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Effects of defect configuration, size, and remaining teeth on masticatory function in post‐maxillectomy patients

Identifieur interne : 000C75 ( Istex/Curation ); précédent : 000C74; suivant : 000C76

Effects of defect configuration, size, and remaining teeth on masticatory function in post‐maxillectomy patients

Auteurs : S. Koyama ; K. Sasaki ; T. Inai ; M. Watanabe [Japon]

Source :

Journal of Oral Rehabilitation [ 0305-182X ] ; 2005-09.

RBID : ISTEX:19FED6328A9E38D96D02978A21D4F82CC2254881

English descriptors

Abstract

summary The aim of this study was to investigate the correlation between the masticatory function and the maxillary defect configuration, size, and remaining teeth in post‐maxillectomy patients restored with an obturator prosthesis. Fifty consecutive post‐maxillectomy patients (mean age 67·0) participated in this study. The subjects consisted of 26 dentate and 24 edentulous patients. Data were collected from the patients’ clinical records, diagnostic casts, and a questionnaire on masticatory function to evaluate the defect configuration, size, and the masticatory function scores associated with wearing obturator prostheses. The defect size was evaluated by the ratio of defect area to the horizontal impression area. The defect configuration was assessed according to Aramany's classification and separated into unilateral and bilateral defects. The multiple regression analysis and the Mann–Whitney U‐test (P < 0·05) were used to assess statistical significance. The Spearman's correlation coefficient by rank test was also used to detect correlation. The following conclusions were made: (i) The presence of teeth in the maxillary dentition and the different type of the defect configuration had significant correlation with the masticatory function score (r = 0·616). (ii) The masticatory function scores of the subjects differed significantly with the presence of teeth in the maxillary dentition and the different types of defect configurations (P = 0·005, P = 0·002, respectively). (iii) There was significant correlation between the masticatory function score and the size of the defect area in the edentulous group (r = −0·648, P = 0·001). The presence of teeth, the size and configuration of the defect influenced the masticatory function of post‐maxillectomy patients with obturator prostheses.

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https://api.istex.fr/document/19FED6328A9E38D96D02978A21D4F82CC2254881/fulltext/pdf

DOI: 10.1111/j.1365-2842.2005.01483.x

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S. Koyama

<affiliation><mods:affiliation>Maxillofacial Prosthetics Clinic, Tohoku University Hospital</mods:affiliation>
<wicri:noCountry code="subField">Hospital</wicri:noCountry>
</affiliation>

K. Sasaki

<affiliation><mods:affiliation>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Sendai</mods:affiliation>
<wicri:noCountry code="subField">Sendai</wicri:noCountry>
</affiliation>

T. Inai

<affiliation><mods:affiliation>Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Sendai</mods:affiliation>
<wicri:noCountry code="subField">Sendai</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Edentulous group</term>
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<term>Maxillectomy</term>
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<term>Maxillofacial</term>
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<term>Residual</term>
<term>Residual maxillary area</term>
<term>Surgical</term>
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<term>Defect size</term>
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<term>Edentulous group</term>
<term>Edentulous maxillectomy patients</term>
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<term>Maxillary</term>
<term>Maxillary defect size</term>
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<term>Present study</term>
<term>Prosthesis</term>
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<term>Prosthet dent</term>
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<front><div type="abstract">summary  The aim of this study was to investigate the correlation between the masticatory function and the maxillary defect configuration, size, and remaining teeth in post‐maxillectomy patients restored with an obturator prosthesis. Fifty consecutive post‐maxillectomy patients (mean age 67·0) participated in this study. The subjects consisted of 26 dentate and 24 edentulous patients. Data were collected from the patients’ clinical records, diagnostic casts, and a questionnaire on masticatory function to evaluate the defect configuration, size, and the masticatory function scores associated with wearing obturator prostheses. The defect size was evaluated by the ratio of defect area to the horizontal impression area. The defect configuration was assessed according to Aramany's classification and separated into unilateral and bilateral defects. The multiple regression analysis and the Mann–Whitney U‐test (P < 0·05) were used to assess statistical significance. The Spearman's correlation coefficient by rank test was also used to detect correlation. The following conclusions were made: (i) The presence of teeth in the maxillary dentition and the different type of the defect configuration had significant correlation with the masticatory function score (r = 0·616). (ii) The masticatory function scores of the subjects differed significantly with the presence of teeth in the maxillary dentition and the different types of defect configurations (P = 0·005, P = 0·002, respectively). (iii) There was significant correlation between the masticatory function score and the size of the defect area in the edentulous group (r = −0·648, P = 0·001). The presence of teeth, the size and configuration of the defect influenced the masticatory function of post‐maxillectomy patients with obturator prostheses.</div>
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Effects of defect configuration, size, and remaining teeth on masticatory function in post‐maxillectomy patients

Effects of defect configuration, size, and remaining teeth on masticatory function in post‐maxillectomy patients

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English descriptors

Abstract

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