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全口义齿佩戴与无牙颌患者在大学诊所治疗中的骨折。

Complete denture wearing and fractures among edentulous patients treated in university clinics.

机构信息

Department of Dental Materials and Prosthodontics, Araçatuba Dental School, University of State of São Paulo, Araçatuba, São Paulo, Brazil.

出版信息

Gerodontology. 2012 Jun;29(2):e728-34. doi: 10.1111/j.1741-2358.2011.00551.x. Epub 2011 Aug 24.

Abstract

OBJECTIVE

The prevalence of wearing and fracture of complete dentures was evaluated among edentulous patients treated in two dental schools in Brazil.

BACKGROUND

Acceptance and wearing of complete dentures are related to adaptive behaviour of edentulous patients. However, one reason that could interfere with the wearing dentures is their potential to fracture, which is still a common complication in denture rehabilitation practice.

MATERIAL AND METHODS

Two hundred and twenty-four edentulous patients rehabilitated with complete dentures from 2000 to 2005 in Araçatuba and Araraquara Dental School, University of State of São Paulo, were assessed in 2006 and 2007 to answer a questionnaire about wearing and fracture of their dentures. Statistical analysis were performed using Epi Info software and chi-squared test to compare maxillary and mandibular data (α = 0.05).

RESULTS

Almost 26% of the patients did not wear their dentures, and among the remainder, the majority wore the maxillary denture. About 30% of the dentures were fractured, with higher prevalence in the maxillary arch (p = 0.003).

CONCLUSIONS

Discontinuation of wearing dentures was quite high, especially considering the treatment which was carried out in university clinics. Prevalence of fractures was also high, greater for the maxillary denture, and was one of the main reasons for non-wearing of complete dentures.

摘要

目的

评估巴西两所牙科学院治疗的无牙患者中全口义齿佩戴和折断的流行情况。

背景

全口义齿的接受和佩戴与无牙患者的适应行为有关。然而,影响佩戴义齿的一个原因可能是其潜在的折断风险,这在义齿修复实践中仍然是一个常见的并发症。

材料和方法

2006 年至 2007 年,对 2000 年至 2005 年期间在巴西圣保罗州立大学阿拉萨图巴和阿雷格里港牙科学院使用全口义齿修复的 224 名无牙患者进行评估,让他们回答一份关于佩戴和义齿折断的问卷。使用 Epi Info 软件和卡方检验对上颌和下颌数据进行统计学分析(α=0.05)。

结果

近 26%的患者不佩戴义齿,其余患者中,大多数佩戴上颌义齿。约 30%的义齿折断,上颌弓的发生率更高(p=0.003)。

结论

停止佩戴义齿的情况相当高,尤其是考虑到治疗是在大学诊所进行的。骨折的发生率也很高,上颌义齿更高,是不佩戴全口义齿的主要原因之一。

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