{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:51:05Z","timestamp":1791611465163,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002842","name":"Chiang Mai University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002842","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Prosthodontics"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the patient's denture assessment (PDA) cutoff values for classifying treatment needs in patients wearing conventional complete dentures (CCDs) and implant\u2010retained overdentures (IODs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Ninety\u2010six edentulous patients wearing mandibular CCDs or IODs (with opposing maxillary CCDs) for \u22653 months were clinically categorized into three treatment\u2010need groups: no treatment required (G1), chairside maintenance required (G2), and laboratory modification required (G3) for the denture. The participants then completed the 19\u2010item PDA using a 100\u2010mm visual analogue scale. Data were analyzed using Spearman's rank correlation for association between PDA scores and treatment needs, Kruskal\u2013Wallis tests for pairwise comparisons, and multinomial logistic regression to evaluate the association between the PDA subscale scores and treatment needs. Receiver operating characteristic curves were used to identify optimal PDA cutoffs on the basis of the highest Youden's index values alongside likelihood ratios (LRs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall PDA scores correlated significantly with treatment needs (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.606,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001). Overall PDA scores differed significantly between G3 and G1 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.001) and between G3 and G2 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.02), but did not differ significantly between G1 and G2. For discriminating G3 from G1\/G2, the optimal cutoff score was \u226483\u00a0mm (area under the curve [AUC]: 0.96, sensitivity: 0.86, specificity: 0.91, positive LR [LR+]: 6.6, negative LR [LR\u2212]: 0.1). To identify any treatment need (G2\/G3 vs. G1), the optimal cutoff score was \u226491\u00a0mm (AUC: 0.79, sensitivity: 0.81, specificity: 0.70, LR+: 2.7, LR\u2212: 0.3). Lower \u201cupper denture\u201d subscale scores were significantly associated with the need for laboratory modifications (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PDA is an effective clinical screening tool for complete\u2010denture treatment needs, particularly for identifying laboratory\u2010modification requirements. Suggested overall PDA cutoff scores are 84\u201391\u00a0mm for chairside adjustments and \u226483\u00a0mm for laboratory modifications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jopr.70252","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:31:31Z","timestamp":1791610291000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient's denture assessment cutoff values for classifying denture\u2010treatment needs in removable complete denture wearers"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8783-3536","authenticated-orcid":false,"given":"Tin Thinzar","family":"Linn","sequence":"first","affiliation":[{"name":"Department of Prosthodontics Faculty of Dentistry Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phichaya","family":"Phimonwongsaphor","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Faculty of Dentistry Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6087-0057","authenticated-orcid":false,"given":"Pinpinut","family":"Wanichsaithong","sequence":"additional","affiliation":[{"name":"Department of Family and Community Dentistry Faculty of Dentistry Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-6618","authenticated-orcid":false,"given":"Pimduen","family":"Rungsiyakull","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Faculty of Dentistry Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"issue":"11","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.47310\/jpms2025141125","article-title":"Evaluation of removable prostheses and oral conditions in long\u2010term denture wearers: a clinical study","volume":"14","author":"Ashok Thakare A","year":"2025","journal-title":"J Pioneer Med Sci"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.1993.tb00783.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103913(03)00158\u20106"},{"issue":"3","key":"e_1_2_9_5_1","first-page":"245","article-title":"Association between oral stereognostic ability and masticatory performance in aged complete denture wearers","volume":"20","author":"Ikebe K","year":"2007","journal-title":"Int J Prosthodont"},{"issue":"4","key":"e_1_2_9_6_1","first-page":"1","article-title":"Bone resorption processes in patients wearing overdentures. 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