Lemos C A A, Verri F R, Gomes J M L, Santiago Júnior J F, Moraes S L D, Pellizzer E P
Department of Dental Materials and Prosthodontics, Aracatuba Dental School, UNESP - Univ Estadual Paulista, São Paulo, Brazil.
Department of Health Sciences, Pró-Reitoria de Pesquisa e Pós-graduação (PRPPG), Universidade do Sagrado Coração, São Paulo, Brazil.
J Oral Rehabil. 2018 Apr;45(4):344-354. doi: 10.1111/joor.12607. Epub 2018 Jan 21.
No consensus has been reached regarding the best occlusal scheme for making complete dentures. Thus, the purpose of this systematic review was to compare bilateral balanced occlusion (BBO) with other occlusal schemes (canine guidance, lingualised occlusion and zero degree) in complete dentures. The schemes were compared in terms of quality of life/satisfaction and masticatory performance. Two independent reviewers performed a comprehensive search of studies published in or before October 2017 using the PubMed/MEDLINE, Scopus and Cochrane Library databases. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The focused question was: "In conventional complete denture, is BBO better than lingualised occlusion, canine guidance and zero degree in terms of quality of life, patient satisfaction and masticatory performance/muscle activity?" Seventeen studies were selected for analysis. In total, there were 492 patients with a mean age of 64.78 years and a mean follow-up duration of 2.96 months (range: 1-6 months). All studies compared BBO with the other occlusal schemes. Eleven studies evaluated the influence of the occlusal scheme designs on quality of life and satisfaction, and 8 studies evaluated masticatory performance and muscle activity between BBO and the other occlusion schemes. The present systematic review indicated that BBO does not confer better quality of life/satisfaction or masticatory performance and muscle activity. Thus, lingualised occlusion can be considered a predictable occlusal scheme for complete dentures in terms of quality of life/satisfaction and masticatory performance, while canine guidance can be used to reduce muscular activity.
关于制作全口义齿的最佳咬合方案尚未达成共识。因此，本系统评价的目的是比较全口义齿中双侧平衡咬合（BBO）与其他咬合方案（尖牙引导、舌侧集中咬合和零度咬合）。从生活质量/满意度和咀嚼性能方面对这些方案进行比较。两名独立评价者使用PubMed/MEDLINE、Scopus和Cochrane图书馆数据库对2017年10月或之前发表的研究进行了全面检索。检索按照系统评价和Meta分析的首选报告项目（PRISMA）声明进行。重点问题是：“在传统全口义齿中，就生活质量、患者满意度和咀嚼性能/肌肉活动而言，BBO是否优于舌侧集中咬合、尖牙引导和零度咬合？”选择了17项研究进行分析。总共有492例患者，平均年龄64.78岁，平均随访时间2.96个月（范围：1 - 6个月）。所有研究都将BBO与其他咬合方案进行了比较。11项研究评估了咬合方案设计对生活质量和满意度的影响，8项研究评估了BBO与其他咬合方案之间的咀嚼性能和肌肉活动。本系统评价表明，BBO并不能带来更好的生活质量/满意度、咀嚼性能和肌肉活动。因此，就生活质量/满意度和咀嚼性能而言，舌侧集中咬合可被视为全口义齿的一种可预测的咬合方案，而尖牙引导可用于减少肌肉活动。
