中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2015年
4期
19-19,55
,共2页
全口义齿疼痛%原因%处理方法
全口義齒疼痛%原因%處理方法
전구의치동통%원인%처리방법
Complete denture pain%Cause%Treatment
目的：分析全口义齿疼痛原因，寻求处理方法。方法选取2013年3月～2014年8月期间全口义齿疼痛的患者共231例，结合检查结果和病例资料分析全口义齿疼痛原因，根据患者处理方法的不同分为对照组110例与治疗组121例，对照组调磨疼痛区，治疗组调磨疼痛区、支点和早接触点，缓戴牙1 d，重新排牙；两组均使用浓替硝唑含漱液口腔含漱，对比两组患者的临床疗效。结果定位明确的义齿疼痛原因包括基托边缘过长或过锐、基托进入组织倒凹、缓冲区缓冲不足、局限性咬合高点，4种疼痛因素构成比依次递减；定位不明确疼痛原因包括垂直距离过高、正中关系错误、咀嚼压力过大、基托不密合，4种疼痛因素构成比依次递减。治疗组积极治疗后疼痛显著缓解率72.7%、总缓解率98.3%，均明显高于对照组的47.3%和91.8%（P ＜0.05）。结论全口义齿疼痛表现不同、原因也不尽相同，根据疼痛表现结合病历资料和检查结果明确疼痛原因后，缓戴牙、调磨疼痛区、支点和早接触点，配合浓替硝唑含漱，有显著控制效果。
目的：分析全口義齒疼痛原因，尋求處理方法。方法選取2013年3月～2014年8月期間全口義齒疼痛的患者共231例，結閤檢查結果和病例資料分析全口義齒疼痛原因，根據患者處理方法的不同分為對照組110例與治療組121例，對照組調磨疼痛區，治療組調磨疼痛區、支點和早接觸點，緩戴牙1 d，重新排牙；兩組均使用濃替硝唑含漱液口腔含漱，對比兩組患者的臨床療效。結果定位明確的義齒疼痛原因包括基託邊緣過長或過銳、基託進入組織倒凹、緩遲區緩遲不足、跼限性咬閤高點，4種疼痛因素構成比依次遞減；定位不明確疼痛原因包括垂直距離過高、正中關繫錯誤、咀嚼壓力過大、基託不密閤，4種疼痛因素構成比依次遞減。治療組積極治療後疼痛顯著緩解率72.7%、總緩解率98.3%，均明顯高于對照組的47.3%和91.8%（P ＜0.05）。結論全口義齒疼痛錶現不同、原因也不儘相同，根據疼痛錶現結閤病歷資料和檢查結果明確疼痛原因後，緩戴牙、調磨疼痛區、支點和早接觸點，配閤濃替硝唑含漱，有顯著控製效果。
목적：분석전구의치동통원인，심구처리방법。방법선취2013년3월～2014년8월기간전구의치동통적환자공231례，결합검사결과화병례자료분석전구의치동통원인，근거환자처리방법적불동분위대조조110례여치료조121례，대조조조마동통구，치료조조마동통구、지점화조접촉점，완대아1 d，중신배아；량조균사용농체초서함수액구강함수，대비량조환자적림상료효。결과정위명학적의치동통원인포괄기탁변연과장혹과예、기탁진입조직도요、완충구완충불족、국한성교합고점，4충동통인소구성비의차체감；정위불명학동통원인포괄수직거리과고、정중관계착오、저작압력과대、기탁불밀합，4충동통인소구성비의차체감。치료조적겁치료후동통현저완해솔72.7%、총완해솔98.3%，균명현고우대조조적47.3%화91.8%（P ＜0.05）。결론전구의치동통표현불동、원인야불진상동，근거동통표현결합병력자료화검사결과명학동통원인후，완대아、조마동통구、지점화조접촉점，배합농체초서함수，유현저공제효과。
Objective to analyze the causes of complete denture pain,and seek treatment methods. Methods 231 patients with complete denture pain were selected to analyze pain causes from March 2013 to August 2014. The patients were divided into control group(n = 110)and treatment group(n =121)according to the different treatment. The patients in the control group were with grinding pain,while the patients in the treatment group were with grinding pain,fulcrum and premature contacts,corrosion wear teeth one day and the new row of teeth. Results The denture pain causes of clear positioning include b ase edge too long or too sharp,base into the tissue undercut,buffer,buffer insufficient limitations of occlusal disturbance; the denture pain causes of unclear positioning include high vertical distance,median relative error,over masticatory pressure,base not closed. The treatment group was better than control group in pain relief . Conclusion The causes of complete denture pain are different because of the clinical features,then the pain would be relieved,when we have the complete denture done with method like corrosion wear,grinding tooth pain area,fulcrum and premature contacts ,and tinidazole gargle .
