Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-26T20:16:37Z No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-08T21:50:09Z (GMT) No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) / Made available in DSpace on 2016-08-08T21:50:09Z (GMT). No. of bitstreams: 1 AnaLuisaDeBarrosPascoal_DISSERT.pdf: 1689211 bytes, checksum: 370df885675ac064f8be47a40a7d2cf4 (MD5) Previous issue date: 2016-03-07 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Os m?todos tradicionais de confec??o de pr?teses totais exigem uma ampla sequ?ncia de procedimentos cl?nicos e laboratoriais, entretanto, n?o h? evid?ncia cient?fica de que eles produzam resultados superiores aos m?todos simplificados. Objetivo: Avaliar a efetividade de uma t?cnica simplificada (S) para confec??o de pr?tese total, comparando-a a tradicional (T), atrav?s da efici?ncia mastigat?ria e da avalia??o da qualidade das pr?teses. M?todo: Realizou-se um ensaio cl?nico controlado randomizado com 50 pacientes, 25 reabilitados com pr?teses totais duplas produzidas pela t?cnica tradicional e 25 reabilitados por uma t?cnica simplificada. Avaliou-se a efici?ncia mastigat?ria pelo m?todo colorim?trico com o aux?lio de uma c?psula mastigat?ria. A qualidade das pr?teses foi obtida por meio do instrumento desenvolvido por Sato et al. em 1998. Resultados: 39 pacientes conclu?ram o estudo, sendo 18 do grupo tradicional e 21 do grupo simplificado. N?o houve diferen?a entre os grupos para a efici?ncia mastigat?ria (p=0.835). Um paciente apresentou pr?tese com qualidade ruim (grupo S), nove com qualidade regular (T= 3; S=6) e 29 pacientes apresentaram pr?teses com qualidade boa (T= 15; S= 14), sem diferen?as entre os grupos. A qualidade das pr?teses obteve diferen?a significativa para a atura do rebordo inferior (p=0.05). Conclus?o: as pr?teses totais duplas confeccionadas pelo m?todo simplificado foram consideradas eficazes do ponto de vista da efici?ncia mastigat?ria e da qualidade das pr?teses, apresentando resultados semelhantes ?s confeccionadas pelo m?todo tradicional. / Traditional methods for dentures fabrication require a wide clinical and laboratory procedures; however, there is no scientific evidence that these methods can produce better results when compared with simplified methods. Aim: To evaluate the effectiveness of a simplified methods for denture fabrication, comparing it to the traditional one through masticatory efficiency and prosthesis quality. Method: A randomized controlled trial was conducted with 50 patients, 25 rehabilitated with prosthesis produced by traditional technique and 25 rehabilitated by a simplified technique. The masticatory efficiency was evaluated by colorimetric method, using chewing capsules. The quality of prosthesis was obtained using a reliable and reproducible instrument. Statistical analysis of the masticatory efficiency and quality of the prosthesis was obtained by the Mann-Whitney test. Results: 39 patients completed the study, 18 on traditional group and 21 on simplified group. There was no difference between groups for the masticatory efficiency (p = 0.835) and the quality of the prosthesis (p = 0672). The evaluation of the overall quality of the prosthesis according to oral conditions, demonstrated significant difference on the height of the mandibular ridges (p = 0.010) and mandibular muscle attachments (p = 0.039). Conclusion: Complete dentures fabricated by simplified method were considered effective from the point of view of masticatory efficiency and quality of prosthetics, with results similar to those made by the traditional method.