Masticatory Function in Stage IV Periodontitis Patients Treated with Fixed Prosthetic Rehabilitations: A Case Series.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Mauro Merli, Luca Aquilanti, Umberto Pagliaro, Giorgia Mariotti, Marco Merli, Michele Nieri, Giorgio Rappelli
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Abstract

The present study assessed the impact of a fixed prosthetic rehabilitation on masticatory function in patients diagnosed with stage IV periodontitis. Eligible participants were adults in need of complex rehabilitation due to masticatory dysfunction. Masticatory function was evaluated using the two-colored chewing gum mixing ability test (VOH) at the diagnostic phase (T0), 1 week after delivery of the prosthetic prototype (T1), and 1 week after delivery of the final prosthetic solution (T2). Ten subjects were treated with a fixed prosthesis following periodontal and implant surgery using an individualized, fully digital workflow. Full-mouth plaque and bleeding scores, pocket depth, and clinical attachment level improved significantly. VOH was 0.472 ± 0.168 at T0, 0.358 ± 0.166 at T1, and 0.250 ± 0.123 at T2. A significant improvement in VOH was observed from T0 to T1 (difference: -0.114; 95% CI: -0.199 to -0.029; P = .014) and from T1 to T2 (difference: -0.108; 95% CI: -0.200 to -0.015; P = .027). From T0 to T2, VOH increased by 44.3%. Self-perceived assessment of masticatory function also improved from T0 to T2 (P = .002). The fixed prosthetic rehabilitation in patients with stage IV periodontitis allowed for a significant improvement in objective and subjective measurements of masticatory function.

使用固定修复体进行康复治疗的 IV 期牙周炎患者的咀嚼功能:病例系列。
本研究评估了固定义齿修复对确诊为 IV 期牙周炎患者咀嚼功能的影响。符合条件的参与者均为因咀嚼功能障碍而需要进行复杂康复治疗的成年人。在诊断阶段(T0)、修复体原型交付一周后(T1)和最终修复体溶液交付一周后(T2),使用双色口香糖混合能力测试(VOH)对咀嚼功能进行评估。十名受试者在牙周和种植手术后接受了固定义齿治疗,采用的是个性化的全数字化工作流程。全口牙菌斑和出血评分、窝沟深度和临床附着水平均有明显改善。在 T0 期,VOH 为 0.472 ± 0.168,T1 期为 0.358 ± 0.166,T2 期为 0.250 ± 0.123。从 T0 到 T1(差异:-0.114;95% CI:-0.199 到 -0.029;P = .014)以及从 T1 到 T2(差异:-0.108;95% CI:-0.200 到 -0.015;P = .027),VOH 均有明显改善。从 T0 到 T2,VOH 增加了 44.3%。从 T0 到 T2,咀嚼功能的自我感觉评估也有所改善(P = .002)。对 IV 期牙周炎患者进行固定义齿修复后,咀嚼功能的客观和主观测量结果均有显著改善。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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