Responsiveness of the different methods for assessing the short-term within-subject change in masticatory function after conventional prosthetic treatments

The Journal of Prosthetic Dentistry
Javier MonteroCristina Gómez-Polo

Abstract

Improvement in the masticatory function after replacing missing teeth is one of the main expected outcomes that need to be comprehensively measured with both clinical and patient-centered assessments. An evaluation of the responsiveness of these methods is lacking. The purpose of this clinical study was to assess the responsiveness of both objective and subjective methods for measuring the impact of different conventional prostheses on masticatory function at prosthesis delivery and 2 months later. Participants (N=118) requiring prosthetic rehabilitation were selected from patients attending the Faculty of Dentistry of the University of Salamanca. Masticatory function was assessed by means of subjective methods (self-rated ordinal scales, visual analog scale, and food intake ability questionnaire) at baseline and 2 months after treatment. The ability to mix 2-colored chewing gum after 5, 10, and 15 cycles was also evaluated objectively. The responsiveness of each method was categorized by the effect size (ES) as low (<0.5), moderate (0.5 to 0.8), or large (>0.8). The study revealed that in all subgroups, the masticatory function improved 2 months after the treatment. The most responsive method was the visual analog scale (ES: 1...Continue Reading

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