significant differences between subtopic scores. However, the Lower denture topic had the lowest score (under 90) in every subtopic.

PDA-T reliability and validity

Exper group

The internal consistency using Cronbach’s α and average inter-item correlation was 0.95 (range 0.76‒0.95) and 0.47 (range 0.57‒0.83) (Table 5). The test–retest reliability index assessed by determining the ICCs was 0.98, which indicated clinically significant reproducibility. The ICCs of the six subtopics ranged from 0.94 to 0.99 (Table 6). The results of the assessment of discriminant validity are presented in Table 7. The paired t-test demonstrated that the PDA-T1 score was significantly higher compared with the PDA-T0.

Table 5 Cronbach’s α and Average inter-item correlation coefficients assessed by t0-PDA (Exper group) scores (N = 54)
Full size table
Table 6 Test–retest reliability assessed by t0 and t0.5 patient’s denture assessment (PDA), Exper group, scores (N = 18)
Full size table
Table 7 Results of the paired t-test for t0 and t1 patient’s denture assessment (PDA), Exper group scores
Full size table

score. The mean summary scores increased from 1539 for the PDA-T0 score to 2155 for the PDA-T1 score. The pooled SD of all the patients was 360, thus, the Cohen’s d value of 1.71 indicated a large effect size.

NonExper group

From the sample size of 66, the concurrent validity using Pearson correlation between patients’ demographics and summary score (Table 8) revealed no significant association between clinics, ages, genders, and highest education [34].

Table 8 Result of Pearson correlation between patient’s information with summary score of t1-PDA of the NonExper group
Full size table

Discussion

The present study investigated the reliability and the validity of the PDA-T, and then used this self-assessment form to evaluate Thai patients’ satisfaction toward their complete denture experience. The results indicated that the PDA-T can be used to evaluate patient satisfaction with their denture treatment and results.

There is no information about the clinical and oral characteristics of the participants. However, we focused to collect the data from chair-side check and interviewing, randomly. The study participants in each group had problems based on missing teeth, ill-fitting complete dentures and poor chewing ability in the Exper and NonExper group, respectively. These results indicate that the Exper group focused on how well their complete denture fit. In contrast, in the NonExper group, the primary concern was to gain chewing ability according to Table 3. Therefore, Exper group are capable of varying the denture satisfaction which may have more concern problems than the NonExper group that more focusing into their chief complaint. Using the PDA-T, not only we can classify the patient’s problem, but also can be used as a guideline to communicate to varied characteristic of the patients. Which also means that using the PDA-T is patient-centered. Furthermore, the data indicated that the Exper group sought treatment due to a poor fitting denture after a period of having their denture (less than five years, 18.5%; more than five years, 81.4%), which most of the Exper patient experienced no more than 3 set of dentures. After the Cronbach’s alpha were applied to the result of the PDA-T score at t0, as shown in Table 5, it proved that the score is reliable. Therefore, the minimum years of having a fitting complete denture in this group was five years. The chief complaint in each group indicates that in edentulous patients a well-fitting and functioning denture is more important compared with their psychological and physical needs. The educational level of the participants’ data illustrated that most patients in each group were at the Primary-secondary school educational level. These results suggest patients with a Primary-secondary school education might suffer from tooth loss at an earlier age.

Both groups' treatment, by dental students, procedures were supervised by their respective faculty members, which standardized the procedures between the groups. In this particular, the supervisors’ data are not included in this study, which may differ the quality of treatment result. However, there were no other factors that differentiated the groups in concurrent validity.

The Exper group demonstrated various denture treatment needs before treatment (t0). However, the lower denture topic demonstrated the worst satisfaction scores pretreatment. After treatment, the lower denture subtopic average scores were still the lowest score compared with other subtopics in both groups but significantly higher than their old denture, according to Table 4. Which means that experiences are one of the factors that indicate the improvement of overall treatment satisfaction treatment and new dentures. The lower score of the lower denture’s function may indicate the efficacy of the treatment methods, e.g., an error in tooth arrangement or clinical re-mount. To identify the most sensitive step in denture treatment that affects the denture’s functioning requires further studies that include occlusal schemes and ridge height. The results of the present study demonstrated a high degree of reliability and validity. In the present study, the average inter-item correlation and Cronbach's α was used to determine internal consistency. The Cronbach's α summary score of 0.95 (range 0.76‒0.95) indicated similarity between subtopics, which are acceptable for clinical usefulness. Our results were similar to that of another study using the PDA [9]. However, the expectation topic, which comprised 3 subtopics, demonstrated the lowest score (0.76) between topics, which indicated that the number of questions affected the Cronbach's α score [35]. The average inter-item correlation was significantly different between the summary score (0.47) and the beauty and speech subtopic (0.83, demonstrating that the participant’s psychological and physical needs concerns were lower compared with other subtopics. Furthermore, Q16‒Q19 were similar, which may account for the highest score of the average inter-item correlation coefficients in the beauty and speech subtopic.

