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台湾成骨不全症患者咀嚼能力的决定因素。

Determinants of masticatory ability in Taiwanese patients with osteogenesis imperfecta.

作者信息

Hsu Kun-Jung, Tseng Yu-Chuan, Chen Chun-Ming, Lee Huang-Ting, Zhao Wan-Yi, Lin I-Chin

机构信息

Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

J Dent Sci. 2025 Apr;20(2):980-988. doi: 10.1016/j.jds.2024.11.012. Epub 2024 Nov 22.

Abstract

BACKGROUND/PURPOSE: Despite the existing knowledge on osteogenesis imperfecta (OI), there is a notable lack of research focused on determining the optimal number and types of teeth that individuals with OI should keep to ensure effective chewing. This study aimed to identify variables influencing masticatory ability among patients with OI.

MATERIALS AND METHODS

A total of 37 patients with OI participated in the study. Data were collected through questionnaires and dental examinations. The questionnaire assessed sociodemographic information, oral habits, self-perceived health, and self-rated masticatory ability, utilizing 14 common Taiwanese food groups. Dental information was evaluated through clinical examinations. Statistical methods, including the Mann-Whitney U and Kruskal-Wallis tests, were employed to identify factors associated with self-rated masticatory ability. Subsequently, multiple logistic regression analysis was conducted to identify predictors of masticatory ability.

RESULTS

The multiple logistic regression analysis identified the number of posterior functional tooth units (P-FTUs) as a significant predictor of masticatory difficulty in patients with OI.

CONCLUSION

Enhancing masticatory ability in patients with OI requires not only a sufficient number of natural teeth or fixed prosthetics but also a focus on the optimal arrangement and functionality of these dental supports.

摘要

背景/目的:尽管已有关于成骨不全症(OI)的知识,但对于确定OI患者应保留的最佳牙齿数量和类型以确保有效咀嚼的研究仍明显不足。本研究旨在确定影响OI患者咀嚼能力的变量。

材料与方法

共有37名OI患者参与了本研究。通过问卷调查和牙科检查收集数据。问卷评估了社会人口统计学信息、口腔习惯、自我感知健康状况以及自我评定的咀嚼能力,使用了14种常见的台湾食物组。通过临床检查评估牙科信息。采用包括曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验在内的统计方法来确定与自我评定咀嚼能力相关的因素。随后,进行多因素逻辑回归分析以确定咀嚼能力的预测因素。

结果

多因素逻辑回归分析表明,后牙功能单位(P-FTU)的数量是OI患者咀嚼困难的一个重要预测因素。

结论

提高OI患者的咀嚼能力不仅需要足够数量的天然牙或固定修复体,还需要关注这些牙齿支持结构的最佳排列和功能。

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