吸附性义齿修复在全口无牙颌患者中的应用以及对其咀嚼功能和美观满意度的影响OA
Application of Adsorption Denture in Denture Repair of Complete Edentulous Patients and Its Influence on Chewing Function and Aesthetic Satisfaction
目的:探究吸附性义齿修复在全口无牙颌患者中的应用效果,以及对患者咀嚼功能、美观满意度的影响.方法:选取2020年12月-2023年12月笔者医院收治的90例全口无牙颌患者,根据修复义齿不同分为传统组(传统活动义齿,42例)和吸附组(吸附性义齿,48例).比较两组修复前后口腔状况[简明口腔健康检查表(BOHSE)汉化版]、咀嚼与咬合能力,修复后义齿的稳定性和义齿质量、舒适度与语言功能[视觉模拟评分(VAS)]以及美观满意度.结果:修复后3个月,两组牙龈、咬合状况和口腔卫生状况评分均低于修复前,且吸附组低于传统组(均P＜0.05);两组咀嚼效率和咬合力均高于修复前,且吸附组高于传统组(均P＜0.05);修复后6个月,吸附组义齿固位与稳定分级为3级患者占比和义齿质量评分均高于传统组(P＜0.05);修复后6个月内,两组舒适度VAS评分逐渐提升,但吸附组评分低于传统组(均P＜0.05);两组语言功能VAS评分逐渐降低,且吸附组评分低于传统组(均P＜0.05);修复后6个月,吸附组全口义齿满意度问卷各方面评分均高于传统组(P＜0.05).结论:吸附性义齿可显著改善全口无牙颌患者的口腔健康状况和咀嚼与咬合能力,佩戴稳定性、舒适度和语言功能改善效果均较好,义齿美观度与患者满意度较高.
Objective To explore the application effect of adsorption denture in denture repair of complete edentulous patients and its influence on chewing function and aesthetic satisfaction.Methods A total of 90 patients with complete edentulous jaw admitted to the hospital from December 2020 to December 2023 were selected and divided into traditional group(traditional removable denture,42 cases)and adsorption group(adsorption denture,48 cases)according to different dentures.The oral condition[Brief Oral Health Status Examination(BOHSE)Chinese version],chewing and occlusion ability before and after repair,denture stability and denture quality,comfort and language function[Visual Analogue Scale(VAS)]and aesthetic satisfaction after repair were compared between the two groups.Results At 3 months after repair,the scores of gingiva,occlusal status of the teeth and oral hygiene status in the traditional group and the adsorption group were lower than those before repair(P＜0.05),the chewing efficiency and biting force were higher than those before repair(P＜0.05),and there is a statistical difference between the adsorption group and traditional group(P＜0.05).At 6 months after repair,the number of patients with denture retention and stability grade 3 and the denture quality scores in the adsorption group was higher than that in the traditional group(P＜0.05).Within 6 months after repair,the VAS scores of comfort in the traditional group and the adsorption group were gradually increased(P＜0.05),while the VAS scores of language function were gradually decreased(P＜0.05),and the scores in the adsorption group were lower than those in the traditional group(P＜0.05).At 6 months after repair,the total denture satisfaction questionnaire score of the adsorption group was higher than that of the traditional group(P＜0.05).Conclusion Adsorption denture can significantly improve the oral health status of patients with complete edentulous jaw,the wearing stability,comfort and language function improvement effects are all better,and improve the aesthetics of dentures and patient satisfaction.
李向荣;邱建平;郭爱军
江苏省苏北人民医院口腔科 江苏 扬州 225000江苏省苏北人民医院口腔科 江苏 扬州 225000江苏省苏北人民医院口腔科 江苏 扬州 225000
医药卫生
全口无牙颌吸附性义齿全口义齿应用效果咀嚼功能美观满意度
complete edentulous jawadsorption denturecomplete denturesapplication effectchewing functionaesthetic satisfaction
《中国美容医学》 2026 (5)
136-140,5
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