The ICCs of the test–retest reliability are typically determined with a 2 to 8 weeks interval between tests [9, 36,37,38]. All of the subtopic ICCs in our study were all close to 1.00, indicating that the PDA-T is reliable.

There was a significant difference in the summary score and the six subtopics scores before and after replacing the old dentures for the assessment of validity. The PDA-T score was significantly higher at t1 compared with t0 (p < 0.05). The greatest improvement was seen in the lower denture topic (approximately two-fold increase), implying the value of lower denture function. The treatment effect might be related to the dentist’s skill in lower denture fabrication. Thus, future studies should include the lower jaw and alveolar ridge anatomical information to better understand the impact of these factors on denture fabrication and treatment results. These results indicate that the PDA-T can detect differences in patients’ self-assessment between previous and new dentures.

The size effect is the amount of change and the indicator illustrates the effectiveness of the treatment. With an effect size of 1.71, this study demonstrated a large significant difference in scores between after-insertion (t1) and before-treatment (t0), indicating that an edentulous patient’s value functional ability more than other factors. However, the interval between completing the questionnaire might have affected the amount of change detected. If the participants completed the questionnaire longer after completing denture treatment, there might be a larger difference between the negative and positive effects of the denture treatment.

Most of the NonExper patients faced similar problems according to Table 3, and from the improving score in PDA-T1 from Table 4 indicated higher satisfaction in all the NonExper patients. Which can also describe that there was no significant difference between the patient demographics (genders, ages, education, and dentist’s skill level) that might affect the quality of the treatment in any category, according to Table 8. There are studies demonstrating that genders affects oral health, suggesting that females might have better oral health compared with males [39,40,41,42,43]. However, our Pearson correlation analysis found no significant correlation between genders and denture function. It may be intuitive to believe that aging is negatively correlated with oral health and their physical condition [2, 17, 44], however, studies have found no relationship between these factors [45,46,47,48,49]. Therefore, our results indicate that we can improve a patient’s oral health while their physical condition declines, such as restoring tooth loss with a denture that leads to a better quality of life. Social and economic status may be another factor affecting the oral related quality of life.

An educational index is a tool that is often used to determine socioeconomic status, especially in the elderly who do not have income from work. Prior studies demonstrated that education level positively correlates with oral hygiene related quality of life [2, 45, 46, 50,51,52]. However, other studies have not demonstrated a significant association between with educational level patient satisfaction [23, 34]. In contrast, the present study found a weak association between educational level and denture function. These findings suggest that the satisfaction of edentulous patients receiving a complete denture is controlled by their denture’s function, rather than any demographic aspects. Another aspect is whether the dentist ‘s skill level affects the denture-wearing patients’ the quality of life, which should be further explored in future studies. The fact that the treatment given between groups was supervised by Faculty members may explain why the dentist’s skill level did not affect the PDA-T results.

The present study demonstrated the excellent reliability and validity of the PDA-T. The PDA-T would be useful in clinical practice for understanding the patients’ opinion on their denture’s function, which important for the dentist to understand to be able to provide the best denture treatment. However, this study has limitation due to the short time between denture delivery and the final follow-up; therefore, additional studies are needed. For instance, comparing with OIDP or any standard indexes for quality-of-life evaluation.

Conclusion

Within the limitation of this study, the present study has demonstrated the reliability and validity of the PDA-T. Complete denture wearers considered denture function more important compared with their psychological and physical needs. It is suggested to use the PDA-T to evaluate the patients’ satisfaction with their denture to generate the optimum treatment results. Treatment successfulness affected the patients' satisfaction but was not associated with the type of doctors, genders, ages, or educational level.

Availability of data and materials

The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.

