口腔健康相关生活质量：丙烯酸树脂与可摘局部义齿的比较。

Oral health-related quality of life: acrylic versus flexible partial dentures.

作者信息

Akinyamoju Clara A, Dosumu Oluwole O, Taiwo Juliana O, Ogunrinde Tunde J, Akinyamoju Akindayo O

机构信息

Department of Family Dentistry, University College Hospital, Ibadan, Nigeria.

Department of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan Nigeria.

出版信息

Ghana Med J. 2019 Jun;53(2):163-169. doi: 10.4314/gmj.v53i2.12.

DOI:10.4314/gmj.v53i2.12

PMID:31481813

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6697771/

Abstract

BACKGROUND

Teeth lost are usually replaced by all-acrylic removable partial dentures (RPD) because of its affordability and ease of fabrication. The all-acrylic RPD is said to cause significant periodontal injury and consequently affect the oral health related quality of life (OHRQoL) of denture wearers.

OBJECTIVE

To determine and compare OHRQoL of all-acrylic and flexible RPD wearers at baseline and after use of dentures.

DESIGN AND SETTING

Study was quasi-experimental using a cross-over design, involving 30 patients with Kennedy class IV and anterior class III arches. Patient recruitment and review were done over an eight-month period in the Prosthetic Unit of a tertiary health facility. OHRQoL was assessed with the oral health impact profile-14 questionnaire. Data were analysed using descriptive and multivariate analysis at asignificant level of p <.05.

RESULTS

Mean age of patients was 33.8 ±10.0 years; at baseline, patient reported occasionally, fairly often or very often for 11(78.6%) OHIP items. However, after using the acrylic and flexible partial dentures, 11(36.6%) patients reported having trouble pronouncing words and 9(30.0%) found it uncomfortable to eat respectively. At baseline, there was a difference in mean OHIP scores with age (p=.02); scores reduced from 12.4 ± 9.8 to 4.8±5.3 (CI= 3.3-12.0, p=.001) after using the all-acrylic denture and 3.8±5.6 (CI= 4.3-13.0, p<.001) with the flexible denture.

CONCLUSION

There was improvement in the OHRQoL of patients with use of flexible partial dentures. Therefore, thermoplastic materials are possible alternative RPD base materials in patient management.

FUNDING

None declared.

摘要

背景

由于全丙烯酸可摘局部义齿（RPD）价格实惠且易于制作，缺失的牙齿通常用其进行修复。据说全丙烯酸RPD会造成严重的牙周损伤，从而影响义齿佩戴者与口腔健康相关的生活质量（OHRQoL）。

目的

确定并比较全丙烯酸和弹性RPD佩戴者在佩戴义齿基线期和使用义齿后的OHRQoL。

设计与地点

本研究采用交叉设计的准实验，纳入30例肯氏IV类和前牙III类牙弓患者。在一家三级医疗机构的修复科，历时8个月进行患者招募和评估。采用口腔健康影响程度量表-14问卷评估OHRQoL。数据采用描述性分析和多变量分析，显著性水平为p<0.05。

结果

患者的平均年龄为33.8±10.0岁；基线期，11项（78.6%）OHIP条目患者报告偶尔、相当频繁或非常频繁出现相关情况。然而，使用丙烯酸和弹性局部义齿后，分别有11例（36.6%）患者报告发音困难，9例（30.0%）患者觉得进食不适。基线期，平均OHIP评分随年龄存在差异（p=0.02）；使用全丙烯酸义齿后，评分从12.4±9.8降至4.8±5.3（CI=3.3-12.0，p=0.001），使用弹性义齿后降至3.8±5.6（CI=4.3-13.0，p<0.001）。