MK1精密附着体在游离端牙列缺损修复中应用.docVIP

MK1精密附着体在游离端牙列缺损修复中应用[摘要]目的:探讨MK1精密附着体在后牙游离缺失修复中的疗效。方法:MK1精密附着体为31例后牙游离缺失的患者进行固定-活动联合修复,经6个月～3年的临床观察,患者主观评价感受,医师通过临床检查、X 线检查修复效果。结果:所有患者均认为附着体舒适、稳固、易适应、咀嚼有力、不影响美观,无明显食物嵌塞。临床检查及X线检查表明,基牙无叩痛、无松动、无根尖周病变,牙龈无明显萎缩及牙槽骨吸收。义齿承托区牙槽嵴粘膜无红肿、压痛。4例患者于1～2年后重衬义齿基托。结论:MK1 精密附着体是一种较理想的修复后牙游离缺失的附着体。 [关键词]MK1精密附着体;游离缺失;固定-活动联合修复 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2010)05-0729-03 Clinical observation of MK1 precision attachment in restoration of posterior distal extension edentulous ZHANG He,LIU Yu,lIN Song-shan,PEI Yan-ping,LIU Yi (Department of Dentistry,Navy General Hospital of PLA,Beijing 100048,China) Abstract:ObjectiveTo evaluate MK1 attachment in restoration of posterior distal extention edentulous patients. MethodsMK1 attachment was used in fixed- removable prosthesis in 31 cases with posterior distal extension edentulous.After 6 months to 3 years clinical observation,the results were evaluated based on subjective feeling,clinical and X-ray examination.ResultsThe subjective feelings in all patients were comfortable,stable,adaptable,mastication convenience,good appearance and no food impaction.There was no pain on percussion,tooth mobility,gingival retraction,apical periodontitis or alvelor obsorption.No mucosa swelling and pain was observed in stressing-bearing area of the prosthesis.Dentures in 4 cases were rebased after 1 to 2 years. ConclusionThe MK1 precision attachment is a favorable choice to restore posterior distal extension edentulous. Key words:MK1 precision at tachment;distal extension;fixed-removable prosthesis 口腔修复工作中常见的一类病例是远中游离端牙缺失,患者要求修复的义齿不仅能具有良好的咀嚼功能,更要兼顾美观和舒适,所以越来越多的患者倾向于固定修复。但由于固定义齿修复基牙要求较高,适应证范围相对较窄。而传统的卡环固位可摘局部义齿常出现义齿固位不良、稳定性差的问题,很难满足牙列缺失(尤其是游离缺失)患者美观和舒适的要求。固定-活动联合修复兼有固定义齿和可摘义齿的特点,在提供良好固位和稳定的同时,改善了美观效果,在修复游离端牙缺失方面已显示出优越性[1]。本文探讨MK1精密附着体在后牙游离缺失修复中的疗效。 1材料和方法 1.1 临床资料:选择2006年3月～2008年11月在我科就诊的后牙游离缺失的患者31例,其中上牙列缺损14例,下牙列缺损8例,上下牙列均有缺损9例,其中咬合重建5例。本组病例男性20例,女性11例。年龄38～62岁,平均47岁。 1.2 材料:MK1 精密附着体(Mk1 Dental attachment GMBH)。 1.3