Abbreviations

GOHAI:

General Oral Health Assessment Index

OHIP:

Oral health impact profile

OIDP:

Oral Impacts on Daily Performance Index

OHRQoL:

Oral Health related Quality of Life

PDA:

Patient’s denture assessment

References

  1. Samcharoen-panit. The 8th National oral health survey report, 2017. Bangkok: Dental Health Bureau; 2018.

  2. Locker D. The burden of oral disorders in a population of older adults. Community Dent Health. 1992;9(2):109–24.

    PubMed  Google Scholar 

  3. Polzer I, Schimmel M, Müller F, Biffar R. Edentulism as part of the general health problems of elderly adults*. Int Dent J. 2010;60(3):143–55.

    PubMed  Google Scholar 

  4. Saintrain MV, de Souza EH. Impact of tooth loss on the quality of life. Gerodontology. 2012;29(2):e632–6.

    Article  PubMed  Google Scholar 

  5. Srisilapanan P, Korwanich N, Jienmaneechotchai S, Dalodom S, Veerachai N, Vejvitee W, et al. Estimate of impact on the oral health-related quality of life of older Thai people by the provision of dentures through the royal project. Int J Dent. 2016;2016:1976013.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Emami E, de Souza RF, Kabawat M, Feine JS. The impact of edentulism on oral and general health. Int J Dent. 2013;2013:498305.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Furuta M, Yamashita Y. Oral Health and Swallowing Problems. Curr Phys Med Rehabil Rep. 2013;1(4):216–22.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Somsak K, Kaewplung O. The effects of the number of natural teeth and posterior occluding pairs on the oral health-related quality of life in elderly dental patients. Gerodontology. 2016;33(1):52–60.

    Article  PubMed  Google Scholar 

  9. Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S. Reliability and validity of a questionnaire for self-assessment of complete dentures. BMC Oral Health. 2014;14(1):45.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Visser A, Meijer HJ, Raghoebar GM, Vissink A. Implant-retained mandibular overdentures versus conventional dentures: 10 years of care and aftercare. Int J Prosthodont. 2006;19(3):271–8.

    PubMed  Google Scholar 

  11. Zitzmann NU, Sendi P, Marinello CP. An economic evaluation of implant treatment in edentulous patients-preliminary results. Int J Prosthodont. 2005;18(1):20–7.

    PubMed  Google Scholar 

  12. Takanashi Y, Penrod JR, Lund JP, Feine JS. A cost comparison of mandibular two-implant overdenture and conventional denture treatment. Int J Prosthodont. 2004;17(2):181–6.

    PubMed  Google Scholar 

  13. Dable RA, Nazirkar GS, Singh SB, Wasnik PB. Assessment of oral health related quality of life among completely edentulous patients in Western India by Using GOHAI. J Clin Diagn Res. 2013;7(9):2063–7.

    PubMed  PubMed Central  Google Scholar 

  14. Kaushik K, Dhawan P, Tandan P, Jain M. Oral health-related quality of life among patients after complete denture rehabilitation: a 12-month follow-up study. Int J Appl Basic Med Res. 2018;8(3):169–73.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Sivakumar I, Sajjan S, Ramaraju AV, Rao B. Changes in oral health-related quality of life in elderly edentulous patients after complete denture therapy and possible role of their initial expectation: a follow-up study. J Prosthodont. 2015;24(6):452–6.

    Article  PubMed  Google Scholar 

  16. Gülcan F, Nasir E, Ekbäck G, Ordell S, Åstrøm AN. Change in Oral Impacts on Daily Performances (OIDP) with increasing age: testing the evaluative properties of the OIDP frequency inventory using prospective data from Norway and Sweden. BMC Oral Health. 2014;14:59.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11(1):3–11.

    PubMed  Google Scholar 

  18. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N, et al. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Commun Dent Oral Epidemiol. 2004;32(2):107–14.

    Article  Google Scholar 

  19. Chen JH, Huang HL, Lin YC, Chou TM, Ebinger J, Lee HE. Dentist-patient communication and denture quality associated with complete denture satisfaction among Taiwanese Elderly Wearers. Int J Prosthodont. 2015;28(5):531–7.

