无牙颌种植覆盖义齿与固定义齿修复的比较研究
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摘要
目的:通过随访比较两种无牙颌种植义齿修复的临床效果和患者满意度,以便指导临床根据患者具体情况采取科学合理的修复治疗方法。方法:回顾性分析2006年1月-2017年12月于笔者医院完成无牙颌种植修复的100例患者的临床资料并进行随访。对所有患者进行X线片观测、临床软组织健康状况观察及满意度调查。结果:成功随访80例(90个单颌)患者,共380枚种植体,其中30件固定义齿(25例患者,220枚种植体),60件覆盖义齿(55例患者,160枚种植体);覆盖义齿种植体3年、5年累积存留率分别为96.0%和92.0%;固定义齿种植体3年、5年累积存留率均为99.0%;种植体周围炎发生率为2.9%(11/380);43.33%(26/60)的覆盖义齿以及23.3%(7/30)的固定义齿因出现修复体并发症而返修;覆盖义齿与固定义齿的修理频次比较,差异无统计学意义(P>0.05);覆盖义齿种植体探诊深度明显大于固定义齿(P<0.05);覆盖义齿患者满意度明显高于固定义齿(P<0.05)。结论:无牙颌种植修复的修复体并发症发生率较高,无牙颌种植固定义齿修复的患者满意度较高,无牙颌种植覆盖义齿与固定义齿修复均可获得相对较高的种植体累积存留率。
Objective To evaluate the clinical effect and patients' satisfaction degree of implant restoration of edentulous jaw by follow-up. Methods Clinical data of 100 patients with edentulous jaw implantation and restoration which was retrospectively analyzed in our hospital from January 2006 to December 2017 and those patients were followed up. X-ray observation, clinical soft tissue health status observation and satisfaction degree survey was performed on all patients. Results A total of 380 implants were successfully followed up in 80 patients(90 single jaw), including 30 fixed denture(220 implants in 25 patients)and 60 overdenture(160 implants in 55 patients). The 3-year and 5-year accumulative retention rate of overdenture implant was 96.0% and 92.0%, respectively, the 3-year and 5-year accumulative retention rate all was 99.0%. The incidence of periimplant inflammation was 2.9%(11/380). 43.33%(26/60) of overdenture and the fixed denture of 23.3%(7/30) was repaired due to complications of prosthesis.There was no statistically significant difference in repair frequency between overdenture and fixed denture(P>0.05).The probe depth of overdenture implant was significantly greater than that of fixed denture(P<0.05).The patients' satisfaction degree of overdenture was significantly higher than that of fixed denture(P<0.05). Conclusion The incidence of prosthesis complications in edentulous jaw implantation was high.The patients' satisfaction degree of fixed denture implantation was higher.The-covered denture and fixed denture of edentulous jaw could obtain relatively high implant accumulation and retention rate.
Objective To evaluate the clinical effect and patients' satisfaction degree of implant restoration of edentulous jaw by follow-up. Methods Clinical data of 100 patients with edentulous jaw implantation and restoration which was retrospectively analyzed in our hospital from January 2006 to December 2017 and those patients were followed up. X-ray observation, clinical soft tissue health status observation and satisfaction degree survey was performed on all patients. Results A total of 380 implants were successfully followed up in 80 patients(90 single jaw), including 30 fixed denture(220 implants in 25 patients)and 60 overdenture(160 implants in 55 patients). The 3-year and 5-year accumulative retention rate of overdenture implant was 96.0% and 92.0%, respectively, the 3-year and 5-year accumulative retention rate all was 99.0%. The incidence of periimplant inflammation was 2.9%(11/380). 43.33%(26/60) of overdenture and the fixed denture of 23.3%(7/30) was repaired due to complications of prosthesis.There was no statistically significant difference in repair frequency between overdenture and fixed denture(P>0.05).The probe depth of overdenture implant was significantly greater than that of fixed denture(P<0.05).The patients' satisfaction degree of overdenture was significantly higher than that of fixed denture(P<0.05). Conclusion The incidence of prosthesis complications in edentulous jaw implantation was high.The patients' satisfaction degree of fixed denture implantation was higher.The-covered denture and fixed denture of edentulous jaw could obtain relatively high implant accumulation and retention rate.
引文
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[16]任家卉,尼加提·吐尔逊,杨超,等.两种种植系统后牙区单牙修复后边缘骨吸收与冠根比的临床研究[J].中国美容医学,2017,26(4):98-101.
[2]许培武.种植支持全牙弓和分段式修复无牙颌患者对成功率、骨吸收及美观评价的影响[J].中国口腔种植学杂志,2016,21(3):104-106,110.
[3]周欢,张磊,余凡,等.种植覆盖义齿临床疗效的回顾性研究[J].实用口腔医学杂志,2017,33(3):388-392.
[4]程红江.磁性附着体在下颌种植覆盖义齿的修复效果观察及患者满意度调查[J].口腔颌面外科杂志,2016,26(4):277-280.
[5]林野.口腔种植学[M].北京:北京大学医学出版社,2014:22-25.
[6]王培,李明,朱志军,等.无牙颌种植后即刻负重的临床回顾研究[J].口腔医学,2016,36(12):1087-1091.
[7]武红艳,王仁飞,朱琰,等.Locator附着体和球帽附着体在种植覆盖义齿中的临床修复效果比较[J].口腔医学,2016,36(2):162-165.
[8]何家才,邹多宏.牙种植体支持式覆盖义齿在临床中的应用[J].口腔颌面外科杂志,2016,26(4):229-237.
[9]倪文庆,戈伟,李浩,等.上颌前牙种植美学修复的临床分析[J].中国实用医药,2017,12(25):103-105.
[10]丁晓军,邱憬,汤春波.自主研发CAD/CAM种植导板制作系统在无牙颌种植修复中的临床应用研究[J].口腔医学,2016,36(5):421-424.
[11]张雪洋,黄雁红,陈沛,等.无牙颌种植义齿的咬合设计[J].华西口腔医学杂志,2018,36(1):1-3.
[12]侯文炳.套筒冠义齿对老年人牙列缺损的修复效果及满意度分析[J].中国美容医学,2017,26(5):46-48.
[13]李晓茜无牙颌种植修复临床回顾性研究及无牙颌种植固定修复咬合初步分析[D].济南:山东大学,2016.
[14]孟焕新.种植体周围炎的危险因素及防治[J].中华口腔医学杂志,2014,49(6):328-332.
[15]Vandeweghe S,Ferreira D,Vermeersch L,et al.Long-term retrospective follow-up of turned and moderately rough implants in the edentulous jaw[J].Clin Oral Implants Res,2016,27(4):421-426.
[16]任家卉,尼加提·吐尔逊,杨超,等.两种种植系统后牙区单牙修复后边缘骨吸收与冠根比的临床研究[J].中国美容医学,2017,26(4):98-101.