首页|咬合重建固定义齿修复术与可摘局部义齿修复治疗牙周病合并牙列缺损的疗效对比

咬合重建固定义齿修复术与可摘局部义齿修复治疗牙周病合并牙列缺损的疗效对比

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目的 分析对比咬合重建固定义齿修复术与可摘局部义齿修复在牙周病合并牙列缺损患者中的效果.方法 回顾性分析 2018 年 2 月-2023 年 2 月淮安市口腔医院收治的 70 例牙周病合并牙列缺损患者的临床资料,按治疗方式的不同将其分为两组.其中行可摘局部义齿修复的 36 例患者纳入对照组,行咬合重建固定义齿修复术的 34 例患者纳入观察组,术后观察 3个月.对比两组修复效果、咀嚼功能、颞下颌功能、满意度、并发症.结果 观察组修复总有效率、满意度为高于对照组,有统计学差异(P<0.05);术后,观察组咀嚼效率、咬合力高于对照组,肌肉压痛指数、颞下颌关节功能障碍指数、颞下颌关节紊乱指数低于对照组,有统计学差异(P<0.05);两组并发症相当,无统计学差异(P>0.05).结论 与可摘局部义齿修复治疗相比,咬合重建固定义齿修复术治疗牙周病合并牙列缺损患者效果显著,能够提升修复效果,改善患者的咀嚼功能与颞下颌功能,提高满意度,且无严重并发症.
Comparison of the therapeutic effects of occlusal reconstruction fixed denture repair and removable partial denture repair in the treatment of periodontal disease with dentition defects
Objective To analyze and compare the effects of occlusal reconstruction fixed denture repair and removable partial denture repair in patients with periodontal disease and dentition defects.Method A retrospective analysis was conducted on the clinical data of 70 patients with periodontal disease combined with dentition defects admitted to Huai'an Stomatological Hospital from February 2018 to February 2023.They were divided into two groups according to different treatment methods.Among them,36 patients who underwent removable partial denture restoration were included in the control group,and 34 patients who underwent occlusal reconstruction fixed denture restoration were included in the observation group.The postoperative observation was 3 months.Compare the repair effect,chewing function,temporomandibular function,satisfaction,and complications between the two groups.Result The total effective rate and satisfaction of repair in the observation group were higher than those in the control group,with statistical differences(P<0.05);After surgery,the chewing efficiency and bite force in the observation group were higher than those in the control group,while the muscle tenderness index,temporomandibular joint dysfunction index,and temporomandibular joint disorder index were lower than those in the control group,with statistical differences(P<0.05);The complications in the two groups were comparable and there was no statistically significant difference(P>0.05).Conclusion Compared with removable partial denture repair,occlusal reconstruction fixed denture repair has a significant effect on patients with periodontal disease combined with dentition defects.It can improve the repair effect,improve the chewing function and temporomandibular function of patients,increase satisfaction,and have no serious complications..

Periodontal diseaseDental defectOcclusal reconstruction fixed denture repair surgerySatisfactionComplications

刘磊、杨路鹏、王策

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淮安市口腔医院,江苏 淮安,223300

牙周病 牙列缺损 咬合重建固定义齿修复术 满意度 并发症

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(3)
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