摘要
目的:比较Locator附着体、球帽附着体在种植体覆盖义齿修复中的应用及对咀嚼功能、美学效果的影响。方法:选择2017年1月-2019年12月笔者医院就诊的100例下颌无牙颌患者为研究对象,种植体覆盖义齿修复中采用Locator附着体的50例患者为A组、采用球帽附着体的50例患者为B组,比较两组治疗后6个月时种植体周围软组织健康状况、咀嚼功能、美学效果及并发症发生情况,其中周围软组织健康状况指标包括边缘骨吸收值(BML)、菌斑指数(PLI)、牙周袋探诊深度(PPD),牙龈指数(GI),咀嚼功能指标包括咀嚼次数、咀嚼效果及语音清晰度,美学修复效果包括修复体完整、边缘适宜、染色A级率及患者对面部形态的满意率。结果:治疗后6个月,两组种植体周围软组织健康状况均良好,组间BML、PLI、PPD、GI比较差异均无统计学意义(P>0.05);A组咀嚼次数、咀嚼效率显著高于B组,语音清晰度显著高于B组,组间比较差异均有统计学意义(P<0.05);A、B组的修复体完整A级率比较,差异无统计学意义(P>0.05),A组边缘适宜A级率、染色A级率及患者对面部形态满意率显著高于B组,组间比较差异均有统计学意义(P<0.05);A、B组并发症发生率分别为4.0%、16.0%,A组显著低于B组,差异有统计学意义(P<0.05)。结论:Locator附着体在种植体覆盖义齿修复中的应用效果更佳,在保证种植体周围软组织健康状况的同时,能更好地提高咀嚼功能、美学效果,并且并发症更少,是安全、有效的临床方案。
Objective To compare the application of Locator attachment and ball cap attachment in implant overdenture restoration and analysis of their influence on masticatory function and aesthetic effect.Methods 100 patients with edentulous mandibles in our hospital from January 2017 to December 2019 were selected as the research objects,50 patients with Locator attachments in implant overdenture restoration were group A and 50 patients with ball cap attachments for group B,the health of soft tissues around the implants,chewing function,aesthetic effects and complications between two groups at 6 months after treatment were compared,the surrounding soft tissue health indicators included marginal bone resorption value(BML),plaque index(PBL),periodontal pocket probing depth(PPD),gingival index(GI),and chewing function indicators included the number of chewings,the effect of chewing and clear speech,the aesthetic restoration effects included grade A rate of prosthetic complete,appropriate,dyeing and patient satisfaction rate with facial morphology.Results After 6 months of treatment,the soft tissues around the implants in two groups were in good health,there was no significant difference in BML,PBL,PPD and GI between two groups(P>0.05);the number of chewings and the efficiency of chewing in group A were significantly higher than those in group B,the speech intelligibility was significantly higher than that of group B,and the differences between two groups were statistically significant(P<0.05).There was no statistically significant difference in the A-grade rate of restorations in groups A and B(P>0.05).The A-grade rate of edge fit,the A-grade rate of staining and the satisfaction rate of patients with facial morphology of group A were significantly higher than those of group B,the differences between two groups were statistically significant(P<0.05).The incidence of complications in groups A and B were 4.0%and 16.0%respectively,group A was significantly lower than group B,and the difference between two groups was statistically significant(P<0.05).Conclusion Locator attachments has better application effects in the restoration of implant overdentures,while ensuring the health of soft tissues around the implants,it can better improve the masticatory function and aesthetic effects,and has fewer complications,it is a safe and effective clinical program.
作者
王红梅
高志强
高明英
WANG Hongmei;GAO Zhiqiang;GAO Mingying(Department of Stomatology,Union Medical College Hospital,Tangshan 063000,Hebei,China)
出处
《中国美容医学》
CAS
2022年第10期151-154,共4页
Chinese Journal of Aesthetic Medicine
基金
河北省卫健委基金项目(编号:20181311)。
作者简介
第一作者:王红梅,副主任医师,研究方向为口腔科。E-mail:1361558420@qq.com。
