钴铬钼合金应力中断式支架临床应用研究.docVIP

钴铬钼合金应力中断式支架临床应用研究 　　[摘要]目的：评价钴铬钼合金应力中断式义齿用于KennedyⅠ、Ⅱ类牙列缺损患者的临床修复效果。方法：选择Kennedy Ⅰ、Ⅱ类牙列缺损拟行支架式义齿修复的患者60例，随机分为两组，分别采用钴铬钼合金应力中断式义齿修复和钴铬合金支架式义齿修复。通过比较两组患者的满意度及末端基牙牙槽嵴吸收情况，评估钴铬钼合金应力中断式义齿的临床修复效果。结果：钴铬钼合金应力中断式义齿与钴铬合金支架式义齿相比较，患者在美观程度、舒适程度、语音功能等方面的满意度明显高（P0.05）；钴铬钼合金应力中断式义齿的末端基牙牙槽嵴吸收情况较钴铬合金支架式义齿略有减缓，但差异无统计学意义（P0.05）。结论：钴铬钼合金应力中断式义齿用于KennedyⅠ、Ⅱ类牙列缺损可获得较好的临床修复效果，远期效果有待于进一步随访观察。 　　[关键词]钴铬钼合金；钴铬合金；KennedyⅠ、Ⅱ类牙列缺损；应力中断式义齿 　　[中图分类号]R783.3 [文献标志码]A [文章编号]1008-6455（2017）10-0098-02 　　Abstract： Objective To evaluate the clinical effect of split Co-Cr-Mo alloy frame removable partial dentures for kennedy Ⅰand Ⅱ defect of dentition. Methods 60 cases of kennedy Ⅰand Ⅱ defect of dentition designed by skeleton denture were randomly divided into two groups. One group used split Co-Cr-Mo alloy frame removable partial dentures and the other group used Co-Cr alloy frame partial dentures. Compare the differences of patients’ satisfaction， and the level of distal end abutment’s alveolar ridge resorption. Then evaluate the clinical effect of split Co-Cr-Mo alloy frame removable partial dentures. Results The split Co-Cr-Mo alloy frame removable partial dentures were obviously better than Co-Cr alloy frame partial dentures in the aspect of the satisfaction of beautiful outlook， comfort level and phonetic function（P0.05）. The level of distal end abutment’s alveolar ridge resorption were slightly retard by split Co-Cr-Mo alloy frame removable partial dentures， but it had no significant difference （P0.05）. Conclusion The split Co-Cr-Mo alloy frame removable partial dentures had better clinical effect for kennedy Ⅰand Ⅱ defect of dentition. But its long -term effect need further follow-up observation. 　　Key words： Co-Cr-Mo alloy； Co-Cr alloy； kennedy Ⅰand Ⅱ defect of dentition； split frame denture 　　目前，可摘局部?x齿仍是我国牙列缺损的常用修复方式之一，它具有适用范围广、磨除牙体组织少、易保持良好口腔卫生、制作简便、费用低等优点，但也存在体积大、舒适性差、咀嚼效率不高等问题。随着生活水平的提高，人们对于义齿的舒适性、安全性及美观性等方面要求越来越高，越来越多的人选择铸造支架式义齿修复。用于制作支架式义齿的材料有很多种，其中传统钴铬合金在临床应用已久，而BPD完美支架（Bego Part