平板型治疗义齿在神经-肌肉功能紊乱的无牙颌病例中应用效果的初步研究

doi:10.13591/j.cnki.kqyx.2025.04.003

摘要/Abstract

摘要：

目的评价平板型治疗义齿在神经-肌肉功能紊乱的无牙颌病例中应用的效果。方法 13例神经-肌肉功能紊乱的无牙颌患者参加本项研究。首先用生物功能性修复系统(biofunctional prosthetic system,BPS)的标准流程为患者制作一副常规全口义齿,戴用当天及2周后进行满意度调查及口腔健康相关生活质量(oral health-related quality of life,OHRQoL)评价。对于总体满意度低于8分的患者,用平板型治疗义齿进行神经肌肉功能训练。将下颌义齿人工后牙的咬合面去除4 mm,制作成平板型治疗义齿,进行神经肌肉功能训练。当下颌位置稳定后,重新制作下颌义齿,并在戴牙当天再次进行满意度调查及OHRQoL评价。结果对于神经-肌肉功能紊乱的无牙颌患者,常规全口义齿戴用当天和2周后,患者对义齿的固位、稳定、咀嚼功能、总体满意度评分及OHRQoL评价均无显著变化,且总体满意度均低于8分。通过平板型治疗义齿进行神经肌肉功能训练后制作的终义齿,患者对义齿的满意度评分及OHRQoL评价均有显著提升(P<0.05)。结论对于神经-肌肉功能紊乱的无牙颌患者,用平板型治疗义齿对咀嚼系统行神经肌肉功能训练,可以改善其神经肌肉功能状态,显著提高患者对终义齿的满意度,并提升患者的生活质量。

关键词: 平板型治疗义齿, BPS, 神经肌肉功能训练, 满意度调查, OHRQoL

Abstract:

Objective To evaluate the effectiveness of therapeutic dentures with flat tables in edentulous patients with neuromuscular dysfunction. Methods Thirteen edentulous patients with neuromuscular dysfunction participated in this study. Initially, conventional complete dentures were fabricated using the biofunctional prosthetic system(BPS)method and delivered to the patients. The satisfaction questionnaire and oral health-related quality of life(OHRQoL) were assessed on the day of delivery and again two weeks later. The patients whose grades of over-all satisfactory fewer than 8 were participated in neuromuscular training with therapeutic dentures. Subsequently, 4 mm of the occlusal surfaces of the mandibular artificial posterior teeth were removed to create flat tables. Once the mandibular position was stabilized, new mandibular denture was fabricated and the same assessments were conducted on the day of delivery. Results In edentulous patients with neuromuscular dysfunction, there were no significant improvements in satisfaction, or OHRQoL on the day of delivery or two weeks later. However, significant improvements in satisfaction and OHRQoL were observed after the definitive dentures delivered following neuromuscular training(P<0.05). Conclusion Thetherapeutic dentures with flat tables can improve the neuromuscular function in edentulous patients with neuromuscular dysfunction, significantly increasing their satisfaction in the dentures, while also enhancing their quality of life.

Key words: therapeutic dentures with flat tables, BPS, neuromuscular training, satisfaction survey, OHRQoL

中图分类号:

R783.6

李玥, 骆小平, 杨小静, 赵强伟, 张力, 张红. 平板型治疗义齿在神经-肌肉功能紊乱的无牙颌病例中应用效果的初步研究[J]. 口腔医学, 2025, 45(4): 254-258.

LI Yue, LUO Xiaoping, YANG Xiaojing, ZHAO Qiangwei, ZHANG Li, ZHANG Hong. Preliminary study on the application of therapeutic dentures with flat occlusal tables in edentulous patients with neuromuscular dysfunction[J]. Stomatology, 2025, 45(4): 254-258.

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项目	常规全口义齿戴用当天(T1)	常规全口义齿戴用2周(T2)	最终义齿戴用当天(T3)
固位	8.38±1.04^ab	8.00±0.91^b	9.08±0.86^a
稳定	4.38±0.77^a	3.77±0.93^a	9.00±0.71^b
咀嚼	3.54±0.66^a	3.69±0.95^a	9.15±0.69^b
总体满意度	4.69±0.85^a	5.62±0.77^a	9.23±0.73^b