无牙牙合患者采用治疗性义齿治疗的效果分析

Analysis of the Effect of Therapeutic Denture on Edentulous Denture

目的分析治疗性义齿对无牙牙合义齿的空间恢复、义齿的固位及咀嚼能力的影响。方法选取2018年8月—2023年8月武夷山市立医院口腔科收治的无牙牙合患者72例,入院后全部患者均接受治疗性义齿修复治疗;观察分析义齿的空间恢复、固位情况以及咀嚼能力。结果患者治疗后的偏侧咬合为(0.19±0.11)lbs,明显低于治疗前的(0.72±0.23)lbs,差异有统计学意义(P<0.05);而治疗后的总体咬合力为(486.54±175.16)lbs,明显高于治疗前的(197.21±112.38)lbs,差异有统计学意义(P<0.05);患者治疗后的固位性评分、稳定性评分、客观咀嚼评分、主观咀嚼评分分别为(2.21±0.35)分、(2.16±0.32)分、(4.27±0.41)分、(4.68±0.52)分,均明显高于治疗前的(0.68±0.14)分、(0.63±0.17)分、(1.04±0.18)分、(0.87±0.54)分,差异有统计学意义(P<0.05)。结论采用治疗性义齿能让无牙牙合义齿恢复良好的空间,同时能对口腔健康情况进行显著改善,让义齿咀嚼能力及固位稳定性显著提高,此文的研究结果为治疗性义齿应用的后期标准制定提供了借鉴内容。

Objective To analyze the effects of therapeutic denture on the spatial recovery,retention and chewing ability of edentulous denture.Methods From August 2018 to August 2023,72 patients with edentulous denture admitted to the department of stomatology,Wuyishan City Hospital were selected.All patients received therapeutic denture restoration after admission.The spatial recovery,retention and chewing ability of dentures were observed and analyzed.Results The partial occlusion of patients after treatment was(0.19±0.11)lbs,significantly lower than that before treatment(0.72±0.23)lbs,the difference was statistically significant(P<0.05).The total biting force after treatment was(486.54±175.16)lbs,which was significantly higher than that before treatment(197.21±112.38)lbs,and the difference was statistically significant(P<0.05).The retention score,stability score,objective mastication score and subjective mastication score were(2.21±0.35)points,(2.16±0.32)points,(4.27±0.41)points and(4.68±0.52)points,respectively,which were significantly higher than those before treatment(0.68±0.14)points,(0.63±0.17)points,(1.04±0.18)points and(0.87±0.54)points,and the differences were statistically significant(P<0.05).Conclusion The use of therapeutic denture can make the edentulous denture patients recover a good space,and at the same time,it can significantly improve the oral health,and significantly improve the denture chewing ability and retention stability.The results of this study provide reference content for the later standard setting of the application of therapeutic denture.