国际老年医学杂志2026，Vol.47Issue(2)：156-160,5.DOI:10.3969/j.issn.1674-7593.2026.02.005
舌向集中式和解剖式对老年全口义齿修复患者咬合功能和咀嚼系统功能恢复的影响比较
Comparison of the effects between lingual centralized occlusion and anatomical occlusion on functional recovery of occlusal and masticatory systems in elderly patients with complete dentures
摘要
Abstract
Objective To compare the effects between lingual centralized occlusion and anatomical occlusion on functional re-covery of occlusal function and masticatory systems in elderly patients with complete dentures.Methods The clinical data of 80 elderly patients with edentulous jaws admitted to the department of prosthodontics of the 8th Medical Cente in Chinese PLA General Hospital from August 2021 to March 2024 were retrospectively collected.All patients were treated with complete denture.Among them,40 cases were treated with lingual centralized occlusion as the observation group.Another 40 patients were treated with anatomical occlusion as the con-trol group.The occlusal function,chewing efficiency,temporomandibular joint disorder index,alveolar bone resorption at 3 and 6 months after treatment,satisfaction after treatment and adverse reactions during treatment were compared between the two groups before and 3 months after treatment.Results After 3 months of treatment,the maximum bite force of the observation group was greater than that of the control group(P<0.05),the occlusal contact time,standard deviation of Hue value value and bite force center offset value were less than those of the control group(P<0.05),and the temporomandibular joint disorder index was lower than that of the control group(P<0.05).At 3 months and 6 months after treatment,the absorption of alveolar bone in the anterior and posterior teeth of the observation group was less than that of the control group(P<0.05).The satisfaction of aesthetics in the observation group was lower than that in the control group(P<0.05),and the satisfaction of comfort,retention function and language function was higher than that in the control group(P<0.05).There were no other adverse reactions such as denture loss and base crack in the two groups.There was no significant difference in the incidence of pain between the two groups(P<0.05).Conclusion For elderly patients with denture restoration,the oc-clusion function and chewing function of lingual centralized occlusion is better than that of anatomical occlusion.Lingual centralized oc-clusion can improve the comfort,retention function and language function of patients,and reduce the center deviation of bite force,tem-poromandibular joint disorder and alveolar bone resorption.Anatomical has higher aesthetics than lingual centralized.关键词
全口义齿/舌向集中式/解剖式/咬合功能/咀嚼系统功能Key words
Complete denture/Lingual centralized occlusion/Anatomical occlusion/Occlusal function/Masticatory sys-tems function引用本文复制引用
蒋小霞,赵泽,薛双丽,杨琪,杜方翀..舌向集中式和解剖式对老年全口义齿修复患者咬合功能和咀嚼系统功能恢复的影响比较[J].国际老年医学杂志,2026,47(2):156-160,5.基金项目
国家自然科学基金项目(81701018) （81701018）
