Subjective clinical evaluation (Questionnaire)
dryness, pain
A validated questionnaire was employed to assess the comfort level of the patients. Prior to its use, the questionnaire underwent pilot testing with six prosthodontics experts who were involved in the study. These experts assessed both the content and face validity of the questionnaire. The content validity index per item ranged from 0.83 to 0.99, with an overall content validity score of 0.93 [Patients were requested to rate their comfort level in one of three categories: “bad”, “good”, or “excellent”. The absence of pain or discomfort was classified as “excellent”; mild discomfort as “good”, and moderate to severe discomfort was considered as “bad”.Socket discharge was categorized into three levels: mild, moderate, and severe, based on the amount of discharge observed. Lacrimation was assessed with a simple “yes” or “no” response. Similarly, lubrication frequency was categorized as “frequent” or “not frequent”. An increased need for lubrication indicated dryness and discomfort. Patients requiring lubrication 2–3 times daily were classified as “not frequent”, while those needing lubrication more than three times daily were classified as “frequent”.