舌侧集中总义齿患者OHRQOL的研究

Evaluation of OHRQOL for Patients Wearing Lingualized Occlusion Complete Dentures

目的:了解舌侧集中总义齿患者的口腔健康相关生存质量(Oral Health Related Quality Of Life,OHRQOL),评估舌侧集中相比解剖式双侧平衡是否具有优越性,为舌侧集中的临床应用提供参考。方法:通过交叉设计实验,采用20项口腔健康影响程度量表(20-item version of the Oral Health Impact Profile,OHIP-20),以问卷法分别测定10位患者依次戴用舌侧集中和解剖式双侧平衡总义齿8周后OHIP值,比较和评价患者口腔健康相关生存质量。结果:与解剖式双侧平衡总义齿比较,舌侧集中总义齿在"适合性"(P=0.046)"避开一定食物"(P=0.025)"中断进食"(P=0.025)方面以及OHIP总分(P=0.015)具有优势,二者差异具有统计学意义;其余问题无统计学意义。结论:舌侧集中可以改善总义齿患者的口腔健康相关生存质量。

Objective： To study the OHRQOL of patients wearing lingualized occlusion complete dentures and evaluate if lingualized occlusion has superiority to anatomic bilateral balanced occlusion in clinical settings.Methods： Each of ten patients enrolled in the cross-over designed trial had worn the dentures of lingualized occlusion and anatomic bilateral balanced occlusion for 8 weeks respectively.In each phase,subjective data was collected by using 20-OHIP to measure the OHRQOL.Results： Lingualized occlusion were perceived to be significantly superior in terms of fitting properly（P=0.046）,avoiding certain foods（P=0.025）,meals interruption（P=0.025） and the total score of OHIP compared with anatomic bilateral balanced occlusion.Conclusion： The lingualized occlusion can improve the OHRQOL of patients wearing complete dentures,compared with anatomic bilateral balanced occlusion.