黑龙江医药
黑龍江醫藥
흑룡강의약
HEILONGJIANG MEDICAL JOURNAL
2015年
3期
604-606
,共3页
牙齿重度磨损%牙列缺损%种植修复%咬合重建%临床疗效
牙齒重度磨損%牙列缺損%種植脩複%咬閤重建%臨床療效
아치중도마손%아렬결손%충식수복%교합중건%림상료효
severe tooth wear%dentition defect%implant denture%occlusal reconstruction%clinical effect
目的：探讨应用种植修复与咬合重建联合治疗牙齿重度磨损伴牙列缺损（缺失）的临床疗效。方法：对2011年7月～2013年6月期间我院治疗的60例牙齿重度磨损伴牙列缺损患者进行研究，其中30例患者采用常规义齿修复方法进行治疗，作为对照组；30例患者采用种植修复与咬合重建联合治疗，作为观察组。比较两组患者经过牙齿修复后临床效果及不良反应发生情况。结果：经对比观察，观察组对牙齿重度磨损伴牙列缺损（缺失）采用种植修复与咬合重建联合治疗后，牙齿外型美观，功能良好，舒适度较高，累及成功率（100.0%）明显高于对照组累及成功率（70.00%），观察组种植体摘除率（0）、累及失败率（0）明显低于对照组义齿摘除率（24.59%）、累及失败率（26.23%），统计学上有意义（P<0.05）。观察组患者黏膜溃疡，红肿出血和叩痛的不良反应发生率（3.33%）明显低于对照组不良反应发生率（33.33%），统计学上有意义（p＜0.05）。结论：对牙齿重度磨损伴牙列缺损（缺失）患者应用种植修复与咬合重建联合治疗后，患者牙齿外型美观，功能良好，临床成功率更高，修复后不良反应发生率低，不影响患者面部美观及发音功能，建议推广。
目的：探討應用種植脩複與咬閤重建聯閤治療牙齒重度磨損伴牙列缺損（缺失）的臨床療效。方法：對2011年7月～2013年6月期間我院治療的60例牙齒重度磨損伴牙列缺損患者進行研究，其中30例患者採用常規義齒脩複方法進行治療，作為對照組；30例患者採用種植脩複與咬閤重建聯閤治療，作為觀察組。比較兩組患者經過牙齒脩複後臨床效果及不良反應髮生情況。結果：經對比觀察，觀察組對牙齒重度磨損伴牙列缺損（缺失）採用種植脩複與咬閤重建聯閤治療後，牙齒外型美觀，功能良好，舒適度較高，纍及成功率（100.0%）明顯高于對照組纍及成功率（70.00%），觀察組種植體摘除率（0）、纍及失敗率（0）明顯低于對照組義齒摘除率（24.59%）、纍及失敗率（26.23%），統計學上有意義（P<0.05）。觀察組患者黏膜潰瘍，紅腫齣血和叩痛的不良反應髮生率（3.33%）明顯低于對照組不良反應髮生率（33.33%），統計學上有意義（p＜0.05）。結論：對牙齒重度磨損伴牙列缺損（缺失）患者應用種植脩複與咬閤重建聯閤治療後，患者牙齒外型美觀，功能良好，臨床成功率更高，脩複後不良反應髮生率低，不影響患者麵部美觀及髮音功能，建議推廣。
목적：탐토응용충식수복여교합중건연합치료아치중도마손반아렬결손（결실）적림상료효。방법：대2011년7월～2013년6월기간아원치료적60례아치중도마손반아렬결손환자진행연구，기중30례환자채용상규의치수복방법진행치료，작위대조조；30례환자채용충식수복여교합중건연합치료，작위관찰조。비교량조환자경과아치수복후림상효과급불량반응발생정황。결과：경대비관찰，관찰조대아치중도마손반아렬결손（결실）채용충식수복여교합중건연합치료후，아치외형미관，공능량호，서괄도교고，루급성공솔（100.0%）명현고우대조조루급성공솔（70.00%），관찰조충식체적제솔（0）、루급실패솔（0）명현저우대조조의치적제솔（24.59%）、루급실패솔（26.23%），통계학상유의의（P<0.05）。관찰조환자점막궤양，홍종출혈화고통적불량반응발생솔（3.33%）명현저우대조조불량반응발생솔（33.33%），통계학상유의의（p＜0.05）。결론：대아치중도마손반아렬결손（결실）환자응용충식수복여교합중건연합치료후，환자아치외형미관，공능량호，림상성공솔경고，수복후불량반응발생솔저，불영향환자면부미관급발음공능，건의추엄。
Objective:To investigate the application of im-plant restoration and occlusal reconstruction of severe tooth wear of the combined treatment of dentition defect (missing) clinical curative effect. Methods:from 2011 July June to 2013 60 cases in our hospital during the period of treatment of severe tooth wear with dentition defect patients were studied, of which 30 cases were treated by conventional denture repair methods for treatment, as the control group; 30 patients using implant and occlusal reconstruction combined treatment, as the observa-tion group. Comparison of two groups of patients after the occur-rence of the clinical effect and adverse reaction of teeth after restoration. Results: by comparison, the observation group on severe tooth wear with dentition defect (missing) using implant and occlusal reconstruction after combination therapy, dental appearance, good function, comfort higher, involving the suc-cess rate (100%) was significantly higher than the control group involving the success rate (70%), extraction rate of implant (ob-servation group 0), involving the failure rate (0) was significantly lower than the control group denture removal rate (24.59%), in-volving the failure rate (26.23%), statistically significant (P<0.05). Patients in the observation group mucosa ulcer incidence rate of adverse reaction of swelling and bleeding and percussion pain (3.33%) was significantly lower than the control group, the incidence of adverse reactions (33.33%), statistically significant (P<0.05). Conclusion:on severe tooth wear with dentition de-fect (missing) in patients with application of implant restoration and occlusal reconstruction after the combined treatment in pa-tients with dental appearance, good function and clinical suc-cess rate higher, after repair of a low incidence of adverse reac-tions, does not affect the facial appearance and pronunciation patients function, recommended.
