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首页> 外文期刊>The Journal of Prosthetic Dentistry >A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part V: food preference comparisons.
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A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part V: food preference comparisons.

机译：一项随机临床试验，比较了下颌植入物支持的覆盖义齿和常规义齿在糖尿病患者中的疗效。第五部分：食物偏好比较。

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STATEMENT OF PROBLEM: The functional benefits of replacing old dentures with new conventional mandibular dentures or implant-supported overdentures has not been fully determined. PURPOSE: This study assessed the impact of these 2 types of replacement dentures on the food choices of diabetic patients. MATERIAL AND METHODS: A total of 68 diabetic patients with original complete dentures participated in this study. Diabetes was controlled with insulin in 38 patients (IT) and without insulin in 30 patients (NIT). All subjects received conventional maxillary dentures; 25 received mandibular conventional dentures (CD), and 43 received overdentures with plastic clips and a Hader bar attached to 2 osseointegrated implants (IOD). Subjects rated their perceptions of taste acceptability, texture acceptability, and chewing ease on a 4-point nominal scale and eating frequency on a 5-point scale for 13 specific foods at baseline (with original dentures) and at 6 months post-treatment completion (PTC). Fisher exact tests were used to compare the change in percentage distributions of responses with treatment. A 2 x 2 x 2 repeated-measures analysis of variance (ANOVA) was performed to compare mean scores between the 2 denture groups, 2 diabetic groups, and 2 time intervals for each of the 13 foods and 4 questions related to food acceptability. RESULTS: At baseline, no significant differences were found between the frequency distributions of responses in the CD and IOD groups or the IT and NIT groups for all 52 comparisons. With both types of study dentures, a higher percentage of patients perceived deterioration rather than improvement in function. When percentage distributions based on actual positive or negative change (treatment effect) in patient responses were compared, significant differences were found for 3 of the 52 responses, in favor of the IOD group. ANOVA demonstrated significant mean differences for 4 of the 52 comparisons. CONCLUSION: Both types of study dentures resulted in declines in the perceived taste and texture acceptability of almost all test foods. Declines in perceived chewing ease and eating frequency were more common and greater in the CD than in the IOD group. Both types of study dentures failed to affect food choices, as evidenced by declines or limited improvement in the perceived frequency with which most foods were eaten.
机译：问题陈述：用新的常规下颌假牙或植入物支撑的覆盖义齿代替旧义齿的功能性益处尚未完全确定。目的：本研究评估了这两种类型的替代义齿对糖尿病患者食物选择的影响。材料与方法：共有68例原发全口义齿的糖尿病患者参加了这项研究。 38例糖尿病患者（IT）控制了胰岛素，而30例糖尿病患者（NIT）没有控制胰岛素。所有受试者均接受常规上颌义齿; 25例接受了下颌常规义齿（CD），43例接受了带有塑料夹和Hader牙棒的义齿，该义齿附着在2个骨整合植入物（IOD）上。受试者对基线时（使用原始假牙）和治疗后6个月内13种特定食物的4点名义等级和5点等级进食频率进行了4点标称量度的口感，质地可接受性和咀嚼缓解性的评价（ PTC）。 Fisher精确检验用于比较反应与治疗的百分比分布变化。进行了2 x 2 x 2的方差重复测量分析（ANOVA），以比较13种食物中2种假牙组，2个糖尿病组和2个时间间隔之间的平均得分以及与食物可接受性相关的4个问题。结果：在基线时，对于所有52个比较，CD和IOD组或IT和NIT组的响应频率分布之间均未发现显着差异。使用这两种类型的假牙，更高比例的患者感觉功能恶化而不是改善。当比较患者反应中基于实际阳性或阴性变化（治疗效果）的百分比分布时，发现52种反应中有3种有显着差异，这对IOD组有利。方差分析显示52个比较中有4个的平均差异显着。结论：这两种类型的假牙都会导致几乎所有测试食品的口感和质地可接受性下降。与IOD组相比，CD中感觉到的咀嚼舒适度和进食频率的下降更为普遍且更大。两种类型的假牙均不能影响食物的选择，证据是大多数食物的食用频率下降或有限改善。

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