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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年6期

页码:

152-156

栏目:

出版日期:

2024-06-10

文章信息/Info

Title:

Effects of Transitional Denture on Occlusal Ability and Aesthetic Degree after Complete Denture Restoration in Patients with Dentition Defect

文章编号:

1008-6455（2024）06-0152-05

作者:

夏 菁; 杨 斌; 王 芳

(镇江市口腔医院种植修复科 江苏 镇江 212001 )

Author(s):

XIA Jing;  YANG Bin;  WANG Fang

( Department of Implant Restoration, Zhenjiang Stomatological Hospital, Zhenjiang 212001, Jiangsu, China )

关键词:

过渡性治疗义齿; 牙列缺失; 全口义齿; 咬合能力; 美观程度; 修复效果

Keywords:

transitional denture;  dentition defect;  complete denture;  occlusal ability;  aesthetic degree;  restoration eff ect

分类号:

R783.6

文献标志码:

A

摘要:

目的：探讨过渡性治疗义齿对牙列缺失患者全口义齿修复后咬合能力及美观程度的影响。方法：选取2019年3月-2022 年3月笔者医院收治的115例牙列缺失患者为观察对象，采用随机数字表法分为观察组（n=58）和对照组（n=57），对照组 施以常规全口义齿修复，观察组施以过渡性治疗义齿修复，比较两组戴牙3个月后的咬合能力、固位力与稳定性评分、压 痛点总个数，观察两组的发音情况、咀嚼效率与口腔健康状况、美观程度及临床疗效。结果：戴牙3个月后，两组颌位关 系指数评分与咬合力均显著升高，且观察组显著高于对照组(均P＜0.05)；两组固位力与稳定性评分显著升高，且观察 组显著高于对照组(均P＜0.05)；两组压痛点总个数均显著减少，发音情况评分均显著升高，且两组差异有统计学意义 ( 均P＜0.05)；两组咀嚼效率均显著升高，口腔健康评分均显著降低，且两组差异有统计学意义(均P＜0.05)；观察组 美观程度总满意度94.83%，显著高于对照组的80.70%(χ2 =5.365，P =0.021)；观察组总有效率为91.38%，高于对照组 77.19%(χ2 =4.382 ，P=0.036)。结论：牙列缺失患者全口义齿修复采用过渡性治疗义齿疗效显著，可有效提高患者义齿咬 合能力、固位力、稳定性及咀嚼效率，并减轻义齿佩戴后黏膜疼痛及改善患者口腔健康状况，有助于提高语音功能和美观程 度，可临床推广应用。

Abstract:

Objective To investigate the eff ects of transitional denture on occlusal ability and aesthetic degree in patients with dentition defect after complete denture restoration. Methods 115 patients with dentition defect who were treated in the hospital from March 2019 to March 2022 were selected as observation subjects, and were divided into observation group (n=58) and control group (n=57) by the random number table method. The control group was given conventional complete denture restoration while the observation group carried out transitional denture restoration. The occlusal ability, scores of retention and stability, total number of tenderness points and pronunciation, chewing effi ciency and oral health status, aesthetic degree, and clinical effi cacy were compared between the two groups after 3 months of wearing denture. Results After 3 months of wearing denture, the maxillofacial relationship index score and occlusal force in the two groups were signifi cantly increased, and the two indicators of observation group were signifi cantly higher than those of control group (all P ＜0.05). The retention score and stability score of both groups were enhanced signifi cantly , and the scores of observation group were signifi cantly higher (all P ＜0.05). The total number of tenderness points in the two groups was signifi cantly reduced while the pronunciation score was signifi cantly elevated, and the diff erences between the two groups were signifi cant (all P ＜0.05). The chewing effi ciency of the two groups was signifi cantly risen while the oral health score was signifi cantly declined , and the diff erences between the two groups were signifi cant (all P ＜0.05). The total satisfaction of aesthetic degree in observation group 94.83% was signifi cantly higher than that in control group 80.70% (χ2 =5.365, P=0.021). The total eff ective rate in observation group was 91.38%, which was higher than 77.19% in control group (χ2 =4.382, P=0.036). Conclusion The application of transitional denture after complete denture restoration in patients with dentition defect has a significant efficacy, and it can eff ectively enhance the occlusal ability, retention, stability and chewing effi ciency of denture, relieve the mucosal pain after denture wearing and improve the oral health status of patients, and it is helpful to improve the phonetic function and aesthetic degree.

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更新日期/Last Update: 2024-06-14