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目的:对患有拔牙禁忌患者未拔残根上活动义齿修复临床疗效进行分析研究。方法:根据患者及家属的需求,对80例患有拔牙禁忌,有缺失牙,缺失区有个别无痛需拔残根经调磨和缓冲后在其牙根上作活动义齿修复。结果:本文80例患者经上述修复后,患者缺失部位的形态和咀嚼功能得到了很好的恢复,提高患者的生活质量。经3个月的临床观察只有1例患者无法适应放弃义齿修复,半年后随访有1例出现未拔残根疼痛而停戴义齿行抗炎治疗;1年后随访,成功74例(92.5%)有2例牙根出现肿痛;有2例患者一直戴到病故前;其余患者义齿都正常使用,未出现不良情况。结论:对于患有拔牙禁忌老年患者的个别无法治疗,无任何症状的残根,可经调磨、缓冲后在其之上作活动义齿修复后临床疗效显著,但此方法只是为患有拔牙禁忌患者暂时恢复缺失牙功能的过渡阶段;等到患者病情转化到可拔牙时,需拔除残根,活动义齿重衬或重新制作。
OBJECTIVE: To analyze and analyze the clinical effect of denture restoration without remnant root extraction in patients with taboo tooth extraction. Methods: According to the needs of patients and their families, 80 cases of tooth extraction taboo, missing teeth, missing areas have a few painless need to pull the residual root after grinding and buffering in its roots for dentures repair. Results: After the above-mentioned 80 cases were repaired, the morphology and chewing function of the missing part of the patient were well restored, and the quality of life of the patients was improved. After 3 months of clinical observation, only 1 patient could not adapt to give up the denture repair. One case after 6 months follow-up did not have residual root pain and stop wearing denture anti-inflammatory treatment. One year follow-up, 74 cases (92.5% There are 2 cases of tooth root swelling and pain; 2 patients have been wearing to sick before; other patients are normal denture, no adverse conditions. CONCLUSIONS: Individual untreated, non-symptomatic residual roots in elderly patients with contraindications to tooth extraction may be polished and buffed to provide a clinically effective denture repair, but this method is intended only for patients with contraindications to tooth extraction Temporarily restore the transitional period of missing tooth function; wait until the patient’s condition converted to extractable teeth, the need to remove the residual roots, removable denture or re-production activities.