    Article  PubMed  Google Scholar 

  20. Mishra SK, Chowdhary R. Patient’s oral health-related quality of life and satisfaction with implant supported overdentures—a systematic review. J Oral Biol Craniofac Res. 2019;9(4):340–6.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Gjengedal H, Berg E, Boe OE, Trovik TA. Self-reported oral health and denture satisfaction in partially and completely edentulous patients. Int J Prosthodont. 2011;24(1):9–15.

    PubMed  Google Scholar 

  22. Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S, Sasaki Y. Association between self-assessment of complete dentures and oral health-related quality of life. J Oral Rehabil. 2012;39(11):847–57.

    Article  PubMed  Google Scholar 

  23. Turker SB, Sener ID, Özkan YK. Satisfaction of the complete denture wearers related to various factors. Arch Gerontol Geriatr. 2009;49(2):e126–9.

    Article  PubMed  Google Scholar 

  24. Forgie AH, Scott BJ, Davis DM. A study to compare the oral health impact profile and satisfaction before and after having replacement complete dentures in England and Scotland. Gerodontology. 2005;22(3):137–42.

    Article  PubMed  Google Scholar 

  25. Kawai Y, Murakami H, Shariati B, Klemetti E, Blomfield JV, Billette L, et al. Do traditional techniques produce better conventional complete dentures than simplified techniques? J Dent. 2005;33(8):659–68.

    Article  PubMed  Google Scholar 

  26. Orapin K, Sahaprom N. The cross-cultural adaptation for Patient’s Denture Assessment Thai version (PDA-T). J Dent Assoc Thailand. 2019;69(4):450–5.

    Google Scholar 

  27. Briggs SR, Cheek JM. The role of factor analysis in the development and evaluation of personality scales. J Pers. 1986;54(1):106–48.

    Article  Google Scholar 

  28. Clark L, Watson D. Constructing validity: basic issues in objective scale development. Psychol Assess. 1995;7:309–19.

    Article  Google Scholar 

  29. Petrillo J, Cano SJ, McLeod LD, Coon CD. Using classical test theory, item response theory, and rasch measurement theory to evaluate patient-reported outcome measures: a comparison of worked examples. Value Health. 2015;18(1):25–34.

    Article  PubMed  Google Scholar 

  30. Cicchetti DV, Sparrow SA. Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981;86(2):127–37.

    PubMed  Google Scholar 

  31. Streiner DL, Norman GR, Cairney J. Health Measurement Scales: a practical guide to their development and use. Oxford: Oxford University Press; 2015.

    Book  Google Scholar 

  32. Sullivan GM, Feinn R. Using effect size-or why the p value is not enough. J Grad Med Educ. 2012;4(3):279–82.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Rousseau R, Egghe L, Guns R. Chapter 4—statistics. In: Rousseau R, Egghe L, Guns R, editors. Becoming metric-wise. Oxford: Chandos Publishing; 2018. p. 67–97.

    Chapter  Google Scholar 

  34. Orapin K, Sahaprom N. A Pilot Study of Self-Assessment Evaluation using Thai version of Patient Denture Assessment (PDA-T). 4th Meeting of the International Association for Dental Research Asia Pacific Region (IADR-APR); 28–30 November 2019; Brisbane, Australia2019.

  35. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–5.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Bae KH, Kim HD, Jung SH, Park DY, Kim JB, Paik DI, et al. Validation of the Korean version of the oral health impact profile among the Korean elderly. Community Dent Oral Epidemiol. 2007;35(1):73–9.

    Article  PubMed  Google Scholar 

  37. Wong MC, Lo EC, McMillan AS. Validation of a Chinese version of the Oral Health Impact Profile (OHIP). Community Dent Oral Epidemiol. 2002;30(6):423–30.

    Article  PubMed  Google Scholar 

  38. Krisdapong S. Oral Health-Related Quality of Life. Bangkok: Chulalongkorn University; 2014. p. 428.

    Google Scholar 

  39. Swank ME, Vernon SW, Lairson DR. Patterns of preventive dental behavior. Public health reports (Washington, DC: 1974). 1986;101(2):175–84.

  40. Weintraub J. Gender differences in oral health research: beyond the dichotomous variable. J Dent Educ. 1993;57(10):753–8.

    Article  PubMed  Google Scholar 

  41. Copeland EP, Hess RS. Differences in young adolescents’ coping strategies based on gender and ethnicity. J Early Adolescence. 1995;15(2):203–19.

