两种型全口义齿修复后患者咀嚼效率及咬合力的比较研究
Clinical research on masticatory efficiency and force in the two types of complete denture
王佩露 1魏煦 2杨晓静 3聂蓉蓉 4孟翔峰5
作者信息
- 1. 南京大学医学院附属口腔医院(南京市口腔医院)口腔修复科,江苏 南京(210000);南京市高淳人民医院口腔科,江苏 南京(211300)
- 2. 南京大学医学院附属口腔医院(南京市口腔医院)口腔修复科,江苏 南京(210000)
- 3. 南京大学医学院附属口腔医院(南京市口腔医院)修复工艺科,江苏 南京(210000)
- 4. 南京大学医学院附属口腔医院(南京市口腔医院)老年诊疗中心,江苏 南京(210000)
- 5. 南京大学医学院附属口腔医院(南京市口腔医院)口腔修复科,江苏 南京(210000);南京大学医学院附属口腔医院(南京市口腔医院)修复工艺科,江苏 南京(210000)
- 折叠
摘要
目的 评价解剖式与舌向集中全口义齿修复后患者的咀嚼效率、咬合功能指标及患者满意度.方法 选取2021 年 4 月—12 月南京市口腔医院修复科无牙颌患者 20 例,随机分为两组,分别为两组患者制作解剖式全口义齿与舌向集中全口义齿,在义齿使用 1 个月时通过吸光度法对两种型全口义齿咀嚼效率进行测定,使用TeeTester咬合分析系统测定两组患者相关咬合功能指标同期进行全口义齿满意度调查表.采用SPSS 20.0 对数据进行统计学分析.结果 舌向集中组咀嚼效率、咬合功能指标低于解剖式组,患者满意度中大部分项目亦低于解剖式组,在语音恢复方面上高于解剖式组,其中COF-y差异具有统计学意义(P＜0.05).结论 舌向集中型式全口义齿与解剖式型式全口义齿在咀嚼效率、咬合功能及患者满意度方面差异并无统计学意义;舌向集中型全口义齿在患者的掌握、适应及日常使用上具有较好表现.
Abstract
Objective In this study,we compared the masticatory efficiency,occlusal functional indexes,and satisfaction of lingual-ized occlusion(LO)vs.anatomic occlusion(AO)and discussed the difference between these occlusions.Methods Twenty edentulous patients were included in this clinical trial during 2021 April to December.They were divided into 2 groups according to their denture occlusion.Masticatory efficiency was tested by chewing the same amount of peanuts(by weight)and then the absorption of the solution was compared under a spectrophotometer after wearing dentures for 1 month.The TeeTester occlusion analysis system was used to test masticatory function,and satisfaction research was conducted for the edentulous patients at this time point as well.Finally,statistical analyses were conducted to compare the difference in masticatory efficiency between AO and LO by SPSS 20.0.Results The indexes of LO were worse than AO in masticatory efficiency,masticatory function and most of satisfaction research,while LO was better than AO in speech recovery.The difference was only statistically significant in COF-y of masticatory function(P＜0.05).Conclusion LO is similar with AO in terms of masticatory efficiency,satisfaction and denture stability;LO has good performance in denture's fit and use for patients.
关键词
全口义齿/解剖式/舌向集中/咀嚼效率/满意度Key words
complete denture/anatomic occlusion/lingualized occlusion/masticatory efficiency/satisfaction引用本文复制引用
出版年
2024
NETL
NSTL
万方数据