摘要
目的探讨牙列缺失患者接受不同修复方式的效果。方法回顾性分析2020年8月—2023年8月苏州口腔医院的牙列缺失患者77例为研究对象,依据修复方法的不同将其分为A组(38例,1064颗牙/76副义齿)与B组(39例,1092颗牙/234颗种植体)。A组采用常规全口义齿修复,B组采用种植覆盖义齿修复,2组均随访至术后6个月。比较2组患者修复后6个月的义齿固位情况、牙槽嵴吸收情况、满意度、修复前与修复后6个月的咀嚼效率及牙周指标。结果修复后6个月,B组义齿固位总优良率(97.44%)高于A组(76.32%),差异有统计学意义(P<0.001)。B组美观程度、咀嚼功能、发音及维护方便性、固位满意度评分[(85.25±7.44)分、(86.33±6.49)分、(78.09±5.58)分、(77.71±5.27)分、(83.23±5.43)分]均高于A组[(71.97±6.32)分、(67.84±5.31)分、(56.58±4.45)分、(56.92±4.31)分、(62.87±4.33)分],差异有统计学意义(P<0.001)。2组修复前的咀嚼效率经比较,差异无统计学意义(P>0.05);2组修复后6个月的咀嚼效率均高于修复前,差异有统计学意义(P<0.05);B组修复后6个月的咀嚼效率为(62.48±8.15)%,高于A组的(50.33±7.69)%,差异有统计学意义(P<0.05);且B组前牙区与后牙区的牙槽嵴吸收均少于A组,差异有统计学意义(P<0.05)。2组修复前后的牙龈指数、菌斑指数、牙石指数比较,差异无统计学意义(P>0.05)。结论相较于常规全口义齿修复,种植覆盖义齿修复牙列缺失在提高咀嚼效能与患者满意度、降低牙槽嵴吸收程度等方面展现出的效果更为突出。
Objective To explore the effect of different restoration methods for patients with dentition loss.Methods A retrospective analysis was conducted on 77 patients with missing teeth at Suzhou Stomatological Hospital from August 2020 to August 2023.Based on different restoration methods,they were divided into group A(38 cases,1064 teeth/76 dentures)and group B(39 cases,1092 teeth/234 implants).Group A used conventional full dentures for restoration,while group B used implant supported dentures for restoration,both groups were followed up to 6 months after operation.The denture retention,alveolar ridge absorption,satisfaction and satisfaction at 6 months after repair,the masticatory efficiency and periodontal indexes before and 6 months after repair of the two groups were compared.Results After 6 months repair,the total excellent and good rate of denture retention of the group B(97.44%)was higher than that of the group A(76.32%),the difference was statistically significant(P<0.001).The satisfaction scores of aesthetics,masticatory function,pronunciation and maintenance convenience and retention of the group B[(85.25±7.44)points,(86.33±6.49)points,(78.09±5.58)points,(77.71±5.27)points and(83.23±5.43)points]were higher than(71.97±6.32)points,(67.84±5.31)points,(56.58±4.45)points,(56.92±4.31)points,(62.87±4.33)points of the group A,and the differences were statistically significant(P<0.001).There were not significant difference in alveolar ridge absorption and masticatory efficiency between the two groups before repair(P>0.05).The chewing efficiency of the two groups at 6 months after repair was higher than that before repair(P<0.05).At 6 months after repair,the chewing efficiency of the group B was(62.48±8.15)points,which was higher than(50.33±7.69)points of the group A,and the difference was statistically significant(P<0.05).The alveolar ridge absorption of anterior and posterior teeth of the group B was less than that of the group A,and the differences were statistically significant(P<0.05).There was no significant difference in gingival index,plaque index and calculus index between the two groups before and after repair(P>0.05).Conclusion Compared with conventional complete dentures,implant-supported overdentures have more prominent effects in improving masticatory efficiency and patient satisfaction,and reducing alveolar ridge absorption.
作者
陈婷
朱林
王会
CHEN Ting;ZHU Lin;WANG Hui(Department of Prosthetics,Suzhou Stomatological Hospital,Suzhou Jiangsu 215000,China;Department of Orthodontics,Suzhou Stomatological Hospital,Suzhou Jiangsu 215000,China)
出处
《中国卫生标准管理》
2025年第11期108-111,共4页
China Health Standard Management
关键词
种植覆盖义齿
全口义齿
修复
牙列缺失
咀嚼效率
牙槽嵴
implant-supported overdenture
complete denture
repair
dentition loss
chewing efficiency
alveolar ridge
