Oncescu Moraru Alexandra Melania, Preoteasa Cristina Teodora, Preoteasa Elena
Department of Complete Denture, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Department of Scientific Research Methods-Ergonomics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
J Med Life. 2019 Jan-Mar;12(1):43-48. doi: 10.25122/jml-2019-0028.
This study aimed to assess the masticatory efficiency in patients with a removable dental prosthesis, presenting different systemic, oral and prosthetic states while chewing different foods. The study was conducted on a convenient sample of patients aged 45 and above, with removable prostheses in at least one jaw. Patients were asked to chew samples of digestive biscuits, apple, and carrot, until the sensation of swallowing. The recorded masticatory function parameters were: chewing time, the number of mastication cycles, mean masticatory cycle duration, and chewing frequency. We found out that the masticatory functional parameters registered statistically significant differences according to the chewed food (e.g., generally the highest values were recorded for carrot and lowest for apple), most likely this being in relation to food's consistency, wetting, and adherence. High positive correlations were found between the chewing time and the number of mastication cycles for all three foods taken into consideration. Higher values for chewing time and number of mastication cycles were found for all foods in patients with complete dentures and overdentures, and while chewing carrot in patients with altered general status and of advanced age. Therefore, it that it takes a different time and number of mastication cycles to complete chewing, in relation to individual and food characteristics, to the systemic, oral and prosthetic patient's status. The residual teeth number and the type of prosthetic rehabilitation favor the adaptation and improvement of masticatory parameters and can have marker value for masticatory efficiency.
本研究旨在评估佩戴可摘义齿的患者在咀嚼不同食物时的咀嚼效率,这些患者呈现出不同的全身、口腔和修复状态。该研究针对45岁及以上的便利样本患者进行,这些患者至少有一个颌骨佩戴可摘义齿。要求患者咀嚼消化饼干、苹果和胡萝卜样本,直至有吞咽感觉。记录的咀嚼功能参数为:咀嚼时间、咀嚼周期数、平均咀嚼周期持续时间和咀嚼频率。我们发现,根据咀嚼的食物不同,咀嚼功能参数在统计学上存在显著差异(例如,一般来说,胡萝卜的各项参数值最高,苹果的最低),这很可能与食物的稠度、湿润度和附着力有关。考虑到所有三种食物,咀嚼时间和咀嚼周期数之间存在高度正相关。全口义齿和覆盖义齿患者在咀嚼所有食物时,以及全身状况改变和高龄患者在咀嚼胡萝卜时,咀嚼时间和咀嚼周期数的值更高。因此,根据个体和食物特征、患者的全身、口腔和修复状况,完成咀嚼所需的时间和咀嚼周期数是不同的。余留牙数量和修复方式有利于咀嚼参数的适应和改善,并且对咀嚼效率具有标志价值。