可摘局部义齿修复对老年牙列缺失患者咀嚼功能的影响
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如皋市中医医院口腔科 江苏 如皋

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The effect of removable partial dentures in improving the chewing efficiency of elderly patients with missing teeth
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    摘要:

    目的 对比常规全口义齿、可摘局部义齿两类修复方式在老年牙列缺失患者中的应用差异,观察义齿固位稳定性、咀嚼效率、咬合力及患者美观满意度变化。方法 选取2024年1月~2025年12月本院92例老年牙列缺失患者,随机分为两组各46例,对照组实施传统全口义齿修复,观察组采用可摘局部义齿修复;分别在义齿初戴、佩戴3个月两个时间点检测相关指标,对比固位稳定评分、咀嚼功能及美观评价情况。结果 初戴时两组固位、咀嚼相关指标对比无统计学差异(P>0.05);佩戴3个月后观察组固位力、稳定性评分、咀嚼效率、咬合力均高于对照组,观察组美观总满意率高于对照组,各项对比均存在统计学差异(P<0.05)。结论 初次佩戴时两类义齿基础性能相近,长期使用后可摘局部义齿依靠卡环、支托形成机械固位结构,不易发生松动移位,咀嚼研磨能力更优,基托面积更小,面部外观更自然,适合留存天然牙的老年缺牙患者长期修复选用。

    Abstract:

    Objective Comparison of difference applications on conventional complete denture and removable partial denture in edentulous elder patients,and assessment for changes in denture retention, mastication ability, occlusal force and patient"s esthetic satisfaction,is underway.Methods From January 2024 to December 2025, our hospital randomly divided 92 elderly patients with missing teeth into two groups, each comprising 46 cases. The control group was given traditional complete denture restoration,while in observation group removable partial denture restoration was present.The relevant indicators were determined at two time points: before (initial) and after 3 monthswearing.The stability score, masticatory ability,and the visual rating of aesthetics was also compared.Results No statistically significant distinction was observed between the two groups in terms of denture stability and chewing-related indicators(P > 0.05)when they first wore their dentures;however, at 3 months, the observation group had higher denture stability force and stability score, chewing efficiency,and with greater mandibular length, crown-to-root ratio, canine projection, molar inclination, occlusal plane angle, upper lip convexity, lower lip convexity, lower face height, interlabial gap size, lower incisor show through, overjet and bite force than controls and an overall higher aesthetic satisfaction rate.The control group"s performance was inferior to that of the comparison, all of which were statistically significant(P < 0.05).Conclusion The basic mechanism of both dentures at first were similar. Following long term use, RPDs require clasps and retainers in order to establish a mechanical retentive structure,which does not loosen nor displace easily , exhibits better mastication and grinding capacity, possesses smaller base plate surface and presents a more natural face appearance .This is capable to restore elderly patients, who have lost some of their teeth but still possess the remaining natural ones over an extended duration.

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  • 收稿日期:2026-07-24
  • 最后修改日期:2026-07-30
  • 录用日期:2026-07-31
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