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Thesis

French

ID: <

10670/1.3p9zgh

>

Where these data come from
Evaluation of the quality of prosthetic rehabilitations performed at the Clermont-Ferrand University Hospital.

Abstract

This work described the manner in which the quality of prosthetic dental care performed at the Clermont-Ferrand University Hospital was evaluated. In that context, quality of care was defined according to Avedis Donabedian's concept through two dimensions : process and outome of care. Two different fields, the CAD/CAM dental prosthetics rehabilitations and implantprosthodontics were assessed using this method. Assessment of dental care processes for both prosthetic fields were performed using a series of indicators, such as the International Dental Federation clinical evaluation criteria for restorations and criteria for implant success. Through this evaluation, validated dental care processes could be largely diffused amongst dental practitioners. Moreover, self-assessment by pratcitioners using indicators than can be measured against evidenced-based points of reference could set up an evaluation of professional practice procedure. Two aspects were explored to assess the care outcome. Firstly, the masticatory function was evaluated through the use of objective criteria (kinetic parameters and food bolus granulometry measurement). Secondly, the oral health related quality of life and the prosthetic satisfaction were assessed using subjective criteria (questionnaires). This particular aspect of practices’ evaluation could be a supporting argument to justify therapeutic options. Subsequently, associated medicoeconomic studies could argue in favor of choosing innovative therapeutic approaches within a public health context.

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