Stereophotometric facial changes in edentulous older adults after rehabilitation with complete dentures.

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2024-07-10 DOI:10.1111/ger.12774
Zala Skomina, Milan Kuhar, Miha Verdenik, Nataša Ihan Hren
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Abstract

Objectives: To evaluate the facial characteristics of edentulous older adults who underwent rehabilitation using complete dentures, and to compare them with dentate individuals.

Background: Edentulism rehabilitation with complete dentures aims to restore occlusion and facial aesthetics.

Materials and methods: The study included 102 edentulous participants needing prosthodontic rehabilitation with complete dentures and 30 with a natural dentition (aged >65). The 3D facial scans were performed using an Artec optical scanner. Superficial facial landmarks were identified, and 16 parameters were calculated. Regional analysis with the superimposition of two scans was used to calculate the average distances and percentage of non-matching surfaces in the 11 regions. Paired and independent t-tests (α = .05) were used to test for group differences, as appropriate.

Results: After rehabilitation with complete dentures, facial changes were most noticeable in the perioral region: wider rima oris, longer upper lip, wider upper vermilion, and more protruded profile. The comparison of facial regions without and with dentures showed fuller and curvier cheeks, with no direct influence of dentures. The edentulous faces with dentures appeared shorter and more retruded than those of dentate individuals. A narrower lower vermilion, retruded upper lip, and more flattened facial profile were observed in females with dentures than in their dentate peers.

Conclusion: Besides the expected positive influence of rehabilitation with complete dentures on facial appearance in the perioral region, there are some unexpected changes, such as fuller cheeks, but there is still deficiency in vertical facial dimensions and a more flattened facial profile.

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使用全口义齿进行康复治疗后,无牙颌老年人面部的立体光度变化。
目的:评估使用全口义齿进行康复治疗的无牙老年人的面部特征,并将其与有牙老年人进行比较:评估使用全口义齿进行修复的无牙老年人的面部特征,并将其与有牙的人进行比较:背景:使用全口义齿进行无牙颌修复的目的是恢复咬合和面部美观:研究对象包括 102 名需要使用全口义齿进行修复的无牙患者和 30 名天然牙患者(年龄大于 65 岁)。三维面部扫描使用 Artec 光学扫描仪进行。对面部浅层地标进行了识别,并计算了 16 个参数。利用两个扫描结果叠加的区域分析,计算出 11 个区域的平均距离和不匹配表面的百分比。酌情使用配对和独立 t 检验(α = .05)来检验组间差异:结果:使用全口义齿进行康复治疗后,口周区域的面部变化最为明显:口角更宽、上唇更长、上朱砂更宽、轮廓更突出。无假牙和有假牙的面部区域对比显示,脸颊更丰满、更弯曲,假牙没有直接影响。与有牙齿的人相比,装有假牙的无牙面孔显得更短更后缩。与有牙齿的同龄人相比,戴假牙的女性下朱唇更窄、上唇后缩、面部轮廓更扁平:结论:除了预期的全口义齿康复对口周面部外观的积极影响外,还出现了一些意想不到的变化,如脸颊更丰满,但面部纵向尺寸仍然不足,面部轮廓更扁平。
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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
期刊最新文献
Natural products for denture base disinfection: A scoping review. Validity of the Oral Hygiene Ability Instrument (OHAI). Dentists' perceptions of providing care to community-dwelling older people. Distribution of Australian dental practices in relation to residential aged care facilities: A geographic analysis. Mandibular third molar coronectomy in older adults and its effects on oral health-related quality of life.
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