Gunji Atsuko, Kimoto Suguru, Koide Hitomi, Murakami Hiroshi, Matsumaru Yuichi, Kimoto Katsuhiko, Toyoda Minoru, Kobayashi Kihei
Department of Gnatho-Oral Prosthetic Rehabilitation, Nihon University School of Dentistry at Matsudo, 2-870-1 Sakaecho-nishi, Chiba 271-8587, Matsudo, Japan.
J Prosthodont Res. 2009 Oct;53(4):180-4. doi: 10.1016/j.jpor.2009.06.001. Epub 2009 Jul 8.
The aim of this study is to investigate changes of diet and nutrient adequacy between complete denture wearers with their existing dentures and those with new dentures.
After obtained their written informed consent 30 patients who visited Nihon University School of Dentistry at Matsudo Affiliated Hospital from March 2004 to November 2005 were asked to record their 3 consecutive day's meals and to take a picture of them. Furthermore, foods which they can eat with their dentures were examined the questionnaire developed by Hirai. Referring to the obtained records and pictures, one dietitian interviewed to confirm the exact intakes of meals. In addition, the masticatory ability was calculated using the questionnaire. The nutrient adequacy and masticatory score determined at the time of the first and second survey were examined by repeated-measures ANOVA. A p-value less than 0.05 was considered statistically significant.
The total intake of energy and nutrients was almost over 100% in both the groups. However, no statistically significant difference was obtained. The masticatory score with the existing and new denture were 66.1+/-18.5 and 58.3+/-19.9, respectively. The score increased significantly in the new denture group when compared with that of the existing denture group.
The self-evaluation of the masticatory function improved after the switch from the old to new dentures.
本研究旨在调查佩戴现有全口义齿的患者与佩戴新全口义齿的患者之间饮食和营养充足性的变化。
在获得30名患者的书面知情同意后,要求于2004年3月至2005年11月访问日本大学松户齿科大学附属医院的患者记录连续3天的饮食情况并拍照。此外,使用平井开发的问卷对他们用义齿能吃的食物进行了调查。参考所获得的记录和照片,一名营养师进行访谈以确认确切的饮食摄入量。另外,使用该问卷计算咀嚼能力。通过重复测量方差分析检验第一次和第二次调查时确定的营养充足性和咀嚼分数。p值小于0.05被认为具有统计学意义。
两组的能量和营养素总摄入量几乎均超过100%。然而,未获得统计学上的显著差异。佩戴现有义齿和新义齿时的咀嚼分数分别为66.1±18.5和58.3±19.9。与现有义齿组相比,新义齿组的分数显著提高。
从旧义齿更换为新义齿后,咀嚼功能的自我评价有所改善。