Clinical effects of lingualized occlusion and bilateral balanced occlusion for complete denture: a systematic review

doi:10.3969/j.issn.2095-4344.2014.12.026

Abstract

Abstract:

BACKGROUND: Occlusal scheme is the key of a successful complete denture, and how to choose a suitable occlusal scheme is a long-term problem for prosthodontists.
OBJECTIVE: To systematically review the clinical effects of two occlusal schemes for complete denture.
METHODS: An electronic search of Cochrane Library, Medline/PubMed, EMBASE, CNKI, Wanfang and CBM databases were performed for clinical trials published before October 2013 using the key words of “complete denture”, “edentulous”, “occlusion”,”balanced”, “lingualized”, “anatomic” in Chinese and English. A manual searching of 11 relevant journals concerning oral medicine and reference lists of selected articles were conducted. Two reviewers independently extracted the data and assessed the quality of the included literature. Totally, 628 papers were retrieved.
RESULTS AND CONCLUSION: Only five articles met the inclusion and exclusion criteria. Of these five articles, one study showed lingualized occlusion dentures were more satisfactory than bilateral balanced occlusion dentures in denture retention (P < 0.05); one study showed the lingualized occlusion exhibited lower scores for uncomfortable eating and avoiding particular foods (P < 0.05), but higher scores for uncomfortable dentures than the bilateral balanced occlusion (P < 0.05); one study showed the lingualized occlusion dentures have better masticatory efficiency and better protective role in alveolar bone than the bilateral balanced occlusion dentures (P < 0.05); another two studies showed no significant differences in the overall satisfaction between lingualized occlusion and bilateral balanced occlusion dentures. These findings indicate that the lingualized occlusion is similar to bilateral balanced occlusion in the satisfaction of patients, masticatory efficiency, appearance and speech, but the lingualized occlusion dentures are better for severe alveolar bone resorption patients in terms of masticatory efficiency and better protection of alveolar bone.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

全文链接：

Key words: dentures, prosthodontics, denture, complete, denture repair

CLC Number:

R318

Zhang Yi, Huang Nan-nan, Xu Ling. Clinical effects of lingualized occlusion and bilateral balanced occlusion for complete denture: a systematic review[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(12): 1963-1968.

Figures/Tables 3

2.4 文献结果分析筛选的5篇文章中，有2篇文章是单独对舌侧集中牙合和解剖式牙双侧平衡牙合的比较[18-19]，有2篇文章是对舌侧集中牙合、解剖式牙双侧平衡牙合和非解剖牙合的比较[16-17]，有1篇是对舌侧集中牙合、解剖式牙双侧平衡牙合的比较[20]，对于这3篇文献只对其中舌侧集中牙合与解剖式牙双侧平衡牙合的比较的指标进行分析评价。5篇文献的基本信息和结果分析的总结见表2。目测类比评分结果(Visual Analogue Scale/Score，VAS)：Kimoto和Suttion研究[17-18]中运用目测类比评分评价研究结果。Suttion研究[17]中舌侧双侧平衡集中牙合 (lingualized bilaterally balanced occlusion，LBBO)在患者对美观、是否容易清洁、稳定性和说话的满意度数值上高于一般双侧平衡牙合，在咀嚼食物的满意度数值上略低于一般双侧平衡牙合，但组间数据比较均差异无显著性意义。Kimoto研究[18]中患者在固位力满意度数值上舌侧双侧平衡集中牙合高于一般双侧平衡牙合(P < 0.05)，但在患者总体满意度上、咀嚼能力和稳定性上差异无显著性意义。无牙牙合口腔健康影响程度调查问卷(Oral Health Impact Pro?le EDENT，OHIP-EDENT)分析结果： Locker等[27]提出口腔健康影响程度调查问卷49项(OHIP-49)，后Allen等[28-29]提出了适用于无牙合的无牙牙合口腔健康影响程度调查问卷(OHIP-EDENT)，由7个领域的19项组成，后又由Heydecke等[30]增加1项，称口腔健康影响程度调查问卷20。Shirani等[20]的研究中选择了口腔健康影响程度调查问卷19项作为评价指标，舌侧双侧平衡集中牙合在患者对进食不舒适、需要避免特殊食物的评比分数上低于完全双侧平衡牙合，在不舒适假牙的评比分数上高于完全双侧平衡牙合(P=0.013，P=0.014，P=0.010)，其他指标均差异无显著性意义。Suttion等[17]的研究中选择了口腔健康影响程度调查问卷20项作为评价指标，但舌侧集中牙合与解剖式牙双侧平衡牙合在这20指标的比较均差异无显著性意义。客观指标评价结果：Kimoto等[18]的研究中咀嚼效率舌侧集中牙合的数值稍低于双侧平衡牙合，临床调改次数舌侧集中牙合的数值稍高于双侧平衡牙合，但都差异无显著性意义。Matsumaru等[19]的研究证明舌侧双侧平衡集中牙合应用于严重牙槽骨吸收的患者具有较高的的咀嚼效率(P=0.021)。与解剖式牙双侧平衡牙合相比，舌侧双侧平衡集中牙合在牙尖交错位时线性偏差减少(P=0.07)，对牙槽骨的保护较好。但同样的研究应用于中度牙槽骨吸收的患者差异无显著性意义，在最大牙合力，咀嚼周期，牙尖交错位横向偏差的比较上差异无显著性意义。"

References

[1] 黄毅,佟晓光.中国人口老龄化现状分析[J].中国老年学杂志, 2012, 32(21):4853-4855.

[2] 陈振宇,李江.舌侧集中(牙合)在义齿修复中的研究进展[J].中国老年学杂志,2012,32(14):3122-3123.

