A Prospective Comparative Study of Mastication Predominance and Masticatory Performance in Kennedy Class I Patients.

A Prospective Comparative Study of Mastication Predominance and Masticatory Performance in Kennedy Class I Patients.
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DOI:
10.3390/healthcare9060660
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发表时间:
2021-06-01
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Koyano K
Koyano K
中科院分区:
其他
文献类型:
--
作者:
Kinoshita K;Ogino Y;Oki K;Yamasaki Y;Tsukiyama Y;Ayukawa Y;Koyano K

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Kennedy I类(KC I)患者的咀嚼优势尚未得到很好的定义。本研究旨在探讨KC I患者的咀嚼优势和咀嚼性能,包括剩余后牙和可摘局部义齿(RPD)治疗的意义。入选左右两侧后牙数量存在差异(D+)的KC I患者和无差异(D-)的KC I患者。健康的齿状(HD)受试者也登记为阳性对照。咀嚼优势,定义为咀嚼优势指数(MPI;范围0-100%)计算从肌电图活动在自愿咀嚼,咀嚼性能进行了评价,在前和后RPD治疗。KC I D+组的Pre-MPI显著高于HD组。RPD治疗能显著改善KC I组的MPI和咀嚼效能。然而,无论RPD治疗如何,每个KC I组和HD组之间的咀嚼性能存在显著差异。认为KC Ⅰ型患者的咀嚼优势受剩余后牙数目差异的影响。RPD治疗可改善KC I患者的咀嚼优势和咀嚼效能,但后者与HD组的差异不显著。
Mastication predominance in Kennedy class I (KC I) patients has not been well defined. This study aimed to investigate mastication predominance and masticatory performance in KC I patients, including the significance of remaining posterior teeth and removable partial-denture (RPD) treatment. KC I patients who had differences in the number of posterior teeth between left and right sides (D+) and KC I patients who had no differences (D−) were enrolled. Healthy dentate (HD) subjects were also registered as a positive control. Mastication predominance, defined by mastication predominance index (MPI; range 0–100%) calculated from electromyogram activities during voluntary chewing, and masticatory performance were evaluated at pre- and post-RPD treatment. Pre-MPI in KC I D+ was significantly higher than in HD. RPD treatment could significantly improve MPI and masticatory performance in both KC I groups. However, there were significant differences in masticatory performance between each KC I group and HD, regardless of RPD treatment. It was considered that the mastication predominance in KC I patients was affected by the difference in the number of remaining posterior teeth. RPD treatment could improve mastication predominance and masticatory performance in KC I patients, although the latter was not similar to HD group.
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