Influence of denture-bearing conditions on masticatory function and patient-reported outcomes measures

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-08-05 DOI:10.1111/joor.13815

Francisco Mauro da Silva Girundi, Ana Luíza Gonçalves Girundi, Michele Costa de Oliveira Ribeiro, Raissa Micaella Marcelo Machado, Thais Marques Simek Vega Gonçalves, Altair Antoninha Del Bel Cury, Wander José da Silva

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Abstract

Purpose

To investigate the influence of different denture-bearing conditions on the masticatory function and patient-reported outcome measures (PROMs) of complete denture wearers.

Methods

Sixty edentulous patients were selected and allocated into two groups according to the American College of Prosthodontics' (ACP) classification: non-atrophic (NAT) (Classes I and II) (n = 24) and atrophic (AT) (Classes III and IV) (n = 36). All patients received new complete dentures (CDs). The objective variables (masticatory performance and swallowing threshold) were assessed as well as the PROMs (oral health-related quality of life (OHIP-EDENT), patient satisfaction) and quality of the prosthesis, at baseline (using the old CD) and after 4 months new prostheses use. Data were analyzed by Mann–Whitney test followed by the Generalized Equations Estimation (GEE), linear regression and Chi-square test.

Results

Higher masticatory performance was observed in the NAT group (p < .05) for both time points, baseline and after 4 months. However, compared to baseline, both groups showed significant masticatory improvement after 4 months (p < .05). Satisfaction and overall quality of life improved after 4 months with no difference between groups (p > .05). Regarding the quality of the CD, baseline results were significantly (p < .05) lower in the AT group, but after 4 months, no significant differences were found between groups and in intragroup analysis (p > .05).

Conclusions

The denture-bearing conditions seems to impact masticatory function, but the PROMs are barely affected.

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义齿承托条件对咀嚼功能和患者报告结果测量的影响。

目的：研究不同义齿支托条件对全口义齿佩戴者咀嚼功能和患者报告结果测量（PROMs）的影响：根据美国口腔修复学会（ACP）的分类，将 60 名无牙颌患者分为两组：非萎缩（NAT）（I 级和 II 级）（24 人）和萎缩（AT）（III 级和 IV 级）（36 人）。所有患者都接受了新的全口义齿（CD）。在基线（使用旧 CD）和新义齿使用 4 个月后，对客观变量（咀嚼功能和吞咽阈值）以及 PROMs（口腔健康相关生活质量（OHIP-EDENT）、患者满意度）和义齿质量进行了评估。数据分析采用曼-惠特尼检验，然后进行广义方程估计（GEE）、线性回归和卡方检验：结果：NAT组的咀嚼能力更强（P.05）。在 CD 质量方面，基线结果明显（P .05）：结论：义齿戴用条件似乎会影响咀嚼功能，但 PROMs 几乎不受影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.