摘要
目的:探究圆锥型套筒冠义齿对牙周病伴牙列缺损患者咀嚼效能、菌斑指数(PLI)及牙齿松动度的影响。方法:176例牙周病伴牙列缺损患者根据自愿选择的修复方法不同分为A组(圆锥型套筒冠义齿修复,n=96)、B组(传统可摘义齿修复,n=80)。修复后1个月、6个月、1年采用过筛法评估修复体咀嚼效能,评价患者PLI、牙龈指数(GI)及牙齿松动度,并进行自觉满意度调查。结果:两组患者修复前咀嚼效能均较差,差异无统计学意义(P>0.05),修复后1年内咀嚼效能均逐渐改善,且A组修复后1个月、6个月、1年咀嚼效能明显优于B组(P<0.05)。两组患者修复前PLI、GI及牙齿松动度接近,差异无统计学意义(P>0.05),修复后PLI、GI及牙齿松动度均明显降低,且A组修复后降低幅度均明显大于B组(P<0.05)。修复治疗后1年,A组患者舒适感、咀嚼能力、语音能力及固位能力自觉满意度明显高于B组,差异有统计学意义(P<0.05)。结论:与传统可摘义齿相比,圆锥型套筒冠义齿修复牙周病伴牙列缺损可有效提升患牙咀嚼效能,降低PLI及牙齿松动度,对改善患者各方面自觉满意度有更积极的作用。
Objective： To explore the effects of conical telescopic denture on masticatory efficiency,plaque index（ PLI） and tooth mobility in patients with periodontal disease and dentition defect. Methods： 176 patients with periodontal disease and dentition defect were divided into group A（ treated with conical telescopic denture,n = 96） and group B（ treated with traditional removable denture,n = 80） according to different repair methods. The masticatory efficiency of the prosthesis was evaluated by sieving at 1 month,6 months and 1 year after the repair. The PLI,gingival index（ GI） and tooth mobility were evaluated,and the satisfaction degree was investigated. Results： The masticatory efficiency of two groups was poor before repair（ P〈0.05）. It was gradually improved in 1 year after repair,and the masticatory efficiency of group A was significantly better than that of group B at 1 month,6 months and 1 year after repair（ P〈0.05）. Before repair,the PLI,GI and tooth mobility were similar in the two groups（ P〉0.05）. After repair,the PLI,GI and tooth mobility were significantly decreased,and the decrease in group A was significantly greater than that in group B（ P〈0.05）. In 1 year after repair,the satisfaction degree of comfort,chewing ability,phonological competence and retention ability of group A was significantly higher than that of group B（ P〈0.05）. Conclusion： Compared with the traditional removable denture,conical telescopic denture can effectively improve the masticatory efficiency,reduce PLI and tooth mobility,and improve the satisfaction of patients with periodontal disease and dentition defect.
作者
周蕾
ZHOU Lei(The Center Hospital of Xiangyang,Hubei Xiangyang 441021,China)
出处
《河北医学》
CAS
2018年第6期908-914,共7页
Hebei Medicine
基金
湖北省自然科学基金项目
(编号:2014CBD14585)
关键词
套筒冠义齿
可摘义齿
修复
牙周病
牙列缺损
Telescopic denture
Removable denture
Repair
Periodontal disease
Dentitiondetect
