The Effects of Denture Quality on Reduction of Masticatory Muscle Cross-Sections in Complete Denture Wearers.

  • Tanabe Tadaki
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Mushimoto Eiko
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Tanaka Hisatoshi
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Inoue Daiichi
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Endo Yoshiki
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Hase Takeshi
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University
  • Yamada Yoshio
    Department of Removable Prosthodontics, School of Dentistry, Iwate Medical University

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Other Title
  • 義歯Qualityが総義歯装着者のそしゃく筋断面積の減少に及ぼす因子

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Abstract

The objective of this study was to determine whether denture quality might have an effect on masticatory muscle cross-section in the complete denture wearer.<BR>Seventy complete denture wearers were equally divided into a higher denture quality group (G 1) and a lower denture quality group (G 2) by using denture quality scale, described as 16 categories, which related to denture form, mandibular position, clinical findings, etc. The denture quality score for G 1 were significantly higher than G 2. MRI was used to analyze the masticatory muscle cross-section area. Masticatory muscle activity, during voluntary maximum clenching, was measured electromyography. Facial morphology was measured using cephalometric radiography. There was a significant reduction of the masticatory muscle cross-sections (masseter, temporalis posterior and medial pterygoid) as well as masticatory muscle activity (masseter, temporalis posterior) in G 2 (p > 0.05, ANOVA). G 1 showed a significant positive correlation between cross-section and masticatory muscle activity (r=0.393, p > 0.05), however, G 2 showed no correlation. In conclusion, denture quality was a significant factor in reduced masticatory muscle cross-sections and decreased muscle activity. In elderly edentulous patients, a complete denture with higher quality could help maintain masticatory muscle cross-section and activity.

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