56例成人牙列缺失患者生物功能性全口义齿治疗的满意度及修复效果评价

Satisfaction and clinical assessment of 56 adult patients with biofunctional complete denture

目的:对牙列缺失患者进行生物功能性全口义齿修复,并对咀嚼能力等临床效果进行综合评价。方法:对56例无牙颌患者(男26例、女30例)按照规范流程进行生物功能性全口义齿修复,修复1周、1个月、3个月后,通过复诊.随访或电话回访对义齿满意度和咀嚼食物类型进行问卷调查,采用SPSS26.0软件包对数据进行分析。结果:生物功能性全口,义齿戴用3个月后,患者对美观程度、语音功能咀嚼功能、固位功能、舒适度5个指标的各项评分均值>6,达到“满意”或“一般”水平,其中美观程度评价最高(7.71±1.46)。咀嚼食物类型评分达33.96±1.21。重复测量方差分析显示,各组指标均随时间推移而发生显著变化(P<0.05);除美观程度评分在3个月和6个月时均值相等外,其余指标评分均随时间延长而升高。56例患者中,因疼痛修改次数5次及以上者2例,仅占3.57%。结论:生物功能性全口义齿在牙列缺失病例的修复早期即可取得良好的临床修复效果。

PURPOSE: The purpose of this study was to investigate the patient satisfaction and the clinical effect of biofunctional complete denture via questionnaire survey. METHODS: Fifty-six patients(26 males and 30 females) with biofunctional complete denture were asked to fill in a questionnaire about satisfaction and the type-variety of food after repair for 1 week, 1 month and 3 months during regular follow-up visits or telephone visits. SPSS 26.0 software package was used to analyze the data. RESULTS: After 3 months of wearing bio-functional complete denture, the average score of the five indicators of aesthetic degree, speech function, chewing function, retention function and comfort level of the patients were >6, reaching the level of "satisfactory" or "fair";among which the aesthetic degree was the highest(7.71 ±1.46).The food type score reached 33.96±1.21 at the third month. Repeated measures ANOVA showed that each group of indexes changed significantly over time(P<0.05). Except that the mean value of aesthetics score was equal at 3 months and 6 months, the other indexes all increased along time. Among 56 patients, two had 5 or more times of modification due to pain, accounting for 3.57%. CONCLUSIONS: Bio-functional complete denture can achieve good clinical effect in the early stage of denture repair in patients with dentition loss.