全口义齿修复失败原因研究.doc

全口义齿修复失败原因研究摘 要 目的：分析全口义齿修复失败的原因及相应处理办法。方法：对2007年10月至2011年10月本中心口腔门诊12名义齿修复失败患者的原因进行分析，并对重新修复后的效果进行评价。结果：义齿修复失败的原因为：颌关系误差6例（50.0%），垫底不当1例（8.3%），前牙排列不满意2例（16.7%），心理因素3例（25.0%）。颌关系误差、垫底不当、前牙排列不满意重新修复后患者满意且使用良好的为8例（66.7%），垫底不当、前牙排列不满意及心理因素重新修复后患者认为一般且使用的3例（25.0%），心理因素重新修复后患者不满意且不使用的1例（8.3%）。结论：颌关系误差及心理因素是造成修复失败的主要原因，颌关系误差的经重新修复后患者满意且使用良好，心理因素重新修复后患者满意度低且使用效果一般或不使用。 关键词 牙列缺失 全口义齿 修复失败 中图分类号：R783.3 文献标识码：A 文章编号：1006-1533（2012）12-0038-03 Analysis of the failure cause of repairing the complete denture ZHAO Xiaofang （Dental clinic of Weifang Community Health Service Centre of Pudong New District, Shanghai, 200122） ABSTRACT Objective: To analyze the failure cause and the relevant approach of repairing the complete denture. Method: The causes were analyzed for 12 patients who failed in repairing their complete denture in the dental clinical of the community health service centre from Oct 2007 to Oct 2011. The results of the re-repairman were evaluated. Results: The failure causes of repairing the complete denture were six cases of jaw relationship errors (50%), one case of bottom of the improper (8.3%), two cases of anterior teeth arrangement unsatisfied (16.7%), three cases of psychological factors (25%). After re-repairman eight cases of jaw relationship error, bottom of the improper and anterior teeth arrangement were satisfied and it could be used in good condition (66.7%). Three cases of bottom of the improper, anterior teeth arrangement and psychological factors considered just like and (25%). One case of psychological factor was unsatisfied and it would not be used (8.3%). Conclusion: Jaw relationship errors and psychological factor were the main causes of repairman failure. The patients with the jaw relationship errors were satisfied after repairman and it could be used well. The patient with psychological factor was satisfied lowly and the usage effect was just like or not used. KEY WORDS edentulous; complete denture; repair failed 全口牙列缺失后会引起口腔及全身组织的一