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下颌种植体辅助可摘局部义齿——Kennedy I类至III类改良——咀嚼性能和满意度评估的病例系列

Mandibular implant-assisted removable partial denture - Kennedy Class I to Class III modification - Case series with masticatory performance and satisfaction evaluation.

作者信息

Araujo Rafael, Zancopé Karla, Moreira Rodrigo, Barreto Talita, Neves Flávio

机构信息

Doctorate Student of Oral Implantology. School of Dentistry, Federal University of Uberlandia, Minas Gerais, Brazil.

DDS, Ms, PhD. Professor of the Department of Occlusion, Prosthesis and Dental Material, School of Dentistry, Federal University of Uberlandia, Minas Gerais, Brazil.

出版信息

J Clin Exp Dent. 2023 Jan 1;15(1):e71-e78. doi: 10.4317/jced.59777. eCollection 2023 Jan.

DOI:10.4317/jced.59777
PMID:36755677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9899356/
Abstract

In this work, we present 5 cases of Kennedy Class I patients with atrophic posterior mandible treated with the placement of 01 short WS Neodent® implant and a healing screw to support the removable prosthesis, transforming them into Kennedy Class III patients. To quickly evaluate and verify the benefit of this treatment, masticatory performance was evaluated with maximum bite force and chewing ability. A VAS questionnaire was also applied for a practical preoperative and postoperative evaluation of overall quality of life-changing for the patient after this treatment. This treatment plan was planned in order to reduce drastically the treatment costs and morbidity, and to enhance oral function and the quality of life for these patients. Also, this treatment lead to residual bone preservation, enhanced masticatory function and patient satisfaction. Especially in countries with a large number of patients with missing teeth and socio-economic difficulties to be fully rehabilitated with dental implants and fixed prosthesis treatment options with reduced costs are important to be in our armamentary os possibilities. Dental implants, masticatory performance, chewing, oral function, mixing ability.

摘要

在本研究中,我们展示了5例下颌后牙区萎缩的肯尼迪I类患者,通过植入1枚短型WS Neodent®种植体和一枚愈合螺丝来支持可摘义齿,将其转变为肯尼迪III类患者。为了快速评估和验证这种治疗方法的益处,通过最大咬合力和咀嚼能力来评估咀嚼性能。还应用了视觉模拟评分(VAS)问卷对患者治疗前后的整体生活质量变化进行实际评估。制定该治疗方案是为了大幅降低治疗成本和发病率,并提高这些患者的口腔功能和生活质量。此外,这种治疗方法还能保留剩余骨量,增强咀嚼功能并提高患者满意度。特别是在有大量缺牙患者且社会经济困难,难以通过种植牙和固定修复体进行全面修复的国家,降低成本的治疗选择对于我们的治疗手段来说非常重要。种植牙、咀嚼性能、咀嚼、口腔功能、混合能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/3ecc7858a593/jced-15-e71-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/08ad5c89822b/jced-15-e71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/f144c0032df0/jced-15-e71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/7ae7ea97badf/jced-15-e71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/3ecc7858a593/jced-15-e71-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/08ad5c89822b/jced-15-e71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/f144c0032df0/jced-15-e71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/7ae7ea97badf/jced-15-e71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec8/9899356/3ecc7858a593/jced-15-e71-g004.jpg

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JMIR Mhealth Uhealth. 2021 Jun 29;9(6):e19245. doi: 10.2196/19245.
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Consensus on the terminologies and methodologies for masticatory assessment.咀嚼评估术语和方法的共识。
J Oral Rehabil. 2021 Jun;48(6):745-761. doi: 10.1111/joor.13161. Epub 2021 Mar 29.
3
Effect of conversion to implant-assisted removable partial denture in patients with mandibular Kennedy classification Ⅰ: A systematic review and meta-analysis.
下颌 Kennedy 分类Ⅰ类患者行可摘局部义齿向种植覆盖义齿转换的效果:系统评价和荟萃分析。
Clin Oral Implants Res. 2020 Apr;31(4):360-373. doi: 10.1111/clr.13574. Epub 2020 Mar 19.
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Implant-Assisted Removable Partial Denture Prostheses: A Critical Review of Selected Literature.种植体辅助可摘局部义齿修复:对部分文献的批判性综述
Int J Prosthodont. 2018 May/Jun;31(3):287-302. doi: 10.11607/ijp.5227.
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Reliability of a two-colour chewing gum test to assess masticatory performance in complete denture wearers.用于评估全口义齿佩戴者咀嚼性能的双色口香糖测试的可靠性。
J Oral Rehabil. 2018 Apr;45(4):301-307. doi: 10.1111/joor.12609. Epub 2018 Feb 9.
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