舌侧集中总义齿患者满意度的调查分析

Satisfaction of Patients with Complete Dentures with Lingualized Occlusion

目的评估舌侧集中总义齿患者的满意度。方法将10例拟做总义齿的无牙颌患者按随机数字表法分为2组:A组和B组,每组5例。2组患者均先后接受两副义齿(一副是舌侧集中总义齿,另一副是解剖式双侧平衡总义齿)干预。A组在第1阶段接受舌侧集中干预,第2阶段接受解剖式双侧平衡干预;B组在第1阶段接受解剖式双侧平衡干预,第2阶段接受舌侧集中干预。采用全口义齿满意度问卷调查表对10例患者分别戴用舌侧集中和解剖式双侧平衡总义齿8周后的满意度进行调查。全口义齿满意度问卷调查表中的每项内容采用视觉模拟评分法(VAS)量化。结果舌侧集中的咀嚼能力、稳固性VAS评分值均明显高于解剖式双侧平衡,差异均有统计学意义(均P<0.05)。舌侧集中的美观性、语音功能、舒适性VAS评分值与解剖式双侧平衡比较差异均无统计学意义(均P>0.05)。结论舌侧集中总义齿患者具有较高咀嚼能力和稳固性的满意度。

Objective To evaluate the satisfaction of patients with complete dentures with lingualized occlusion.Methods Ten edentulous patients intending to wear complete dentures were randomly divided into group A and group B,with 5 patients in each group.All patients received two pairs of dentures（one was complete dentures with lingualized occlusion,the other was complete dentures with anatomic bilateral balanced occlusion）.Patients in group A received lingualized occlusion intervention in the first phase and anatomic bilateral balanced occlusion intervention in the second phase.On the contrary,patients in group B received anatomic bilateral balanced occlusion intervention in the first phase and lingualized occlusion intervention in the second phase.After wearing complete dentures for 8 weeks,the satisfaction of the 10 patients with dentures was investigated using the questionnaires,and each item in the questionnaires was quantified with visual analog scale（VAS）.Results VAS scores of lingualized occlusion for the ability to masticate and the stability and retention of dentures were significantly higher than those of anatomic bilateral balanced occlusion（all P0.05）.However,there were no statistically significant differences in VAS scores for aesthetics,speech function and comfort between lingualized occlusion and anatomic bilateral balanced occlusion（all P0.05）.Conclusion Patients wearing complete dentures with have higher satisfaction with the ability to masticate and the stability and retention of dentures.