圆锥型套筒冠义齿修复牙周病伴牙列缺损的远期疗效回访
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摘要
目的:通过观察圆锥型套筒冠义齿对牙周病伴牙列缺损患者修复治疗前及戴用长达5.5-7.0年后的各项临床指标,了解其远期临床疗效,为牙周病伴牙列缺损的临床修复设计提供随访参考数据。方法:回访2000.1-2001.12期间在新疆医科大学第一附属医院口腔科就诊的牙周病伴牙列缺损,经牙周综合治疗后进行圆锥型套筒冠义齿修复的患者9例,共制作套筒冠义齿13件,基牙共计90颗,其中Ⅰ°-Ⅲ°松动牙82颗,追踪观察时间为5.5-7.0年。用问卷调查的方式了解患者的主观感觉;利用临床检查了解患牙修复前、后牙齿松动度、牙龈指数、牙周袋深度的变化;套筒冠内冠边缘密合性、与龈缘关系等。结合主观感觉和客观检查结果来评价以圆锥型套筒冠修复牙周病伴牙列缺损的远期疗效。结果:问卷调查结果说明:被回访的9名患者对套筒冠义齿修复是基本满意的,总有效率为93.3%;经修复治疗后,将他们的90颗基牙同修复前比较,绝大多数患牙松动度逐渐变小。修复前、后松动度差别有统计学意义(P＜0.05);有36颗基牙的牙龈虽出现了轻度的炎症,但均未探及牙周袋;3名患者的5个牙位出现了外冠崩瓷的问题。结论:圆锥型套筒冠义齿对于牙周病伴牙列缺损者是一种较理想的修复治疗方法,患者对义齿的修复效果较满意,结合临床观察结果表明:圆锥型套筒冠修复牙周病伴牙列缺损具有较好的远期临床疗效。
Objective: Observe the clinical data of the krouskronen telescope denture treatment for 5.5-7.0 years on person suffered with periodontal diseases and dentition defect, to evidence the continuous clinical effects of the krouskronen telescope denture treatment, and further to provide some references for the clinical repair treatment of periodontal diseases and dentition defect. Methods: 9 parients with periodontal discases and dentition defect who received periodontal synthetical treatment at the oral department, 1st hospital, Xinjiang Medical University from 2000.1-2001.12 were reviewed. There were 13 krouskronen telescope dentures in 9 patients who totally had 90 abutment teeth, including 82 of mobility. The follow-up period varied from 5.5 to 7.0 years. The changes of tooth m obility、gingival index、patients' feelings、periodontal pocket depth and others were determined before and after prosthetic treatment. Statistically significant difference(P<0.05) was found for the mobility before and after prosthetic treatment. Results: The patients satisfied with telescope denture, and total rate of validity were 93.3%. After treatment teeth mobility decreased with no periodontal pocket; and 36 abutment teeth had slight gingivitis. Conclusion: Combining the clinical index with the patients' satisfaction with krouskronen telescope denture, it show that the krouskronen telescope denture is effective in prosthodontic treatment of periodontal disease with dentition defect.
Objective: Observe the clinical data of the krouskronen telescope denture treatment for 5.5-7.0 years on person suffered with periodontal diseases and dentition defect, to evidence the continuous clinical effects of the krouskronen telescope denture treatment, and further to provide some references for the clinical repair treatment of periodontal diseases and dentition defect. Methods: 9 parients with periodontal discases and dentition defect who received periodontal synthetical treatment at the oral department, 1st hospital, Xinjiang Medical University from 2000.1-2001.12 were reviewed. There were 13 krouskronen telescope dentures in 9 patients who totally had 90 abutment teeth, including 82 of mobility. The follow-up period varied from 5.5 to 7.0 years. The changes of tooth m obility、gingival index、patients' feelings、periodontal pocket depth and others were determined before and after prosthetic treatment. Statistically significant difference(P<0.05) was found for the mobility before and after prosthetic treatment. Results: The patients satisfied with telescope denture, and total rate of validity were 93.3%. After treatment teeth mobility decreased with no periodontal pocket; and 36 abutment teeth had slight gingivitis. Conclusion: Combining the clinical index with the patients' satisfaction with krouskronen telescope denture, it show that the krouskronen telescope denture is effective in prosthodontic treatment of periodontal disease with dentition defect.
引文
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