[3] 徐军.总义齿的牙合接触-五种不同牙合型的设计要点[M].北京:人民卫生出版社,2008.

[4] Clough HE, Knodle JM, Leeper SH, et al. A comparison of lingualized occlusion and monoplane occlusion in complete dentures. J Prosthet Dent. 1983;50(2):176-179.

[5] 张丽,韩凉,鲁海鑫,等.舌向集中(牙合)全口义齿在牙槽嵴重度吸收患者的临床修复效果观察[J].中华老年口腔医学杂志,2012, 10(3):171-174.

[6] 徐军.疑难总义齿修复的牙合学要点[J].中华口腔医学杂志, 2002, 37(1):72-73.

[7] Tarazi E, Ticotsky-Zadok N. Occlusal schemes of complete dentures--a review of the literature. Refuat Hapeh Vehashinayim. 2007;24(1):56-64.

[8] Inoue S, Kawano F, Nagao K, et al. An in vitro study of the influence of occlusal scheme on the pressured istribution of complete denture supporting tissues. Int J Prosthodont. 1996;9(2):179-187.

[9] Gomibuchi T, Koide K, Hatake S. Masticatory function between lin gualized occlusion and full balanced occlusion. J Jpn Soc Prosth odont. 2000;44(2):339-347．

[10] 金文忠,焦婷,彭艳,等.舌向集中(牙合)全口义齿应力分布的光弹性研究(常规全口义齿加载)[J].上海交通大学学报, 2012,32(1): 73-76.

[11] Kwon KR, Choi DG. A study on masticatory performance and function by posterior occlusal schemes in complete denture. J Korean Acad Prosthodont. 1998;36(2):389-423.

[12] 贾素侠,张志伟,李馨.舌侧集中牙合与解剖式牙合全口义齿修复低平牙槽嵴患者的满意度对比[J].中国老年学杂志,2012,32(018): 4028-4029.

[13] 沈正权,曾利伟.舌侧集中(牙合)总义齿患者OHRQOL的研究[J].口腔医学研究,2011,27(10):886-888.

[14] 马春敏,沈庆平,戴文安.视觉模拟评分法(VAS)对舌向集中(牙合)与半解剖(牙合)全口义齿满意度的比较研究[J].中国美容医学, 2013, 7:21.

[15] 田彬,温颖,刘鸿翯.舌侧集中牙合全口义齿咀嚼效率的研究[J].北京口腔医学,2011,19 (1):24-26.

[16] Sutton AF, McCord JF. A randomized clinical trial comparing anatomic, lingualized, and zero-degree posterior occlusal forms for complete dentures. J Prosthet Dent. 2007;97: 292-298.

[17] Sutton AF, Worthington HV, McCord JF. RCT comparing posterior occlusal forms for complete dentures. J Dent Res 2007;86:651-655.

[18] Kimoto S, Gunji A, Yamakawa A, et al. Prospective clinical trial comparing lingualized occlusion to bilateral balanced occlusion in complete dentures: a pilot study. Int J Prosthodont. 2006;19(1):103-109.

[19] Matsumaru Y. Influence of mandibular residual ridge resorption on objective masticatory measures of lingualized and fully bilateral balanced denture articulation. J Prosthodont Res. 2010;54:112-118.

[20] Shirani M, Mosharraf R, Shirany M. Comparisons of patient satisfaction levels with complete dentures of different occlusions: a randomized clinical trial. J Prosthodonti. 2013; 19;1-8.

[21] Abduo J. Occlusal schemes for complete dentures: a systematic review. Int J Prosthodont. 2012;26(1):26-33.

[22] 冯海兰,徐军.口腔修复学[M].北京:北京大学医学出版社,2005.

[23] Phoenix RD, Engelmeier RL. Lingualized occlusion revisited. J Prosthet Dent. 2010;104(5):342-346.

[24] 徐军.总义齿与可摘局部义齿的设计[M]. 北京:中国大百科全书出版社,2005.

[25] Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary?Control Clin Trials. 1966;17(1):1-12.

[26] Schulz KF, Chalmers I, Hayes RJ, et al. Empirical evidence of bias. JAMA. 1995;273(5):408-412.

[27] Locker D, Slade G. Oral health and the quality of life among older adults: the oral health impact profile. J Can Dent Assoc. 1993;59(10):830-833.

[28] Allen PF. Assessment of oral health related quality of life. Health Qual Life Outcomes. 2003;1(1):40.

[29] Allen F, Locker D. A modified short version of the oral health impact profile for assessing health-related quality of life in edentulous adults. Int J Prosthodont. 2001;15(5):446-450.

[30] Heydecke G, Locker D, Awad MA, et al. Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol. 2003;31 (3): 161-168.

[31] Gysi A. Special teeth for cross-bite cases. Dent Digest. 1927;33(2):167-171．

[32] French FA. The problem of building satisfactory dentures. J Prosthet Dent 1954;4:769-81.

[33] Payne SH. A posterior set-up to meet individual requirements. Dent Digest. 1941;47:20-22.

[34] Pound E. Personalized denture procedures. Anaheim: Denar Corp. 1973.

[35] Pound E. Utilizing speech to simplify a per sonalized denture service. J Prosthet Dent.1970;24:586-600.

[36] Becker CM, Swoope CC, Guckes AD. Lingualized occlusion for removable prosthodontics. J Prosthet Dent. 1977;38(6): 601-608.

[37] Khamis MM, Zaki HS, Rudy TE. A comparison of the effect of different occlusal forms in mandibular implant overdentures. J Prosthet Dent. 1998;79(4):422-429.

[38] 彭艳,焦婷,金文忠,等.舌向集中全口义齿应力分布的光弹性研究 (下颌种植覆盖义齿加载) [J].上海交通大学学报(医学版), 2012, 3:18.