首页|无牙颌患者初戴全口义齿联合咬胶进行口腔功能训练的初步评价

无牙颌患者初戴全口义齿联合咬胶进行口腔功能训练的初步评价

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目的:比较无牙颌患者经过初次全口义齿修复后通过咬胶干预前后的咀嚼效率、最大咬合力、黏膜压痛数量等的变化,并进行满意度调查,从而评估咬胶干预后的治疗效果.方法:选取在我院口腔修复科就诊的 30 名无牙颌患者(3 个月前拔除口内余牙),随机分为A、B两组(n=15),A组为全口义齿修复后咬胶干预为主的干预组,B组为全口义齿修复后不做任何处理的对照组.两组在修复后即刻、3、6 个月用Viewgum色彩分析软件测试咀嚼效率,咬合力测试仪测试最大咬合力,记录黏膜压痛数量、并且在修复完成 6 个月后行满意度调查.结果:修复后即刻两组咀嚼效率差异没有统计学意义(P>0.05),3、6 个月时差异有统计学意义(P<0.05).修复后即刻两组最大咬合力差异无统计学意义(P>0.05),3、6 个月时差异有统计学意义(P<0.05).修复后 3、6 个月两组黏膜压痛数量差异无统计学意义(P>0.05).修复后 6 个月美观、发音、舒适度方面满意度,两组差异无统计学意义(P>0.05),固位与稳定、咀嚼效率差异具有统计学意义(P<0.05).结论:无牙颌患者全口义齿修复经过咬胶干预后,有利于改善咀嚼效率和最大咬合力,修复后临床满意度较高;咬胶可作为无牙颌患者全口义齿修复后的临床辅助品,为义齿修复提供更高的成功率.
Preliminary evaluation of oral functional training in edentulous patients wearing full dentures combined with chewing gum
Objective:To compare the changes of chewing efficiency,maximum bite force and number of mucosal tenderness before and after chewing gum intervention in edentulous patients after the initial full denture restoration,and to conduct a satisfaction survey to evaluate the treatment effect after chewing gum intervention.Methods:A total of 30 edentu-lous patients(with oral residual teeth extracted before 3 months)who were treated in the Department of Prosthodontics of our hospital were randomly divided into two groups A and B(n=15).The two groups were tested with Viewgum color analysis software immediately,3 and 6 months after restoration,the maximum bite force was measured by the bite force tester,the num-ber of mucosal tenderness was recorded,and satisfaction surveys were conducted 6 months after the completion of repair.Re-sults:There was no statistically significant difference in masticatory efficiency immediately(P>0.05),and there was statisti-cally significant difference at 3 and 6 months between two groups(P<0.05).The statistical difference immediately was not significant(P>0.05),the difference at 3 and 6 months was statistically significant at maximum bite force between two groups(P<0.05).The number of mucosal tenderness between two groups was no significant difference at 3 and 6 months(P>0.05).There was no significant difference between the two groups in terms of aesthetics,pronunciation and comfort(P>0.05),but there were statistically significant differences in retention and stability and chewing efficiency(P<0.05)at 6 months after restoration.Conclusion:The restoration of full dentures in edentulous patients is beneficial to improve the chewing efficiency and maximum bite force after the intervention of chewing gum,and the clinical satisfaction after restoration is high.

Full denturesChewing gumChewing efficiencyMaximum bite force

石璐、张海兵、霍欢

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国药一机医院 内蒙古医科大学第四附属医院口腔修复科 内蒙古 包头 014030

全口义齿 咬胶 咀嚼效率 最大咬合力

2022年度内蒙古自治区卫生健康科技计划项目

202202313

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(10)