CAJ | 학술논문

目的：比较三种不同材料支架义齿在修复牙列缺损中的临床效果。方法：选择2010年1月至2012年12月间来我院牙列缺损并行可摘局部义齿修复的患者570例，根据患者选择的支架材料不同分为Vitallium2000组、纯钛支架组和钴铬合金铸造组，比较患者修复效果。结果：三组就位率（χ2＝10．283，P＜0．05）和2W 调整率（χ2＝16．262，P ＜0．05）比较，差异均具有统计学意义。三组义齿性口炎发生率（χ2＝12．773，P＜0．05）、咀嚼效率（t＝8．194，P＜0．05）、不良反应发生率（χ2＝6．028，P＜0．05）比较，差异均有统计学意义。三组支架义齿美观满意度（χ2＝2．191，P＞0．05）比较，差异无统计学意义。三组舒适满意度（χ2＝6．827，P＜0．05）、语言功能满意度（χ2＝6．002，P＜0．05）、咀嚼功能满意度（χ2＝5．838，P＜0．05）比较，差异具有统计学意义。结论：Vitallium2000支架义齿较纯钛和钴铬合金支架义齿小而轻、强度好、义齿稳固，且其不致敏、不变色、无异味，确保了义齿的美观性、舒适度和提高咀嚼效率，适合临床广泛应用。
목적：비교삼충불동재료지가의치재수복아렬결손중적림상효과。방법：선택2010년1월지2012년12월간래아원아렬결손병행가적국부의치수복적환자570례，근거환자선택적지가재료불동분위Vitallium2000조、순태지가조화고락합금주조조，비교환자수복효과。결과：삼조취위솔（χ2＝10．283，P＜0．05）화2W 조정솔（χ2＝16．262，P ＜0．05）비교，차이균구유통계학의의。삼조의치성구염발생솔（χ2＝12．773，P＜0．05）、저작효솔（t＝8．194，P＜0．05）、불량반응발생솔（χ2＝6．028，P＜0．05）비교，차이균유통계학의의。삼조지가의치미관만의도（χ2＝2．191，P＞0．05）비교，차이무통계학의의。삼조서괄만의도（χ2＝6．827，P＜0．05）、어언공능만의도（χ2＝6．002，P＜0．05）、저작공능만의도（χ2＝5．838，P＜0．05）비교，차이구유통계학의의。결론：Vitallium2000지가의치교순태화고락합금지가의치소이경、강도호、의치은고，차기불치민、불변색、무이미，학보료의치적미관성、서괄도화제고저작효솔，괄합림상엄범응용。
Objective To compare the clinical effect of different materials dentures in repaired of teeth. Methods A retrospective analysis of 570 patients with framework removable partial dentures , which were divided into the Vitallium 2000 group, the pure titanium group and the Co-Cr alloy group randomly from Jan. 2010 to Dec. 2012 in our hospital. Compare the clinical effect of three groups. Results The emplacement rate (χ2=10.283,P<0.05)and the 2-week adjust rate (χ2=16.262,P<0.05)of three groups were statistical different significantly. The incidence rate of denture stomatitis(χ2=12.773,P<0.05),the masticatory efficiency(t=8.194,P<0.05)and the incidence rate of adverse reactions (χ2= 6.028,P < 0.05)of three groups were statistical different significantly. The patients′satisfaction (χ2=2.191,P>0.05)of three groups weren′t statistical different significantly. The degree of comfort(χ2= 6.827,P < 0.05),the speech satisfaction(χ2= 6.002,P < 0.05) and the chewing speech satisfaction (χ2=5.838,P<0.05)three groups were statistical different significantly. Conclusion The clinical effect of the Vitallium 2000 group is better of weight , strength and stability than other groups. The Vitallium 2000 frame removable partial denture is nontoxic , fastness and no peculiar smell , which could be ensure the aesthetics , the degree of comfort and improve the masticatory efficiency , worthy to recommend its clinical use.