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评价义齿佩戴者的全口义齿质量和咀嚼效率。

Evaluation of complete denture quality and masticatory efficiency in denture wearers.

机构信息

Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

出版信息

Int J Prosthodont. 2012 Nov-Dec;25(6):625-30.

Abstract

PURPOSE

This study aimed to investigate (1) the influence of complete denture quality and years of denture use on masticatory efficiency and (2) the relationship between complete denture quality and years of use.

MATERIALS AND METHODS

A cross-sectional study was conducted with 93 edentulous patients (mean age: 65.6 years) wearing both mandibular and maxillary dentures. Patients were classified into two categories according to years of denture use: ≤ 2 years and ≥ 5 years. Masticatory efficiency was evaluated via the colorimetric method with beads as the artificial test food. A reproducible method for objective evaluation of the technical quality of complete dentures was employed. The association between denture quality and years of denture use was analyzed using chi-square and Fisher exact tests. The results of masticatory efficiency testing were analyzed using two-way analysis of variance (with the Tukey post hoc test) in terms of years of denture use (≤ 2 years, ≥ 5 years) and denture quality (poor, average, good).

RESULTS

A significant relationship was found between denture quality and years of denture use (P < .05). Masticatory efficiency differed significantly (P < .05) between patients with ≤ 2 years of denture use (0.101 ± 0.076 absorbance) and ≥ 5 years of use (0.068 ± 0.076 absorbance). Masticatory efficiency was not influenced by denture quality.

CONCLUSIONS

Complete denture quality and masticatory efficiency significantly decreased over time. However, complete denture quality did not influence masticatory efficiency.

摘要

目的

本研究旨在探讨(1)全口义齿质量和使用年限对咀嚼效率的影响,以及(2)全口义齿质量与使用年限之间的关系。

材料和方法

本研究采用横断面研究方法,共纳入 93 名佩戴下颌和上颌全口义齿的无牙颌患者(平均年龄:65.6 岁)。根据全口义齿使用年限,将患者分为≤2 年和≥5 年两组。采用比色法(以珠子为人工测试食物)评估咀嚼效率。采用一种可重复的方法客观评估全口义齿的技术质量。采用卡方检验和 Fisher 确切概率法分析义齿质量与使用年限之间的关系。采用双向方差分析(Tukey 事后检验)分析咀嚼效率测试结果,分别以义齿使用年限(≤2 年,≥5 年)和义齿质量(差、中、好)为分组依据。

结果

义齿质量与使用年限之间存在显著关系(P<.05)。使用年限≤2 年的患者(0.101±0.076 吸光度)与使用年限≥5 年的患者(0.068±0.076 吸光度)之间的咀嚼效率存在显著差异(P<.05)。义齿质量对咀嚼效率没有影响。

结论

全口义齿质量和咀嚼效率随时间推移显著下降。然而,全口义齿质量并不影响咀嚼效率。

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