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目的观察老年2型糖尿病患者全口磁性附着体覆盖义齿修复的临床效果。方法对2006年6月至2008年12月在山西医科大学第二医院口腔科进行全口磁性附着体覆盖义齿修复的老年2型糖尿病患者20例,检查并记录修复前、修复后1年、修复后2年的基牙菌斑指数、牙龈指数、牙周袋深度、牙槽骨高度和牙齿松动度,并进行统计学分析。结果覆盖全口义齿经3～4次修磨后均固位良好,组织无压痛,随访2年中所有覆盖基牙均无龋坏,牙周无脓肿,基牙菌斑指数、牙龈指数、牙周袋深度均有增加(P<0.05),牙槽骨高度变化不明显(P>0.05),牙齿松动度降低(P<0.05),患者反应良好。结论覆盖全口义齿可以免除拔牙的痛苦和等待创口愈合的时间,为老年2型糖尿病患者要求全口义齿修复提供了一个良好的选择。
Objective To observe the clinical effect of complete magnetic attachment overdenture repair in senile type 2 diabetic patients. Methods From June 2006 to December 2008 in the Department of Stomatology, the Second Hospital of Shanxi Medical University, 20 cases of elderly patients with type 2 diabetes mellitus with magnetic attachment overdenture were repaired, and the results were recorded and recorded before repair, 1 year after repair, After 2 years of dental plaque index, gingival index, periodontal pocket depth, alveolar bone height and tooth mobility, and statistical analysis. Results The complete denture covered by complete denture was completely retained after 3 to 4 times of grinding and no tenderness was found in the tissues. All the covered abutments were free of carious lesions, no periodontal abscess, periodontal plaque index, gingival index, teeth (P <0.05). The alveolar bone height did not change significantly (P> 0.05), and the degree of dental mobility decreased (P <0.05). The patients responded well. Conclusion Covering the complete denture can relieve the pain of extracting the tooth and waiting for the wound to heal. It provides a good choice for the elderly patients with type 2 diabetes who require complete denture repair.