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基于附着在义齿上的微生物数量来检查义齿清洁方法。

Examination of denture-cleaning methods based on the quantity of microorganisms adhering to a denture.

机构信息

Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

出版信息

Gerodontology. 2012 Jun;29(2):e259-66. doi: 10.1111/j.1741-2358.2011.00461.x. Epub 2011 Feb 1.

Abstract

OBJECTIVES

To investigate effective denture-cleaning methods, we examined the relationships between the quantity of microorganisms adhering to dentures and the use of a denture brush and the frequency of use of a denture cleanser.

SUBJECTS AND METHODS

Denture plaque was collected from the mucosal surface of the examined dentures, which were 142 and 80 upper and lower complete dentures, respectively, worn by 96 outpatients (mean age: 71.9 years) of a university hospital and 41 nursing home residents (mean age: 84.8 years). The collected microorganisms were counted in terms of isolated representative colonies that were cultured and identified using standard methods. The use of a denture brush, the frequency of use, and the type and soaking time of denture cleansers as denture-cleaning methods were surveyed.

RESULTS

The quantity of microorganisms was significantly lower in dentures of denture brush users than in those of non-users in the outpatients (p < 0.01, Mann-Whitney U test). The quantity of microorganisms was significantly lower in the dentures of outpatients who used a denture cleanser daily or 3-4 times a week than in those who used one once or less per month and in the dentures of nursing home residents who used one daily than in those who used one at other frequencies (p < 0.05, Kruskal-Wallis test, followed by Dunn's Multiple Comparison test).

CONCLUSION

Within the limitations of this study, it was concluded that the use of a denture brush and daily use of denture cleanser should be recommended to complete dentures wearers as denture-cleaning methods that effectively reduce the quantity of microorganisms adhering to dentures.

摘要

目的

为了探究有效的义齿清洁方法,我们研究了义齿上微生物数量与义齿刷使用情况和义齿清洁剂使用频率之间的关系。

对象与方法

我们从 96 名(平均年龄 71.9 岁)大学医院门诊患者和 41 名(平均年龄 84.8 岁)养老院居民佩戴的 142 副上义齿和 80 副下义齿的黏膜表面采集义齿菌斑。使用标准方法培养并鉴定分离出的代表性菌落来计算采集的微生物数量。我们对义齿刷使用情况、使用频率、义齿清洁剂类型和浸泡时间等义齿清洁方法进行了调查。

结果

门诊患者中义齿刷使用者的义齿上微生物数量明显少于非使用者(p < 0.01,Mann-Whitney U 检验)。每日或每周使用义齿清洁剂 3-4 次的门诊患者的义齿上微生物数量明显少于每月使用一次或更少的患者,养老院居民中每日使用义齿清洁剂的患者的义齿上微生物数量明显少于其他使用频率的患者(p < 0.05,Kruskal-Wallis 检验,随后进行 Dunn's 多重比较检验)。

结论

在本研究的限制范围内,可以得出结论,使用义齿刷和每日使用义齿清洁剂作为义齿清洁方法,可以有效减少义齿上附着的微生物数量,建议为全口义齿佩戴者使用。

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