固定义齿修复后基牙牙龈炎继发龋临床观察_000002.docVIP

固定义齿修复后基牙牙龈炎继发龋临床观察_000002 　　[摘要] 目的 观察固定义齿修复后基牙牙龈炎与继发龋的临床表现，对比两种疾病的牙周指标。 方法 选取本院口腔科接受固定义齿修复的患者共50例：25例患者接受治疗后发生基牙牙龈炎，设定为A组；25例患者接受治疗后发生继发龋，设定为B组，对比两组患者的菌斑指数、社区牙周治疗需要指数、探诊深度以及菌斑细菌分布。结果 A组与B组患者的菌斑指数、社区牙周治疗需要指数、探诊深度差异无统计学意义，A组与B组的菌斑细菌分布差异有统计学意义（P0.05）。结论 固定义齿修复后基牙牙龈炎与继发龋的发生率较高，基牙牙龈炎与继发龋患者的牙周指标无显著差异，因此医生应注重患者固定义齿修复后的健康宣教，以降低牙周疾病的发生率。 　　[关键词] 固定义齿修复；牙龈炎；继发龋；菌斑 　　[中图分类号] R783[文献标识码] B[文章编号] 1673-9701（2014）18-0160-03 　　 　　Clinical research on abutment gingivitis and secondary caries after partial centure fixing 　　XU Pinpin1 LIN Yan1 MA guangli1ZHOU Guofeng2 　　1.Department of Stomatology，Lishui City Peoples Hospital， Zhejiang Province，Lishui323000，China；2.Department of Stomatology，Zhejiang Hospital， Hangzhou310030，China 　　[Abstract] Objective To observe the clinical manifestation of abutment gingivitis and secondary caries after partial denture fixing，and to have a comparison of periodontal index between abutment gingivitis and secondary caries. Methods Fifty patients who received partial denture fixing were divided randomly into two groups.Twenty-five patients had abutment gingivitis，and twenty-five patients had secondary caries. The PLI，CPITN，PD and the classification of bacterial of two groups were compared. Results The PLI，CPITN，PD of both groups had no difference，but the classification of bacterial in both groups were significantly different (P0.05). Conclusion The incidence of abutment gingivitis and secondary caries after partial denture fixing is massive. Although the periodontal index between patients who had abutment gingivitis or secondary caries after partial denture fixing have no difference. Doctors should strengthen the health education after treatment to reduce the rate of periodontal disease. 　　[Key words] Partial denture fixing；Gingivitis；Secondary caries；Bacterial plaque 　　固定义齿修复在口腔科普及度较高，与活动义齿相比，具有稳定性高、舒适度高、咀嚼功能不受影响等优点，而金属烤瓷冠以其逼真性、耐磨性、耐酸碱性以及美观性，成为患者与医生一致推崇的义齿类型[1]。在进行固定义齿修复过程中，对义齿的抛光不足，导致义齿边缘不平滑，则可能引起患者牙龈发炎[2]。义齿长时间刺激牙龈，使牙龈间隙逐渐增大，菌斑附着加重，从而进一步