{"title":"口腔癌下颌骨切除术后修复康复患者咀嚼功能及相关因素：一项回顾性横断面研究。","authors":"Yoichiro Ogino, Masahiro Kawasaki, Ryoji Moroi, Ikiru Atsuta, Yasunori Ayukawa","doi":"10.1111/joor.70062","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although masticatory function (MF) in patients with prosthetic rehabilitation after mandibulectomy for oral cancer has been reported to be influenced by multiple factors, comprehensive evaluations of MF from clinical perspectives remain insufficient.</p><p><strong>Purpose: </strong>To comprehensively evaluate MF and its associated factors in patients with prosthetic rehabilitation after mandibulectomy for oral cancer.</p><p><strong>Methods: </strong>The potential study participants were patients who had undergone mandibulectomy for oral cancer and received mandibular prosthetic rehabilitation. Age, sex, the number of remaining teeth and the number of total and posterior functioning occlusal supports were extracted. Information on cancer-related therapies (surgical procedure, radiotherapy, chemotherapy, glossectomy and neck dissection) and measurement values of oral functions (MF, oral moisture, maximum occlusal force (MOF), tongue-lip motor functions and maximum tongue pressure) were also extracted. Differences in MF were statistically evaluated according to cancer-related therapies. The Spearman correlation coefficients and logistic regression analysis were performed to evaluate associations between MF and these factors.</p><p><strong>Results: </strong>A total of 41 patients were included in this study. MF was moderately and significantly associated with the number of remaining teeth, total and posterior functioning occlusal supports, MOF, and tongue-lip motor functions. More invasive cancer-related therapies significantly declined MF. Logistic regression analysis identified the presence of posterior functioning occlusal supports as a significant explanatory variable for MF.</p><p><strong>Conclusions: </strong>MF in patients with prosthetic rehabilitation after mandibulectomy was influenced by multiple factors. Notably, a crucial role of the presence of posterior functioning occlusal supports in MF was identified.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Masticatory Function and Associated Factors in Patients With Prosthetic Rehabilitation After Mandibulectomy for Oral Cancer: A Retrospective Cross-Sectional Study.\",\"authors\":\"Yoichiro Ogino, Masahiro Kawasaki, Ryoji Moroi, Ikiru Atsuta, Yasunori Ayukawa\",\"doi\":\"10.1111/joor.70062\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Although masticatory function (MF) in patients with prosthetic rehabilitation after mandibulectomy for oral cancer has been reported to be influenced by multiple factors, comprehensive evaluations of MF from clinical perspectives remain insufficient.</p><p><strong>Purpose: </strong>To comprehensively evaluate MF and its associated factors in patients with prosthetic rehabilitation after mandibulectomy for oral cancer.</p><p><strong>Methods: </strong>The potential study participants were patients who had undergone mandibulectomy for oral cancer and received mandibular prosthetic rehabilitation. Age, sex, the number of remaining teeth and the number of total and posterior functioning occlusal supports were extracted. Information on cancer-related therapies (surgical procedure, radiotherapy, chemotherapy, glossectomy and neck dissection) and measurement values of oral functions (MF, oral moisture, maximum occlusal force (MOF), tongue-lip motor functions and maximum tongue pressure) were also extracted. Differences in MF were statistically evaluated according to cancer-related therapies. The Spearman correlation coefficients and logistic regression analysis were performed to evaluate associations between MF and these factors.</p><p><strong>Results: </strong>A total of 41 patients were included in this study. MF was moderately and significantly associated with the number of remaining teeth, total and posterior functioning occlusal supports, MOF, and tongue-lip motor functions. More invasive cancer-related therapies significantly declined MF. Logistic regression analysis identified the presence of posterior functioning occlusal supports as a significant explanatory variable for MF.</p><p><strong>Conclusions: </strong>MF in patients with prosthetic rehabilitation after mandibulectomy was influenced by multiple factors. Notably, a crucial role of the presence of posterior functioning occlusal supports in MF was identified.</p>\",\"PeriodicalId\":16605,\"journal\":{\"name\":\"Journal of oral rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of oral rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/joor.70062\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of oral rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/joor.70062","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Masticatory Function and Associated Factors in Patients With Prosthetic Rehabilitation After Mandibulectomy for Oral Cancer: A Retrospective Cross-Sectional Study.
Background: Although masticatory function (MF) in patients with prosthetic rehabilitation after mandibulectomy for oral cancer has been reported to be influenced by multiple factors, comprehensive evaluations of MF from clinical perspectives remain insufficient.
Purpose: To comprehensively evaluate MF and its associated factors in patients with prosthetic rehabilitation after mandibulectomy for oral cancer.
Methods: The potential study participants were patients who had undergone mandibulectomy for oral cancer and received mandibular prosthetic rehabilitation. Age, sex, the number of remaining teeth and the number of total and posterior functioning occlusal supports were extracted. Information on cancer-related therapies (surgical procedure, radiotherapy, chemotherapy, glossectomy and neck dissection) and measurement values of oral functions (MF, oral moisture, maximum occlusal force (MOF), tongue-lip motor functions and maximum tongue pressure) were also extracted. Differences in MF were statistically evaluated according to cancer-related therapies. The Spearman correlation coefficients and logistic regression analysis were performed to evaluate associations between MF and these factors.
Results: A total of 41 patients were included in this study. MF was moderately and significantly associated with the number of remaining teeth, total and posterior functioning occlusal supports, MOF, and tongue-lip motor functions. More invasive cancer-related therapies significantly declined MF. Logistic regression analysis identified the presence of posterior functioning occlusal supports as a significant explanatory variable for MF.
Conclusions: MF in patients with prosthetic rehabilitation after mandibulectomy was influenced by multiple factors. Notably, a crucial role of the presence of posterior functioning occlusal supports in MF was identified.
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.
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