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全口义齿患者满意度与义齿质量、口腔状况及下颌下腺/舌下腺唾液流速之间的相关性

Correlation between patient satisfaction with complete dentures and denture quality, oral condition, and flow rate of submandibular/sublingual salivary glands.

作者信息

Wolff Andy, Gadre Anil, Begleiter Alfred, Moskona David, Cardash Harold

机构信息

Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.

出版信息

Int J Prosthodont. 2003 Jan-Feb;16(1):45-8.

Abstract

PURPOSE

The purpose of this study was to examine the correlation between patient satisfaction with complete dentures and parameters of denture quality, oral condition, and flow rate of the submandibular and sublingual salivary glands.

MATERIALS AND METHODS

The parameters were evaluated on 50 denture wearers using semiquantitative scales and a recently described submandibular/sublingual saliva collector.

RESULTS

Most patients had a medication-induced reduced salivary flow rate (mean 0.024 mL/min/gland; SD 0.040). Submandibular/sublingual salivary flow rate correlated statistically with six denture satisfaction parameters: maxillary denture retention and comfort, mandibular denture retention and comfort, abilities of chewing, and speech. Residual alveolar ridge resilience, maxillary ridge shape, and denture quality did not significantly correlate with denture satisfaction. Characteristics of musculature correlated significantly only with subjective maxillary denture retention, and mandibular ridge shape correlated with comfort.

CONCLUSION

Submandibular/sublingual salivary flow rate is an important factor in denture satisfaction. The retention of the maxillary denture was correlated to the oral musculature characteristics, and the mandibular denture comfort was correlated to the mandibular ridge shape. Denture satisfaction was not affected by other anatomic or denture quality-related parameters.

摘要

目的

本研究旨在探讨全口义齿患者满意度与义齿质量参数、口腔状况以及下颌下腺和舌下腺唾液流速之间的相关性。

材料与方法

使用半定量量表和最近描述的下颌下/舌下唾液收集器对50名义齿佩戴者的参数进行评估。

结果

大多数患者因药物导致唾液流速降低(平均0.024 mL/分钟/腺体;标准差0.040)。下颌下/舌下唾液流速与六个义齿满意度参数在统计学上相关:上颌义齿的固位和舒适度、下颌义齿的固位和舒适度、咀嚼能力和言语能力。剩余牙槽嵴弹性、上颌嵴形状和义齿质量与义齿满意度无显著相关性。肌肉组织特征仅与上颌义齿主观固位显著相关,而下颌嵴形状与舒适度相关。

结论

下颌下/舌下唾液流速是义齿满意度的一个重要因素。上颌义齿的固位与口腔肌肉组织特征相关,下颌义齿的舒适度与下颌嵴形状相关。义齿满意度不受其他解剖学或义齿质量相关参数的影响。

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