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全口义齿患者最大咬合力的评估。

Evaluation of Maximum Bite Force in Patients with Complete Dentures.

作者信息

Shala Kujtim, Tmava-Dragusha Arlinda, Dula Linda, Pustina-Krasniqi Teuta, Bicaj Teuta, Ahmedi Enis, Lila Zana

机构信息

Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo.

出版信息

Open Access Maced J Med Sci. 2018 Mar 13;6(3):559-563. doi: 10.3889/oamjms.2018.141. eCollection 2018 Mar 15.

Abstract

OBJECTIVE

This study aimed to evaluate maximum bite forces (mBF) in dominant (DS) and non-dominant sides (NDS) at certain time periods after the insertion of new complete dentures based on prior experience and gender.

MATERIALS AND METHODS

A total of 88 patients, complete denture wearers (CDWs), were examined. The maximum bite force at the intercuspal position between the first molars in 3 seconds was registered and recorded with piezoelectric gnathodynamometer. The procedure was repeated 3 times in identical conditions, with relaxation intervals of 1 minute between repeats and the limiting factor was the subjective feeling of pain. Testing of parametric data was performed with One Way Repeated Measurement of ANOVA test.

RESULTS

The average mBF values increased during the observational period, both on the DS and NDS, with significant difference in DS, which was greater. The analysis of one-factor variance showed that there were differences of average mBF values in DS and NDS during six consecutive measurements (mBF-DS = 11.3, p = 0.0001, and mBF-NDS = 2.26, p = 0.047). Significant changes in the masticatory force (mBF) on the DS and NDS is explained by different measurement times and with the prior experience with complete dentures, BF-DS = 11.76, p = 0.0000; mBF-NDS = 2.42, p = 0.0351; mBFe-DS = 40.48; P = 0.0000 mBFe-NDS = 39.93, p = 0.0000.

CONCLUSION

mBF represents a significant discriminating variable of the level of functional adaptation of new complete denture wearers (nCDWs) about the initial measurements.

摘要

目的

本研究旨在根据既往经验和性别,评估新全口义齿佩戴后特定时间段内优势侧(DS)和非优势侧(NDS)的最大咬合力(mBF)。

材料与方法

共检查了88名全口义齿佩戴者(CDW)。使用压电式咬合力计记录并测量3秒内第一磨牙牙尖交错位的最大咬合力。在相同条件下重复该过程3次,每次重复之间有1分钟的放松间隔,限制因素为主观疼痛感受。使用单因素重复测量方差分析对参数数据进行测试。

结果

在观察期内,DS和NDS的平均mBF值均有所增加,DS的增加更为显著,差异有统计学意义。单因素方差分析表明,在连续6次测量中,DS和NDS的平均mBF值存在差异(mBF-DS = 11.3,p = 0.0001;mBF-NDS = 2.26,p = 0.047)。DS和NDS咀嚼力(mBF)的显著变化可通过不同的测量时间以及全口义齿的既往经验来解释,BF-DS = 11.76,p = 0.0000;mBF-NDS = 2.42,p = 0.0351;mBFe-DS = 40.48;P = 0.0000;mBFe-NDS = 39.93,p = 0.0000。

结论

mBF是新全口义齿佩戴者(nCDW)初始测量时功能适应水平的一个重要鉴别变量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d7/5874385/7060672a41bb/OAMJMS-6-559-g001.jpg

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