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不同方式修复牙齿缺损的疗效对比(1)
http://www.100md.com 2018年5月15日 《中国美容医学》 2018年第10期
     [摘要]目的:探讨不同修复方式在牙齿缺损修复中的疗效。方法:选取笔者科室2016年6月-2017年9月行牙齿修复的102例(患牙186颗)患者为研究对象,根据患牙类型及部位的不同,分别采用种植修复(n=28,患牙50颗)、活动修复(n=40,患牙72颗),固定修复(n=34,患牙64颗),比较三种修复方式的临床效果,在修复前及修复后4个月,分别对咀嚼效率、进食困难指数(IED)及口腔健康影响程度量表(OIDP)评分测定并比较。结果:种植修复、活动修复及固定修复的成功率分别为92.00%、83.00%、84.36%,种植修复的成功率显著高于活动修复与固定修复(P<0.05)。修复后,种植修复、活动修复与固定修复的咀嚼效率、IED及OIDP评分均得到明显改善(P<0.05);固定修复的咀嚼效率明显低于种植修复与活动修复(P<0.05),活动修复与固定修复的IED均明显高于种植修复(P<0.05),活动修复的OIDP评分明显高于种植修复(P<0.05),固定修复的OIDP评分明显高于活动修复(P<0.05)。结论:不同方式的牙齿修复效果存在差异,种植修复的效果较佳。
, http://www.100md.com
    [关键词]口腔修复;咀嚼效率;进食困难指数(IED);口腔健康影响程度量表(OIDP);效果評估

    [中图分类号]R783.4 [文献标志码]A [文章编号]1008-6455(2018)10-0122-03

    Abstract: Objective To evaluate the effectiveness of different repair methods in oral repair. Methods A total of 102 patients(186 pieces of offending teeth) were taken as research objects which were treated by oral repair in our hospital from 2016.6-2017.9.All the patients were treated by implant prosthesis(n=28, 50 pieces of offending teeth),removable prosthesis(n=40,72 pieces of offending teeth),fixed prosthesis(n=34, 64 pieces of offending teeth) according to different types and parts of offending teeth. The remediation effect was compared between three kinds of repair methods, the chew efficiency, eating difficulty index(IED) and oral health impact profile(OIDP) scores were measured and compared before and 4 months after repair. Results The success rate of implant prosthesis,removable prosthesis and fixed prosthesis was 92.00%,83.00%,84.36%,respectively.The success rate of implant prosthesis was significantly higher than that of removable prosthesis and fixed prosthesis (P<0.05). After repair, The chew efficiency, IED and OIDP scores of implant prosthesis, removable prosthesis and fixed prosthesis was obviously improved(P<0.05). The chew efficiency of fixed prosthesis was significantly lower than that of implant prosthesis and removable prosthesis(P<0.05), the IED of removable prosthesis and fixed prosthesis was significantly higher than that of implant prosthesis(P<0.05), the OIDP scores of removable prosthesis was significantly higher than that of implant prosthesis(P<0.05), the OIDP scores of fixed prosthesis was significantly higher than that of removable prosthesis(P<0.05). Conclusion The repair effect of different repair methods were different and the effectiveness of implant prosthesis was better.
, 百拇医药
    Key words: oral repair;chew efficiency; eating difficulty index(IED); oral health impact profile(OIDP); remediation effect

    口腔修复学是口腔学中的一门重要学科,它主要是运用生理、生物力学的方法修复口腔内的损伤,使患者的口腔功能和形态得到改善和恢复,以保障患者口腔器官和身体健康[1]。随着社会的进步与发展,医患之间的问题越来越严重,使现代医学进入一个新的模式,应该由患者来决定医疗服务的最后疗效。因此除了客观评价口腔修复的效果以外,还需要患者自身的主观评价,本研究选择2016年6月-2017年12月笔者科室收治的102例牙齿缺损患者为研究对象,评价比较采用不同修复方式的修复效果,现将结果报道如下。, http://www.100md.com(刘族志 赵永兴 林建能)
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