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义齿适应期不同下颌牙槽嵴吸收程度下使用黏附剂对全口义齿的影响。

Influence of adhesives usage in complete dentures during adaptation period varying the degree of resorption of mandibular ridges.

机构信息

Department of Dental Materials and Prosthodontics, Araraquara Dental School, São Paulo State University (UNESP), Araraquara, Brazil.

Department of Dentistry, Faculty of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.

出版信息

J Prosthodont Res. 2020 Jul;64(3):264-271. doi: 10.1016/j.jpor.2019.08.002. Epub 2019 Aug 22.

Abstract

PURPOSE

This study evaluated the effect of the use of a powder-type adhesive on masticatory performance and oral health related quality of life (OHRQoL) in patients with normal and resorbed mandibular ridges during adaptation period with complete dentures.

METHODS

Forty-two edentulous subjects (12 men, 30 women) were distributed in four groups: normal mandibular ridges with adhesive, n = 10; normal mandibular ridges without adhesive, n = 10; resorbed mandibular ridges with adhesive, n = 11; resorbed mandibular ridges without adhesive, n = 11. Masticatory performance was evaluated by sieving method and OHRQoL by Oral Health Impact Profile in Edentulous Adults (OHIP-EDENT) inventory at 30, 60 and 90 days after the insertion of new complete dentures. Data were analyzed using 2-way ANOVA test and Generalized Estimating Equations (GEEs), α = 0.05.

RESULTS

The use of adhesive resulted in better masticatory performance at 30 (35.76 ± 12.63%) and 60 days (30.06 ± 10.54%) after the insertion of the dentures and did not influence on OHRQoL in participants with normal ridges during the adaptation period. The use of adhesive did not interfere on masticatory performance during adaptation period and had a negative effect on masticatory discomfort/disability subscale OHRQoL at 30-day period [5.2(3.6, 6.8)] for resorbed mandibular ridges with new complete dentures.

CONCLUSIONS

The use of adhesive can improve masticatory performance of new complete dentures users with normal mandibular ridges in the initial adaptation period up to 60 days after insertion. For resorbed ridges subjects, the use of adhesive had a negative impact on masticatory discomfort/disability OHRQoL at 30 days after insertion.

摘要

目的

本研究评估了在全口义齿适应期间使用粉末型黏附剂对具有正常和吸收下颌嵴的患者的咀嚼性能和口腔健康相关生活质量(OHRQoL)的影响。

方法

将 42 名无牙颌患者(12 名男性,30 名女性)分为四组:有黏附剂的正常下颌嵴,n = 10;无黏附剂的正常下颌嵴,n = 10;有黏附剂的吸收下颌嵴,n = 11;无黏附剂的吸收下颌嵴,n = 11。通过筛分法评估咀嚼性能,通过成人无牙颌患者口腔健康影响简表(OHIP-EDENT)评估 OHRQoL,在新全口义齿插入后 30、60 和 90 天进行评估。使用双向方差分析和广义估计方程(GEE)进行数据分析,α = 0.05。

结果

在插入义齿后 30(35.76 ± 12.63%)和 60 天(30.06 ± 10.54%)时,使用黏附剂可提高咀嚼性能,且在适应期间对具有正常嵴的参与者的 OHRQoL 没有影响。在适应期间使用黏附剂不会影响咀嚼性能,但对新全口义齿具有吸收下颌嵴的患者的咀嚼不适/障碍子量表 OHRQoL 在 30 天时有负面影响[5.2(3.6,6.8)]。

结论

在插入后 60 天的初始适应期间,使用黏附剂可提高具有正常下颌嵴的新全口义齿使用者的咀嚼性能。对于吸收性嵴患者,在插入后 30 天使用黏附剂会对咀嚼不适/障碍 OHRQoL 产生负面影响。

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