吸附性义齿修复对全口无牙颌患者口腔健康影响程度的影响
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克拉玛依市第二人民医院(克拉玛依市康复医院)

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Application of adsorption denture in edentulous patients and analysis of OHIP-14 score
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    摘要:

    目的:探究吸附性义齿修复在全口无牙颌患者中应用及对OHIP-14评分的影响。方法:收录2022年1月—2025年12月我院73例全口无牙颌患者,摸球法分为对照组36例、观察组37例。对照组实施传统全口总义齿修复,观察组实施吸附性义齿修复,对比两组患者的口腔健康影响程度、满意度及并发症发生情况。结果:修复前,两组基线资料、OHIP-14各维度评分无统计学差异(P>0.05);修复后,两组OHIP-14七维度评分均显著降低(组内P<0.001),且观察组各维度评分均显著低于对照组(P<0.001);观察组舒适度、固位功能等满意度各维度评分均高于对照组(P<0.001);观察组3个月内并发症总发生率(24.32%)显著低于对照组(47.22%)(χ2=4.172,P=0.041)。结论:吸附性义齿修复通过功能性印模与优化修复体设计,可更显著改善全口无牙颌患者口腔健康相关生活质量,提升核心维度修复满意度,降低术后并发症风险,临床应用价值突出,值得推广。

    Abstract:

    Objective:To explore the application of adsorption denture in edentulous patients and its influence on OHIP-14 score. Methods: A total of 73 patients with complete edentulism admitted to our hospital from January 2022 to December 2025 were enrolled and divided into the control group (36 cases) and the observation group (37 cases) by the ball drawing method. The control group received traditional complete denture restoration, while the observation group underwent implant-supported denture restoration. The oral health impact, satisfaction and incidence of complications were compared between the two groups.Results: Before restoration, there were no significant differences in baseline data and OHIP-14 scores of all dimensions between the two groups (P>0.05). After restoration, the OHIP-14 scores of all seven dimensions in both groups decreased significantly (intra-group P<0.001), and the scores of all dimensions in the observation group were significantly lower than those in the control group (P<0.001). The scores of all satisfaction dimensions including comfort and retention function in the observation group were higher than those in the control group (P<0.001). The total incidence of complications within 3 months in the observation group (24.32%) was significantly lower than that in the control group (47.22%) (χ2=4.172, P=0.041). Conclusion: Implant-supported denture restoration, based on functional impression and optimized prosthesis design, can more significantly improve the oral health-related quality of life in patients with complete edentulism, enhance satisfaction in core dimensions and reduce the risk of postoperative complications, with prominent clinical application value and worthy of promotion.

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  • 收稿日期:2026-04-01
  • 最后修改日期:2026-04-10
  • 录用日期:2026-04-14
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