    Article  Google Scholar 

  42. Feingold A. Gender differences in personality: a meta-analysis. Psychol Bull. 1994;116(3):429–56.

    Article  PubMed  Google Scholar 

  43. Tamres LK, Janicki D, Helgeson VS. Sex differences in coping behavior: a meta-analytic review and an examination of relative coping. Pers Soc Psychol Rev. 2002;6(1):2–30.

    Article  Google Scholar 

  44. Atchison K, Dolan T. Development of the Geriatric Oral Health Assessment Index. J Dent Educ. 1990;54(11):680–7.

    Article  PubMed  Google Scholar 

  45. Peek CW, Gilbert GH, Duncan RP. Predictors of chewing difficulty onset among dentate adults: 24-month incidence. J Public Health Dent. 2002;62(4):214–21.

    Article  PubMed  Google Scholar 

  46. John MT, Koepsell TD, Hujoel P, Miglioretti DL, LeResche L, Micheelis W. Demographic factors, denture status and oral health-related quality of life. Commun Dent Oral Epidemiol. 2004;32(2):125–32.

    Article  Google Scholar 

  47. Brennan D, Spencer A. Comparison of a generic and a specific measure of oral health related quality of life. Commun Dent Health. 2005;22:11–8.

    Google Scholar 

  48. Tatiyapongpaiboon T, Limpuangthip N, Komin O. Oral Health-related Quality of life and related factors in the elderly patients who received dental treatment. Bangkok: Chulalongkorn University; 2019.

    Google Scholar 

  49. Cohen-Carneiro F, Souza-Santos R, Rebelo MAB. Quality of life related to oral health: contribution from social factors. Ciência & Saúde Coletiva. 2011;16:1007–15.

    Article  Google Scholar 

  50. Chavers LS, Gilbert GH, Shelton BJ. Racial and socioeconomic disparities in oral disadvantage, a measure of oral health-related quality of life: 24-month incidence. J Public Health Dent. 2002;62(3):140–7.

    Article  PubMed  Google Scholar 

  51. Tubert-Jeannin S, Riordan PJ, Morel-Papernot A, Porcheray S, Saby-Collet S. Validation of an oral health quality of life index (GOHAI) in France. Commun Dent Oral Epidemiol. 2003;31(4):275–84.

    Article  Google Scholar 

  52. Savolainen J, Suominen-Taipale AL, Hausen H, Harju P, Uutela A, Martelin T, et al. Sense of coherence as a determinant of the oral health-related quality of life: a national study in Finnish adults. Eur J Oral Sci. 2005;113(2):121–7.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by the undergraduate and postgraduate Prosthodontic clinic, and the Geriatric Dentistry and Special Patients Care Clinic. This study was performed in collaboration with the Department of Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

Funding

This research was supported by grants from the Faculty of Dentistry, Chulalongkorn University (DRF 62014), 2018. Financial support included for the data collection and presentation of results.

Author information

Authors and Affiliations

  1. Geriatric Dentistry and Special Patients Care Clinic, Dental Hospital, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

    Sahaprom Namano

  2. Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, 34 Henri Dunant Rd., Pathumwan, Bangkok, 10330, Thailand

    Orapin Komin

Authors
  1. Sahaprom Namano
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Orapin Komin
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

SN and OK supervised the study and contributed to the conception of the study. SN contributed to the data collection and statistical analysis. OK contributed to data interpretation. Both SN and OK revised the manuscript critically for important intellectual content and contributed to the drafting and finalizing of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Orapin Komin.

Ethics declarations

Ethics approval and consent to participate

Ethic approval was granted by the Research Ethics Committee of the Faculty of Dentistry, Chulalongkorn University (HREC-DCU 2019-004). The principal investigator is responsible for ensuring the confidentiality of the study documents and protecting the anonymity of all respondents. Written informed consent was provided by the patients prior to enrollment to the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Namano, S., Komin, O. The Patient’s Denture Assessment (Thai version) is a valid and reliable tool for evaluating the outcome of treatment with complete denture. BMC Oral Health 21, 56 (2021). https://doi.org/10.1186/s12903-021-01405-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1186/s12903-021-01405-6

Keywords

  • PDA-T
  • Complete denture
  • Reliability and validity
  • Self-assessment
  • Satisfaction

BMC Oral Health

ISSN: 1472-6831

Contact us