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牙列缺失和牙列完整成年人采用传统全口义齿或种植体支持的固定全口义齿修复的立体摄影颜面研究。

A Stereophotogrammetry Face Study Between Dentate and Edentulous Adults Rehabilitated with Either a Conventional Complete or an Implant-Supported Fixed Complete Denture.

机构信息

Universidade de Säo Paulo - Faculdade de Odontologia de Bauru. Alameda Dr. Octávio Pinheiro Brisolla, 9-75, 17012-901, Brazil.

出版信息

Eur J Prosthodont Restor Dent. 2023 Nov 30;31(4):407-415. doi: 10.1922/EJPRD_1530Pucciarelli09.

Abstract

Quantifying in edentulous patients the facial collapse and whether complete conventional denture (CCD) and implant-supported fixed complete denture (ISFCD) can restore the facial proportions to match those of a dentate patient (CG) is relevant for clinical dentists. One hundred and four participants were enrolled and divided into edentulous (n=56) and CG (n=48). The edentulous participants were rehabilitated with CCD (n=28) or ISFCD (n=28) in both arches. Anthropometric landmarks in the face were marked and captured by stereophotogrammetry. Linear, angular, and surface measurements were analyzed and compared among groups. The statistical analysis was performed by an independent t-test, the one-way ANOVA, and Tukey's test. The significance level was set at 0.05. The facial collapse was quantified as a significant shortening of the lower third of the face affecting facial aesthetics in all parameters evaluated and the same was observed in comparison among CCD, ISFCD, and CG. The CCD presented statistical differences with the CG group in the lower third of the face and labial surface, and the ISFCD showed no statistical differences with the CG and CCD. The facial collapse in edentulous patients could be restored through oral rehabilitation with an ISFCD similar to those of dentate patients.

摘要

定量研究无牙颌患者的面部塌陷情况,以及全口常规义齿(CCD)和种植体支持的固定全口义齿(ISFCD)是否可以恢复面部比例,使其与有牙患者(CG)相匹配,这对于临床牙医来说是很重要的。本研究纳入了 104 名参与者,分为无牙颌组(n=56)和 CG 组(n=48)。无牙颌组的患者在上下颌均接受了 CCD(n=28)或 ISFCD(n=28)修复。通过立体摄影术标记并获取面部的人体测量标志点。分析并比较了组间的线性、角度和表面测量值。采用独立 t 检验、单因素方差分析和 Tukey 检验进行统计学分析。设定显著性水平为 0.05。面部塌陷表现为下三分之一面部的显著缩短,影响所有评估参数的面部美学,在 CCD、ISFCD 和 CG 之间的比较中也观察到同样的情况。CCD 组在下三分之一面部和唇面与 CG 组存在统计学差异,而 ISFCD 组与 CG 和 CCD 组之间无统计学差异。通过 ISFCD 进行口腔修复可以恢复无牙颌患者的面部塌陷,使其恢复到与有牙患者相似的状态。

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