纯钛和钴铬合金铸造基托在口腔修复中的应用.pdfVIP

甏 }纯钛和钴铬合金铸造基托在口 【摘要l 目的比较纯钛铸造基托和钴铬合金铸造基托在口腔修复中的临床疗效，探讨纯钛铸造基托义齿的临床应用价值。 方法采用纯钛及钴铬合金铸造基托分别修复上颌肯氏l类或||类缺失患者各32例(纯钛组及钴铬合金组)，检测并比较两组患者 备牙前及戴牙后1、3个月义齿承托区黏膜面可培养细菌总量、可培养细菌分布情况以及义齿承托区黏膜的炎症情况。结果(1)钴 义齿承托区可培养细菌总量显著对于纯钛组(PO．01 o(2)纯钛组戴牙后3个月及钴铬合金组戴牙后1个月和3个月，黏膜链球 时点，纯钛组链球菌、放线菌、乳酸杆菌、白色念珠菌、奈瑟菌均较钴铬合金组显著减少(均PO．01o(3l钴铬合金组戴牙后1个月发 组患者黏膜义齿性口炎发生率差异显著(PO．01)。尤其在戴牙后3个月钻铬合金组较严重黏膜义齿性口炎的发生率显著高于纯钛 组(PO．01 o结论纯钛具有良好的机械性能和生物学性能，不会影响口腔微生物的的生长及定植，可以防止微生态失调导致新的 并发症出现，是一种较为理想的口腔缺损金属修复体。 【关键词】 纯钛铸造基托钴铬合金铸造基托口腔微生物义齿性口炎 of titaniumbasedenturewithcobalt-chromiumbasedenturein dental LING Comparison alloy prosthodontica pure of FirstAffiliated ofWenzhouMedical Yiming，WUOing．Department Hospital 325000．China Stomatology，the College，Wenzhou To titaniumbasedenturewith basedentureindentaI 【Abstractl Objective cobalt—chromium(Co—Cr)alloy comparepure four whowere to removabledentureswereincludedinthe and Sixty study prosthodontics．Methodspatients readyaccept partial dividedintotwo receivedtitaniumbasedenturewhileother receivedCO—cr pure thirty-two groups．Thir【y—Mopatients patients basedenture，ThetotaIcultivablefloraewerecountedbeforedentureswereinserted．onemonthandthreemonthsafter alloy the ofbacteriadetectedonthedenture areaswere thedenturestomatitiswas wearing，andproportions bearing calculated，and also C0一cr basedentureenhancedtheaccumulationofmicrofloraon areasthree investigated．Resultsalloy