铸造支架结合弹性义齿在牙周病缺牙患者治疗中的应用效果探讨.docVIP

铸造支架结合弹性卡环在牙周病缺牙患者治疗中的应用效果探讨 区韵婵佛山市禅城区囗腔医院囗腔修复科528000 [摘要]目的 探讨铸造支架结合弹性卡环治疗牙周病缺牙的效果。方法 将62例牙周病缺牙患者随机分为两组，每组31例，观察组应用铸造支架结合弹性卡环修复治疗，对照组进行传统可摘局部义齿修复治疗，比较两组患者的临床疗效。结果 观察组于佩戴后1年进行复查，舒适度、外观、食物嵌塞、粘膜状况优良率分别为97.14%、100.00%、94.29%、94.29%，均显著高于对照组，两组比较差异显著（P0.05）；两组患者在牙周状况优良率方面无统计学差异；两组修复后咀嚼效率与固位力均较修复前明显上升，但对照组上升更明显。结论 对牙周病缺牙患者使用铸造支架结合弹性卡环修复治疗效果显著，值得临床推广应用。 [关键词]铸造支架 弹性卡环 牙周病缺牙 Application results discussion of casting frame combined with resilient denture treatment for periodontal edentulous disease patients [Abstract] Objective To investigate the effect of casting frame combined with resilient denture treatment for periodontal edentulous disease. Methods 62 cases of periodontal edentulous disease patients were randomly divided into two groups, 31 cases in each group, the observation group were given casting frame combined with resilient denture restorative treatment, the control group were given traditional removable partial denture treatment, clinical efficacy of two groups were compared. Results The observation group reviewed 1year after wearing, comfort, appearance, ,food impaction, mucosal condition excellent rate were 97.14%, 100.00%, 94.29%, 94.29%, were significantly higher than the control group, the difference between two groups was significant (P0.05). Periodontal status excellent rate of two groups patients were no significant difference; Chewing efficiency and retention of two groups after repair compared with before repair significantly increased, but the control group increased more obviously. Conclusion The effect of casting frame combined with resilient denture treatment for periodontal edentulous disease patients is significant, worthy of clinical promotion and application. [Keywords] Casting frame Flexible denture Edentulous periodontal 牙周病修复治疗为牙周疾病综合治疗的重要一环，牙周病患者因其临床牙冠较长，基牙存在不同程度的松动，故口腔修复有一定的特殊性[1-2]。目前，活动义齿仍是牙周病缺牙的最常用的修复方式。但常规修复需在前牙或前磨牙位置设计金属固位体，既加重了基牙的负担，又严重影响到美观[3]。故一种既能减少基牙负荷，又能美观且满足功能需求的修复体对牙周病缺牙患者意义重大。铸造支架与弹性树脂联合式义齿作为一种新型修复设计方式，因其设计灵活，成本低