上海口腔医学 ›› 2026, Vol. 35 ›› Issue (1): 72-76.doi: 10.19439/j.sjos.2026.01.012

• 论著 • 上一篇    下一篇

生物功能性全口义齿修复中老年患者牙列缺失效果评价

端木婷婷, 雷凡, 王琴琴, 孙红   

  1. 芜湖市第一人民医院 口腔科,安徽 芜湖 241000
  • 收稿日期:2024-09-05 修回日期:2024-11-08 出版日期:2026-03-12 发布日期:2026-03-12
  • 通讯作者: 孙红,E-mail:sunhongred@sina.com
  • 作者简介:端木婷婷(1985-),女,本科,副主任医师,E-mail:Dm13855375797@163.com
  • 基金资助:
    安徽省自然科学基金面上项目(2008085MH255)

Evaluation of the effect of biological functional complete denture in repairing middle-aged and elderly patients with missing dentition

Duanmu Tingting, Lei Fan, Wang Qinqin, Sun Hong   

  1. Department of Stomatology, The First People's Hospital of Wuhu City, Anhui Province. Wuhu241000, Anhui Province, China
  • Received:2024-09-05 Revised:2024-11-08 Online:2026-03-12 Published:2026-03-12

摘要: 目的 评价生物功能性全口义齿修复中老年患者牙列缺失的效果。方法 选择2021年2月—2024年3月收治的101例中老年全口牙列缺失患者进行回顾性分析,按修复方法不同分为对照组(传统全口义齿,n=52)和试验组(生物功能性全口义齿,n=49)。比较两组咀嚼功能、咀嚼肌肌电活动、临床疗效、舒适度、口腔健康状况及患者满意度。结果 修复后3个月,两组咀嚼效率和咀嚼物吸光度值显著升高(P<0.05),且试验组更高(P<0.05)。试验组颞肌前束、咬肌的表面肌电图和不对称指数(asymmetry index,AI)显著低于对照组(P<0.05),总有效率显著高于对照组(P<0.05)。修复后3个月,两组舒适度状况量表(general comfort questionnaire,GCQ)评分显著升高(P<0.05),且试验组更高(P<0.05);两组口腔健康影响程度量表14(oral health impact profile-14,OHIP-14)评分显著降低(P<0.05),且试验组更低(P<0.05)。试验组患者满意度显著高于对照组(P<0.05)。结论 生物功能性全口义齿可提升中老年牙列缺失患者舒适度与口腔健康状况,改善咀嚼功能及咀嚼肌肌电活动,提高患者满意度。

关键词: 生物功能性全口义齿, 中老年, 牙列缺失, 咀嚼肌肌电活动, 修复效果

Abstract: PURPOSE: To investigate the effect of biological functional complete denture in the repair of middle-aged and elderly patients with missing dentition. METHODS: One hundred and one middle-aged and elderly patients with complete denture loss from February 2021 to March 2024 were retrospectively analyzed.They were divided into the control group (traditional complete denture, n=52) and the experimental group (biological functional complete denture, n=49) according to different restoration methods. Masticatory function, EMG activity of masticatory muscle, clinical efficacy, comfort level, oral health and patient satisfaction were compared between the two groups. RESULTS: Three months after treatment, the masticatory efficiency and absorbance of masticatory substances were significantly increased in 2 groups (P<0.05), and those in the experimental group were higher (P<0.05). Surface electromyography and asymmetry index (AI) of anterior temporal tract and masseter muscle in the experimental group were significantly lower than those in the control group(P<0.05), and the total effective rate was significantly higher than that in the control group(P<0.05). Three months after treatment, the scores of general comfort questionnaire(GCQ) in 2 groups were significantly increased (P<0.05), and those in the experimental group were higher (P<0.05); the score of oral health impact profile-14(OHIP-14) was decreased in both groups(P<0.05), and was lower in the experimental group (P<0.05). Satisfaction rate of patients in the experimental group was significantly higher than the control group (P<0.05). CONCLUSIONS: Biofunctional complete denture restoration can improve the comfort and oral health status of middle-aged and elderly patients with denture loss, enhance the masticatory function and the myoelectric activity of masticatory muscle, and improve patient satisfaction.

Key words: Biological functional complete denture, Middle-aged and elderly patients, Loss of dentition, Myoelectric activity of masseter muscle, Repair effect

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