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. 2018 Apr 4;2018(4):CD012256. doi: 10.1002/14651858.CD012256.pub2

Summary of findings 5. Complete dentures: different techniques, different materials.

Single‐stage with alginate versus two step‐two stage with ZoE for making dentures for completely edentulous people
Population: completely edentulous people
Setting: dental school hospital
 Intervention: single‐stage with alginate
 Comparison: two step‐two stage with ZoE
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) Number of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with ZoE Risk with alginate
Participant‐reported oral health‐related quality of life (OHIP‐EDENT)
 Follow‐up: 6 months Mean OHIP‐EDENT score
5.5
MD 0.5 higher
 (2.67 lower to 3.67 higher) 39
(1 RCT)
⊕⊝⊝⊝
 very low1 2  
Participant‐reported quality of the denture: general satisfaction
 Follow‐up: 6 months 25 per 1000 79 per 1000
 (4 to 1000) RR 3.15
 (0.14 to 72.88) 39
 (1 RCT) ⊕⊝⊝⊝
 very low1 2  
Number of border adjustments and sore spots after insertion of denture Not measured
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: confidence interval; RR: risk ratio; OR: odds ratio.
ZoE: zinc‐oxide eugenol
GRADE Working Group grades of evidenceHigh quality: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
 Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 Downgraded for indirectness due to the single study with only 39 participants included in this trial. Therefore, it is difficult to generalise.

2 Downgraded twice for serious imprecision, small sample size and wide 95% CI.