3D打印技术对无牙颌患者义齿修复美观满意度的影响  

Effect of 3D Printing Technology on Aesthetic Satisfaction of Denture Restoration in Edentulous Patients

作　　者：熊蕾 王金莹 郝俊祥 高志强 王丽敏 XIONG Lei;WANG Jinying;HAO Junxiang;GAO Zhiqiang;WANG Limin(Department of Stomatology,Tangshan Vocational and Technical College Affiliated Hospital,Tangshan 063000,Hebei,China)

机构地区：[1]唐山职业技术学院附属医院口腔科,河北唐山063000

出　　处：《中国美容医学》2024年第2期150-153,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨3D打印技术对无牙颌患者义齿修复美观满意度的影响。方法:选取2019年3月-2020年3月笔者医院科室收治的110例无牙颌患者,采用随机数字表法分为对照组和观察组,每组55例。对照组采用传统全口义齿修复,观察组采用3D打印全口义齿修复。采用视觉模拟评分法(Visual analogue scale,VAS)和无牙颌口腔健康影响量表-20(Oral health impact profile edentulous,OHIP-20)分别评估两组义齿戴用即时、1、3个月义齿满意度和口腔健康相关生活质量,并于义齿戴用后3个月采用吸光光度法测定两组咀嚼效率。结果:义齿戴用1个月,两组语音功能、咀嚼功能和舒适性VAS评分较义齿戴用即时明显升高(P<0.05),美观度、固位功能VAS评分较义齿戴用即时差异无统计学意义(P>0.05);义齿戴用3个月,两组语音功能、咀嚼功能和舒适性VAS评分较义齿戴用即时和戴用1个月时明显升高(P<0.05),美观度、固位功能VAS评分较义齿戴用即时和戴用1个月时差异无统计学意义(P>0.05);两组义齿戴用即时、1个月、3个月美观度、语音功能、咀嚼功能、固位功能和舒适性VAS评分比较差异无统计学意义(P>0.05)。义齿戴用1个月,两组OHIP-20评分较义齿戴用即时明显降低(P<0.05);义齿戴用3个月,两组OHIP-20评分较义齿戴用即时和戴用1个月时明显降低(P<0.05);两组义齿戴用即时、1个月、3个月OHIP-20评分比较差异无统计学意义(P>0.05)。两组义齿戴用后第3个月咀嚼效率比较差异无统计学意义(P>0.05)。结论:3D打印义齿可快速实现无牙颌修复,在患者美观满意度及口腔健康相关生活质量评价方面展现出与传统全口义齿相同的治疗效果。Objective To explore the effect of 3D printing technology on the aesthetic satisfaction of denture restoration in edentulous patients.Methods 110 edentulous patients admitted to the author's hospital from March 2019 to March 2020 were selected,the patients were divided into control group and observation group by random number table method,55 cases in each group.The control group received traditional complete denture,and the observation group received 3D printed complete denture.Visual analogue scale(VAS)and oral health impact profile edentulous(OHIP-20)were used to evaluate denture satisfaction and oral health-related quality of life in the two groups.The masticatory efficiency of the two groups was measured by absorbance spectrophotometry at the third month after denture wearing.Results After denture wearing for 1 month,the VAS scores of voice function,chewing function and comfort in both groups were significantly higher than those of denture wearing immediately(P<0.05),while the VAS scores of aesthetics and retention function were not statistically different from those of denture wearing immediately(P>0.05).After 3 months of denture wearing,the VAS scores of speech function,masticatory function and comfort in the two groups were significantly higher than those in the immediate and 1 month of denture wearing(P<0.05),and there were no significant difference in VAS scores of aesthetics and retention function between the immediate and 1 month of denture wearing(P>0.05).There were no statistically significant differences in aesthetics,voice function,chewing function,retention function and comfort VAS scores between the two groups at immediate,1 and 3 months of denture use(P>0.05).After wearing the denture for 1 month,the HIP-20E score of both groups were significantly lower than that of wearing the denture immediately(P<0.05).After wearing denture for 3 months,the OHIP-20 score of the two groups were significantly lower than that of immediate denture wearing and 1 month wearing(P<0.05).There were no statistically si

关 键 词：3D打印义齿 无牙颌 全口义齿 视觉模拟评分法 修复 美观满意度 

分 类 号：R783.6[医药卫生—口腔医学]