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全口义齿和局部可摘义齿对咀嚼运动的影响。

Effect of complete and partial removable dentures on chewing movements.

机构信息

Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.

出版信息

J Oral Rehabil. 2014 Mar;41(3):177-83. doi: 10.1111/joor.12125. Epub 2013 Dec 23.

Abstract

Partial or complete edentulism impairs mastication. However, it is unclear how the chewing cycle is affected by prosthetics. We evaluated the chewing movements of patients fitted with complete (CD) or removable partial denture (RPD). A total of 29 subjects were kinesiographically evaluated during chewing of peanuts and Optocal portions in a random sequence. The subjects were divided into two groups according to prosthesis type. Group RPD was composed of 14 partially edentulous patients using a lower distal extension RPD (mean age 61 ± 8 years), and group CD contained 15 completely edentulous patients using CD (mean age 65·9 ± 7·9 years) in both jaws. Opening, closing, occlusal and masticatory cycle times, movement angle (opening and closing), maximum velocity (opening and closing), total area and chewing cycle amplitudes were evaluated. The results were subjected to anova and Tukey's HSD test at a significance level of 5%. The RPD group exhibited shorter opening and closing phases and masticatory cycle time (P < 0·05). Maximum velocities were also higher in the RPD group, irrespective of the test material (P < 0·05). The area and amplitude of the chewing envelope was smaller in the CD group (P < 0·0001). The test material did not influence chewing cycles in any of the parameters evaluated (P > 0·05). RPD wearers use a faster chewing sequence with greater vertical and lateral jaw excursions compared with CD wearers.

摘要

部分或完全无牙颌会影响咀嚼。然而,目前尚不清楚义齿修复如何影响咀嚼周期。我们评估了佩戴全口义齿(CD)或可摘局部义齿(RPD)患者的咀嚼运动。共有 29 名受试者在随机顺序下咀嚼花生和 Optocal 时进行了运动学评估。根据义齿类型将受试者分为两组。RPD 组由 14 名使用下颌远中游离端可摘局部义齿的部分无牙颌患者组成(平均年龄 61±8 岁),CD 组由 15 名在上下颌均使用 CD 的完全无牙颌患者组成(平均年龄 65·9±7·9 岁)。评估开口、闭口、咬合和咀嚼周期时间、运动角度(开口和闭口)、最大速度(开口和闭口)、总面积和咀嚼周期幅度。结果进行方差分析和 Tukey 的 HSD 检验,显著性水平为 5%。RPD 组的开口和闭口阶段以及咀嚼周期时间更短(P<0·05)。RPD 组的最大速度也更高,与测试材料无关(P<0·05)。CD 组的咀嚼包络面积和幅度较小(P<0·0001)。在评估的任何参数中,测试材料都不会影响咀嚼周期(P>0·05)。与 CD 佩戴者相比,RPD 佩戴者的咀嚼序列更快,下颌的垂直和侧向运动幅度更大。

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