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目的探讨附着体义齿和传统的可摘除局部义齿修复复杂牙列缺损的临床疗效。方法选取2008年3月以来我院复杂牙列缺损患者50例,均植入过可摘除局部义齿但义齿无法继续使用或效果不佳,将此作为对照,询问其可摘除局部义齿使用舒适度、咀嚼功能恢复程度以及发音效果恢复情况,并由口腔修复医师评价可摘除局部义齿的固位情况、对基牙影响状况以及口腔卫生状况。50例患者后来均行附着体义齿修复术,术后2-5年再评价上述指标,所得结果与修复前进行对比分析。结果患者行附着体义齿修复术后的舒适度、咀嚼功能恢复程度、发音效果、固位情况以及对基牙的影响状况均优于使用可摘除局部义齿(P<0.05);附着体义齿修复较传统可摘除局部义齿来说,口腔卫生状况略差,但无统计学差异(P>0.05)。结论附着体义齿修复复杂牙列缺损的临床疗效优于传统的可摘除局部义齿,但技术要求较高、费用较为昂贵,临床应用时应与患者做好充分沟通。
Objective To investigate the clinical efficacy of attachment dentures and traditional removable partial dentures in the repair of complex dentition defects. Methods Fifty patients with complicated dentition defect in our hospital since March 2008 were implanted partial removable dentures but the dentures were unable to continue or ineffective. This was used as a control to ask about the comfort of removable partial dentures, The degree of recovery of masticatory function, and the recovery of pronunciation effect. The rehabilitative physician can evaluate the effect of removable partial dentures on dentures, dental abutments and oral hygiene. All the 50 patients were treated with the attached prosthesis, and the above indexes were re-evaluated 2-5 years after operation. The results were compared with those before repair. Results The comfort of attachment prosthesis, degree of recovery of masticatory function, sound effect, retention status and influence on abutment were better than that of removable partial denture (P <0.05). Attachment denture repair Traditional removable partial dentures, the oral health status slightly worse, but no significant difference (P> 0.05). Conclusion The clinical efficacy of attachment dentures in the repair of complex dentition defects is better than that of traditional removable partial dentures. However, the technical requirements are higher and the cost is more expensive. The clinical application should be fully communicated with the patients.