Severe dementia, including Alzheimer’s disease, is intractable and progressive. The purpose of this study was to document the improvement observed in two cases of severe dementia after denture placement. The subjects...Severe dementia, including Alzheimer’s disease, is intractable and progressive. The purpose of this study was to document the improvement observed in two cases of severe dementia after denture placement. The subjects, two women in their 70s with severe dementia, were diagnosed with Alzheimer’s disease by the medical doctors in charge of their cases. In the first case, the subject’s symptoms included severe disorientation, impaired communication, and a tendency to wander. Two weeks after a lower complete denture placement, she was able to greet others. Five weeks later, she was able to communicate and precisely read an analog clock. Her condition continued to improve for at least 3 months. In the second case, the subject’s mouth was always open. She was bedridden in a vegetative state and hardly moved, talked, or laughed;it was impossible to communicate with her. Only a few seconds after an upper complete denture placement, she started to talk, albeit unintelligibly. Two weeks after a lower complete denture placement, she could communicate normally, laugh, and walk without help. Although the underlying mechanism has not yet been clarified, the author hypothesizes that positive signals from the oral area are transferred to the brain as positive stimulation via the trigeminal nerve, the largest cranial nerve.展开更多
目的探究治疗性义齿对无牙颌患者义齿空间变化的影响,并对其临床疗效进行系统性评估。方法对20例接受治疗性义齿治疗的患者进行治疗前后满意度问卷调查,填写口腔健康影响程度量表(oral health impact profile,OHIP⁃14),收集义齿空间、...目的探究治疗性义齿对无牙颌患者义齿空间变化的影响,并对其临床疗效进行系统性评估。方法对20例接受治疗性义齿治疗的患者进行治疗前后满意度问卷调查,填写口腔健康影响程度量表(oral health impact profile,OHIP⁃14),收集义齿空间、义齿组织面、咬合印迹、哥特式弓描记图像、黏膜状态、偏侧咬合状态、咬合力、固位稳定、患者咀嚼能力、义齿满意度及OHIP⁃14评分等数据进行统计分析。结果本研究中受试者通过治疗性义齿的治疗,义齿空间得到改善,义齿的组织面的组织调理剂逐渐分布均匀,咬合印迹逐渐对称、均匀,哥特式弓描记图像显示关节、神经和肌肉逐渐稳定,口腔黏膜转变为健康状态,偏侧咬合情况有所改善,咬合力、固位稳定性和主、客观咀嚼能力也较治疗前有显著提高,在治疗前后的患者满意度及OHIP⁃14评分均有明显改善,差异有统计学意义(P<0.05)。客观咀嚼能力与义齿的固位稳定性、主观咀嚼能力和义齿满意度呈正相关;而与OHIP⁃14评分呈负相关。结论治疗性义齿有助于恢复理想的无牙颌义齿的空间,并且能改善患者的口腔健康状况,提高义齿的固位与稳定和咀嚼能力,从而提高患者的满意度,有临床应用的价值与推广的潜力。展开更多
<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or par...<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.</span><span> </span><span style="font-family:Verdana;">This case</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 18) and no-denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for </span><span style="font-family:Verdana;">at least 3 months. No improvement in the ADL was observed in the no-denture</span><span style="font-family:Verdana;"> group.</span><span> </span><span style="font-family:Verdana;">The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.</span>展开更多
文摘Severe dementia, including Alzheimer’s disease, is intractable and progressive. The purpose of this study was to document the improvement observed in two cases of severe dementia after denture placement. The subjects, two women in their 70s with severe dementia, were diagnosed with Alzheimer’s disease by the medical doctors in charge of their cases. In the first case, the subject’s symptoms included severe disorientation, impaired communication, and a tendency to wander. Two weeks after a lower complete denture placement, she was able to greet others. Five weeks later, she was able to communicate and precisely read an analog clock. Her condition continued to improve for at least 3 months. In the second case, the subject’s mouth was always open. She was bedridden in a vegetative state and hardly moved, talked, or laughed;it was impossible to communicate with her. Only a few seconds after an upper complete denture placement, she started to talk, albeit unintelligibly. Two weeks after a lower complete denture placement, she could communicate normally, laugh, and walk without help. Although the underlying mechanism has not yet been clarified, the author hypothesizes that positive signals from the oral area are transferred to the brain as positive stimulation via the trigeminal nerve, the largest cranial nerve.
文摘目的探究治疗性义齿对无牙颌患者义齿空间变化的影响,并对其临床疗效进行系统性评估。方法对20例接受治疗性义齿治疗的患者进行治疗前后满意度问卷调查,填写口腔健康影响程度量表(oral health impact profile,OHIP⁃14),收集义齿空间、义齿组织面、咬合印迹、哥特式弓描记图像、黏膜状态、偏侧咬合状态、咬合力、固位稳定、患者咀嚼能力、义齿满意度及OHIP⁃14评分等数据进行统计分析。结果本研究中受试者通过治疗性义齿的治疗,义齿空间得到改善,义齿的组织面的组织调理剂逐渐分布均匀,咬合印迹逐渐对称、均匀,哥特式弓描记图像显示关节、神经和肌肉逐渐稳定,口腔黏膜转变为健康状态,偏侧咬合情况有所改善,咬合力、固位稳定性和主、客观咀嚼能力也较治疗前有显著提高,在治疗前后的患者满意度及OHIP⁃14评分均有明显改善,差异有统计学意义(P<0.05)。客观咀嚼能力与义齿的固位稳定性、主观咀嚼能力和义齿满意度呈正相关;而与OHIP⁃14评分呈负相关。结论治疗性义齿有助于恢复理想的无牙颌义齿的空间,并且能改善患者的口腔健康状况,提高义齿的固位与稳定和咀嚼能力,从而提高患者的满意度,有临床应用的价值与推广的潜力。
文摘<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.</span><span> </span><span style="font-family:Verdana;">This case</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 18) and no-denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for </span><span style="font-family:Verdana;">at least 3 months. No improvement in the ADL was observed in the no-denture</span><span style="font-family:Verdana;"> group.</span><span> </span><span style="font-family:Verdana;">The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.</span>
