不同排牙方法对全口义齿咀嚼效能的影响

Effect of different teeth arrangement methods on the masticatory efficiency of complete dentures

目的:探讨不同排牙法的全口义齿咀嚼效能的异同。方法:采用上颌排牙法、下颌排牙法和综合排牙法为10名无牙颌患者分别制作3副全口义齿。戴用3个月后,通过吸光度法测定咀嚼效率,比较不同排牙法的全口义齿咀嚼效能的异同,并与有牙颌进行对比。结果:在单侧咀嚼和双侧咀嚼2种咀嚼方式下,全口义齿患者的咀嚼次数和咀嚼效能均少于有牙颌组,本实验3组全口义齿在3个月后均发挥了良好的咀嚼效能。下颌排牙法和综合排牙法全口义齿的咀嚼次数和咀嚼效能无统计学差异,但均好于上颌排牙法全口义齿。结论:下颌排牙法和综合排牙法的全口义齿排列的人工牙能够减少在咀嚼过程中不利于全口义齿稳定因素的影响,提高咀嚼效能。

Objectives：To evaluate the effect of different teeth arrangement methods on the masticatory efficiency of complete dentures. Methods ： Three complete dentures for each of ten edentulous patients were made respectively by using maxillary teeth arrangement, mandibular teeth arrangement and comprehensive teeth arrangement methods. After three months of wearing, the masticatory efficiency of the three complete dentures was tested by light absorption method, and was compared to that of dentulous subjects. Results：The masticatory stroke and masticatory efficiency in denture wearing group were fewer and weaker than those in dentulous group in either bilateral mastication or unilateral mastication. Good masticatory efficiency was gained after three months of wearing the complete den- tures made by the three different teeth arrangement methods. There were no significant difference in the masticatory stroke and masticatory efficiency of complete dentures made by mandibular teeth arrangement and comprehensive teeth arrangement methods ,but they were both higher than those made by maxillary teeth arrangement method. Con- clusions ：The complete dentures made by mandibular teeth arrangement method and comprehensive teeth arrangement method are feasible for restoration of masticatory efficiency of endentulous patients.