Hayakawa I, Hirano S, Takahashi Y, Keh E S
Department of Geriatric Dentistry, Faculty of Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Int J Prosthodont. 2000 May-Jun;13(3):227-31.
The purpose of this study was to examine changes in the masticatory function of complete denture wearers after relining the mandibular denture with a soft liner.
Conventional complete dentures were fabricated for 6 completely edentulous patients. One month after completing adjustments of the dentures, maximum biting force, masticatory performance, and electromyography of the masseter muscle during mastication were recorded. Chewing strokes, chewing time, muscular activity, and masticatory rhythm were calculated using the recorded electromyography. The mandibular dentures were then relined with a soft liner. One month after finishing adjustments of the relined dentures, the same tests were performed. These values were compared using a paired t test (alpha = 0.05).
When using the soft liner, masticatory performance and maximum biting force were significantly greater (P = 0.019 and P = 0.023, respectively). In addition, the number of chewing strokes was significantly lower (P = 0.020), and chewing time was reduced (P = 0.010). A more stable masticatory rhythm was also found in the initial chewing stage. The muscular activity tended to decrease after the insertion of the lined denture, but no significant difference was found between before and after relining.
It was shown that applying a soft lining material to the mandibular dentures of 6 edentulous patients improved masticatory function with no adverse effect on the muscular task.
本研究的目的是检查在下颌义齿使用软衬垫重衬后,全口义齿佩戴者咀嚼功能的变化。
为6名全口无牙患者制作传统全口义齿。义齿调整完成1个月后,记录最大咬合力、咀嚼性能以及咀嚼过程中咬肌的肌电图。使用记录的肌电图计算咀嚼次数、咀嚼时间、肌肉活动和咀嚼节律。然后用软衬垫对下颌义齿进行重衬。重衬义齿调整完成1个月后,进行相同测试。使用配对t检验(α = 0.05)比较这些值。
使用软衬垫时,咀嚼性能和最大咬合力显著更大(分别为P = 0.019和P = 0.023)。此外,咀嚼次数显著更低(P = 0.020),咀嚼时间减少(P = 0.010)。在初始咀嚼阶段也发现了更稳定的咀嚼节律。插入带衬垫义齿后肌肉活动有下降趋势,但重衬前后未发现显著差异。
结果表明,为6名无牙患者的下颌义齿应用软衬垫材料可改善咀嚼功能,且对肌肉活动无不良影响。