缩短牙弧对老年人口腔功能的影响:一个前性队列研究
Tasuku Yoshimoto1, Yoko Hasegawa1,2, Aye Mya Mya Khaing1
1Division of Comprehensive Prosthodontics, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
Heliyon
|January 6, 2025
概括
缩短牙弧 (SDA) 的患者会随着时间的推移而失去牙,但保持口腔功能. 对SDA的假肢治疗应在经过仔细商后进行个性化,以确保最佳结果.
科学领域:
- 老年学是一门学科.
- 牙科科学 牙科科学
- 口腔健康研究研究 口腔健康研究
背景情况:
- 缩短的牙弧 (SDA) 与长期牙损失风险增加有关,与完整的牙弧 (CDA) 相比.
- 对于SDA与CDA群体的口腔功能,关闭支对SDA与CDA群体口腔功能的影响仍未得到充分研究.
研究的目的:
- 调查关闭支对SDA和CDA的老年人口腔功能的横截面和纵向影响.
- 为了在两年内比较SDA和CDA组之间的口腔功能参数.
主要方法:
- 评估了日本农村地区257名CDA和21名SDA参与者 (≥65岁) 的队列.
- 口腔功能在基线和两年随访时被评估,包括功能,闭塞力和功能牙数量.
- 统计分析涉及反复测量ANOVA和后期测试,以比较组和随时间变化.
主要成果:
- 在截面上,SDA参与者比CDA参与者表现出明显较低的能力和闭合力.
- 纵向看,SDA组的功能牙下降幅度较大,相比于CDA组的功能牙下降幅度更大 (p < 0.001).
- 在其他评估的口腔功能参数中,在SDA和CDA组之间没有发现显著的纵向差异.
结论:
- 虽然SDA患者在两年内牙功能下降,但他们的整体口腔功能与CDA患者没有显著差异.
- 对于SDA的假肢干预,包括植入物,皇冠或可拆卸的假牙,似乎可以随着时间的推移保持口腔功能.
- 基于患者特定目标的个性化假肢治疗计划对于管理SDA至关重要.
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