舌侧集中牙合全口义齿咀嚼效率与患者满意度的临床效果评价

Clinical evaluation of masticatory efficiency and patient satisfaction for the complete denture with lingualized occlusion

目的探讨舌侧集中牙合全口义齿的临床应用,比较其与常规解剖式双侧平衡全口义齿的临床疗效。方法选取2016年1月~2017年6月在我院口腔科就诊的无牙颌患者72例,根据治疗方法不同分为实验组和对照组,每组各36例。分别于佩戴1、3、6个月时测试两组的咀嚼效率和咬合力,并通过问卷调查方式评价其满意率。结果实验组较对照组咀嚼效率更高,咬合力更小,在舒适度、固位稳定性、咀嚼能力等方面满意率更高,差异均有统计学意义(均P<0.05)。结论应用舌侧集中牙合全口义齿临床效果佳,能显著提高患者的咀嚼效率、舒适度、固位稳定性以及满意率;咬合力更小,对于低矮牙槽嵴能够有效延缓牙槽嵴的吸收。

Objective To evaluate and compare the clinical effect between lingualized occlusion complete denture and anatomical bilateral balanced occlusion complete denture.Method From January 2016 to June 2017,72 edentulous patients who were selected were randomly divided into two groups and were respectively made lingualized occlusion complete denture and anatomical bilateral balanced occlusion complete denture.Masticatory efficiency and occlusion pressure were examined at 1,3,and 6 months.Satisfaction rate was examined by questionnaire.Results Compared with anatomical bilateral balanced occlusion complete denture,the masticatory efficiency and satisfaction rate of comfort level,stability,and masticatory function in lingualized occlusion complete denture group was higher(P<0.05).The occlusion pressure was less in the lingualized occlusion complete denture group(P<0.05).Conclusion Compared with the complete denture of anatomic bilateral balanced occlusion,the complete denture of lingualized occlusion has higher satisfaction rate in comfort level,stability,and masticatory function,with the higher masticatory efficiency and less occlusion pressure,which delays the absorption of alveolar ridge in edentulous patients with low alveolar ridge.