CAJ | 학술논문

目的：探讨种植义齿植入联合健康教育对患者长期口腔健康状况的影响。方法：对2013年1月~2013年12月在某院种植义齿植入的110例患者，并给予持续的健康教育，分别对其治疗前及种植义齿联合健康教育半年，1年后对所有患者的口腔自我保健意识进行调查及其牙体卫生情况和牙周情况进行比较（评价方法为菌斑指数（PLI）和社区牙周指数（CPI））。结果：与治疗前比较，种植义齿联合健康教育半年、1年后，刷牙正确率、使用牙线或牙间隙刷率、定期洁牙率均显著高于治疗前，刷牙时间明显长于治疗前，刷牙次数明显多于治疗前，吸烟率也明显低于治疗前（P均<0.05）。治疗后半年与治疗后1年刷牙正确率、使用牙线或牙间隙刷率、定期洁牙率、刷牙时间、刷牙次数、吸烟率均无显著性差异（P>0.05）；种植义齿联合健康教育半年、1年后，PLI和CPI均较治疗前明显下降（P均<0.05），而治疗半年后与治疗1年后，PLI和CPI无显著性差异（P>0.05）。结论：种植义齿植入联合健康教育具有明显增强患者口腔卫生保健意识，避免剩余牙齿的牙体牙周疾病继续发展，从而提高种植义齿的成功率，值得临床推广。
목적：탐토충식의치식입연합건강교육대환자장기구강건강상황적영향。방법：대2013년1월~2013년12월재모원충식의치식입적110례환자，병급여지속적건강교육，분별대기치료전급충식의치연합건강교육반년，1년후대소유환자적구강자아보건의식진행조사급기아체위생정황화아주정황진행비교（평개방법위균반지수（PLI）화사구아주지수（CPI））。결과：여치료전비교，충식의치연합건강교육반년、1년후，쇄아정학솔、사용아선혹아간극쇄솔、정기길아솔균현저고우치료전，쇄아시간명현장우치료전，쇄아차수명현다우치료전，흡연솔야명현저우치료전（P균<0.05）。치료후반년여치료후1년쇄아정학솔、사용아선혹아간극쇄솔、정기길아솔、쇄아시간、쇄아차수、흡연솔균무현저성차이（P>0.05）；충식의치연합건강교육반년、1년후，PLI화CPI균교치료전명현하강（P균<0.05），이치료반년후여치료1년후，PLI화CPI무현저성차이（P>0.05）。결론：충식의치식입연합건강교육구유명현증강환자구강위생보건의식，피면잉여아치적아체아주질병계속발전，종이제고충식의치적성공솔，치득림상추엄。
Objective: This paper aims to discuss the long-term effects of using implant denture combined with health education to treat patients’oral health situation. Methods: From January 2012 to December 2012 in the hospital 110 cases with fully implant dentureare chosen and given continuing health education at the time of before the treatment and implant denture in joint with oral health education for half a year respectively;one year later their self-care consciousness and teeth periodontal health conditions using plaque index (PLI) and community periodontal index (CPI) as evaluation methods. Results: Compared with before treatment, implant denture in joint with health e-ducation for half a year and a year later, the accuracy rate of teeth brushing, flossing or brush tooth clearance rate, and regular teeth cleaning rate are significantly higher than those before the treatment; the brushing time is much longer while the brushing times are more than before, and smoking rate is significantly lower than before (P <0.05). 6 months and 1 year after treatment these indexes above have no significant differences (P > 0.05); Implant denture combined with health education for half a year and a year later, PLI and CPI fall more significantly than before (P < 0.05), while after six months and 1 year’s treatment, the PLI and CPI have no differences (P>0.05). Conclusions: Using implant denture combined with health education could greatly increase patients' Self-health care consciousness, avoiding the remaining teeth’s periodontal diseases to continue developing, which could also im-prove the success rate of implant denture and is worthy of clinical promotion.