下牙列缺失种植后两种附着体覆盖义齿修复的疗效观察.docVIP

李慧良，徐芳两附着体覆盖义齿种在下牙列缺失种植，杨令云 作者单位中的应用 郑州市第一人民医院口腔科，河南 郑州 450004 Application of two kinds of denture precision attachment in the under tooth loss Li Hui-liang，Xu fang，yang lingyun (Department of Stomatology, First Peoples Hospital, Henan Zhengzhou 450004, China) 通讯作者：李慧良，河南省郑州市东大街56号郑州市第一人民医院口腔科， 电话 Email: jlck.lihl@163.com 两种附着体覆盖义齿在下牙列缺失种植中的应用 [摘要] 目的 研究球帽状精密附着体与磁性附着体覆盖义齿在下牙列缺失种植术中的应用。方法选择临床下颌牙列缺失时间较长，牙槽骨吸收严重，常规全口义齿修复固位效果较差的患者作为研究对象。在下颌前牙区种植四颗种植体，待种植体达到骨性愈合（5个月）后随机分为2组，分别行球帽状精密附着体和磁性附着体覆盖义齿修复。比较患者的主观感觉、临床观察固位力和咀嚼效果。结果 两种修复方法的固位力和咀嚼效率无显著差异。95%的患者对两种义齿的美观舒适、稳固、咀嚼功能均感满意。但临床上观察发现2例磁性附着体覆盖义齿种植体周围出现炎症。结论 球帽状精密附着体较磁附着体更简便实用。 [关键词] 球帽状精密附着体；磁性附着体；覆盖义齿；牙列缺失 [ABSTRACT] Objective To compare easy ball precision attachments with magnetic attachments in efficacy of utilization. Methods Clinical edentulous jaw longer, severe alveolar bone loss, conventional denture retention is less effective in patients were chosen for the study. Desired four implants in the mandibular anterior teeth. After bone healing (five months), the patients were divided into 2 groups randomly, compare easy ball precision attachments with magnetic attachments the patients subjective feeling, clinical observations and chewing retention efficacy of utilization. Results There is no significant differences in chewing efficiency between the two group. 95% of patients were satisfied with the appearance of two denture comfort, stability, chewing function are. However, three cases in magnetic attachments with peri-implant overdenture inflammation. Conclusion The easy ball precision attachments more simple and practical than the magnetic attachments. [KEYWORDS] cap-like precision attachment, magnetic attachment, overdenture , tooth loss 下颌牙列缺失经过一段时间的常规下颌全口义齿的修复后，牙槽嵴吸收严重。如何使这类患者通过修复治疗，具有固位稳定及咀嚼效率是修复医师需要解决的棘手问题。本研究通过在下牙列缺失前牙区种植种植体，待种植体骨性愈合后，做球帽状精密附着体及磁性附着体全口覆盖义齿修复，并对二者临床应用效果进行研究。 资料与方法： 临床资料 选择门诊下颌牙列缺失常规全口义齿修复5年以上患者对当前下颌修复不满意的20例。男女各15例，年龄在65-83岁，平均75岁。患者上颌为牙列缺损活动义齿或牙列缺失全口义齿修复。检查所见，牙槽