Clinical research on curative effect of complete denture with two kinds of occlusion for temporomandibular joint disorders of aged edentulous patients
10.3760/cma.j.issn.1002-0098.2013.10.008
- VernacularTitle:两种(牙合)型全口义齿对老年无牙颌患者颞下颌关节紊乱病影响的比较
- Author:
Tian-Hao YU
1
;
Ning ZHANG
;
Li-Fang ZHONG
;
Tong-Hui WANG
;
De-Song ZHAN
Author Information
1. 110002 沈阳,中国医科大学口腔医学院干诊科,辽宁省口腔医学研究所
- Keywords:
Denture,complete;
Alveolar bone loss;
Jaw,edentulous;
Temporomandibular joint disorders
- From:
Chinese Journal of Stomatology
2013;48(10):610-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare curative effect between complete denture with lingualized occlusion and anatomic occlusion on temporomandibular joint disorders (TMD) of aged edentulous patients with severe residual alveolar ridge resorption.Methods Seventy aged edentulous patients with severe residual alveolar ridge resorption were recruited in this study and randomly assigned into two groups,thirty-five each.In Group A,patients received complete denture with lingualized occlusion,and in Group B,patients received complete denture with anatomic occlusion.The condition of TMD was examined and recorded by the same TMD specialist at baseline,3 months and 6 months following denture delivery.The recovery effect of TMD was evaluated according to Fricton Index.Related data were analyzed statistically with t-test and rank sum test.Results Three months following denture delivery,the craniomandibular index (CMI) decrease value was (0.064 ± 0.022) in group A,and was significantly higher than that in group B (0.043 ± 0.018) (P ＜ 0.01).Six months following denture delivery,the CMI decrease value was (0.084 ± 0.020) in group A,and was significantly higher than that in group B(0.070 ±0.021) (P =0.011 ＜0.05).Conclusions Complete denture with lingualized occlusion may be more conducive to the remission of TMD for aged edentulous patients with severe residual alveolar ridge resorption.
