Department of Gnatho-Oral Prosthetic Rehabilitation, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
Int J Prosthodont. 2010 Mar-Apr;23(2):110-6.
The aim of this study was to investigate the effect of an acrylic-based resilient liner (ARL) on perceived chewing ability in patients using mandibular complete dentures compared with that of patients using mandibular complete dentures with a conventional acrylic resin (CAR).
This randomized controlled trial was conducted at two centers from April 2004 to July 2006. Seventy-four subjects were randomly allocated to either the ARL or CAR group using a random permuted block method after obtaining written informed consent. A valid questionnaire listing 35 foods was used to evaluate the subjects' perceived chewing ability of each item, assessed according to the following scale: 0=cannot eat, 1=can eat with difficulty, and 2=can eat easily. If subjects did not eat the food because they disliked it or had not eaten it since first wearing dentures, they filled in a triangle or square, respectively. These figures were treated as a 0 during analysis.
No significant differences were observed between the ARL and CAR groups. The perceived chewing ability of subjects with new complete dentures was significantly higher than that of those with their old complete dentures. The duration of edentulism was positively associated with perceived chewing ability.
An ARL applied to mandibular complete dentures has no significant impact on the perceived chewing ability of edentulous patients in comparison to a CAR.
本研究旨在调查与使用传统丙烯酸树脂(CAR)基义齿的患者相比,使用丙烯酸基弹性衬里(ARL)的下颌全口义齿对患者感知咀嚼能力的影响。
这是一项于 2004 年 4 月至 2006 年 7 月在两个中心进行的随机对照试验。在获得书面知情同意后,采用随机区组方法将 74 名受试者随机分配到 ARL 或 CAR 组。使用列出 35 种食物的有效问卷评估受试者对每种食物的感知咀嚼能力,评估标准如下:0=不能吃,1=困难吃,2=容易吃。如果受试者因为不喜欢或自佩戴义齿以来未曾食用过该食物而未填写,则分别填写三角形或正方形。在分析过程中,这些数字被视为 0。
ARL 组和 CAR 组之间未观察到显著差异。新全口义齿患者的感知咀嚼能力明显高于旧全口义齿患者。无牙颌时间与感知咀嚼能力呈正相关。
与 CAR 相比,应用于下颌全口义齿的 ARL 对无牙颌患者的感知咀嚼能力没有显著影响。