不同咬合重建方式对牙齿重度磨耗合并牙列缺损患者咀嚼、Fricton和OHIP-14影响  

Effects of different occlusal reconstruction methods on masticatory function,Fricton index and OHIP-14 score in adult patients with severe tooth attrition and dentition defect

作　　者：冯艳芬 王静 路茜 庞淑婷 周建营 张绍清 FENG Yan-fen;WANG-Jing;LU Qian;PANG Shu-ting;ZHOU Jian-ying;ZHANG Shao-qing(Department of Stomatology,Cangzhou City People's Hospital,Cangzhou 061000,Hebei,China;Affiliated Stomatological Hospital of Cangzhou Medical College,Cangzhou 061000,Hebei,China)

机构地区：[1]沧州市人民医院口腔科,河北沧州061000 [2]沧州医学高等专科学校附属口腔医院,河北沧州061000

出　　处：《川北医学院学报》2024年第9期1199-1203,共5页Journal of North Sichuan Medical College

基　　金：河北省沧州市重点研发计划指导项目(204106018)。

摘　　要：目的:探讨不同咬合重建方式对成人牙齿重度磨耗合并牙列缺损患者咀嚼功能、Fricton指数和14项口腔健康影响程度量表(OHIP-14)评分的影响。方法:纳入105例成人牙齿重度磨耗合并牙列缺损患者为研究对象,根据不同咬合重建方式将患者分为对照A组(固定义齿修复,n=35)、对照B组(活动义齿修复,n=35)、联合组(固定-活动联合义齿修复,n=35)。比较修复前后各组咀嚼功能、Fricton指数、OHIP-14评分及牙周指标。结果:修复3、6个月后,各组患者咀嚼效率均提高(P<0.05);Fricton指数中下颌运动分、关节压诊分、肌肉压诊分、关节杂音分、功能障碍指数均降低(P<0.05);OHIP-14中功能限制、疼痛与不适、身心缺陷、能力受限评分均降低(P<0.05);牙龈指数、龈沟出血指数评分均降低(P<0.05);以上指标均以联合组的变化更明显(P<0.05)。结论:固定义齿、活动义齿及固定-活动义齿联合义齿修复方式均可提高成人牙齿重度磨耗合并牙列缺损患者的咀嚼功能,改善颞下颌关节功能紊乱及牙周状况,提升生活质量,但固定-活动联合义齿修复方式的治疗效果更佳。Objective:To investigate the effects of different occlusal reconstruction methods on masticatory function,Fricton index and 14-item Oral Health Impact Scale(OHIP-14)scores in adult patients with severe tooth attrition and dentition defect.Methods:A total of 105 adult patients with severe tooth wear combined with dentition defect were included and divided into control group A(n=35,fixed denture restoration),control group B(n=35,movable denture restoration)and combined group(n=35,fixed and movable denture restoration)according to different occlusal reconstruction methods.The masticatory function,Fricton index,OHIP-14 score and periodontal index of the three groups were compared before and after repair.Results:Compared with before repair,masticatory efficiency of patients in 3 and 6 months after repair was improved(P<0.05).The Fricton index of mandibular motion score,joint pressure score,muscle pressure score,joint noise score and dysfunction index were significantly decreased(P<0.05).The scores of functional limitation,pain and discomfort,physical and mental impairment,and ability limitation in OHIP-14 were decreased(P<0.05),and the scores of gingival index and gingival sulcus bleeding index were decreased(P<0.05).The above indexes were more significantly changed in the combined group(P<0.05).Conclusion:Fixed denture,movable denture and fixed-movable denture combined with denture can improve the masticatory function of adult patients with severe tooth attrition combined with dentition defect,improve temporomandibular joint dysfunction and periodontal status,and improve the quality of life,but the effect of fixed-movable denture combined with denture is better.

关 键 词：牙齿重度磨耗 牙列缺损 成人 咬合重建 咀嚼功能 颞下颌关节功能 

分 类 号：R783.6[医药卫生—口腔医学]