铸造牙合支托和传统树脂支托在前牙隐形义齿修复中的应用效果分析-现代医学

铸造牙合支托和传统树脂支托在前牙隐形义齿修复中的应用效果分析

单位：北京崇文口腔医院修复科, 北京 100062

分类号：R742

出版年·卷·期（页码）：2018·46·第八期（886-889）

摘要：

目的：比较铸造牙合支托和传统树脂支托在前牙隐形义齿修复中的应用效果。方法：研究选取本科2015年1月~2017年1月间就诊接受前牙隐形义齿修复的患者95例纳入研究，包含观察组患者40例，使用铸造牙合支托完成前牙隐形义齿修复；对照组患者55例，使用传统树脂支托；采用SPSS 19.0统计软件包分析处理数据。结果：本研究中两组患者基本特征未见差别，P>0.05。年龄分布、性别分布以及文化程度等情况充分可比，牙槽骨吸收状态也分布一致。对比2组患者的义齿修复疗效，结果可见观察组的义齿修复附成功率为95.00%，对照组为90.91%；牙周病变的发生率在观察组和对照组则分别为2.50%和5.45%；对比2组患者修复后的咬合力提示观察组的咬合力高于对照组，2组的咬合力水平分别为（18.09±3.98）kg和（14.22±3.85）kg，差别均有统计学意义，P<0.05。适应性优良率、语言发音优良率以及咀嚼功能优良率均显示观察组高于对照组，差别均有统计学意义，P<0.05。但是2组患者的修复固位性优良率与美观性优良率均高，差别未见统计学意义。结论：铸造牙合支托和传统树脂支托在前牙隐形义齿修复中的应用效果更优，特别是表现在最基本的咬合力水平以及义齿的适应性、咀嚼和语言功能方面，值得临床推广。

Objective:To compare the effects of casting occlusal support and traditional resin support in the repair of invisible frontal dentures. Methods:95 patients who underwent anterior denture prosthesis restoration from January 2015 to January 2017 were included in the study. 40 patients were included in the observation group, using casting occlusal support to complete the anterior tooth stealth sense tooth repair; 55 patients in the control group, using traditional resin support; SPSS 19.0 statistical software package was used in the analysis and processing data. Results:There was no difference ofbasic characteristics between the two groups of patients in this study, P>0.05. The age distribution, gender distribution, and education level were fully comparable, and the alveolar bone absorption was also distributed uniformly. Comparing the results of denture repair between the two groups of patients, the success rate of denture repair in the observation group was 95.00%, and that in the control group was 90.91%. The incidence of periodontal disease was 2.50% in the observation group and 5.45% in the control group. The occlusal force levels of the two groups were (18.09±3.98) kg and (14.22±3.85) kg, respectively, and the differences were statistically significant. P<0.05. The excellent rate of adaptability, pronunciation, andchewing function in the observation group was higher thanthat in the control group, and the difference was statistically significant (P<0.05). However, there was no statistically significant difference of rehab and good looking in both groups. Conclusion:Casting occlusal support and traditional resin support are effective in the application of invisible frontal prosthetic dentures, in terms of occlusal force and the adaptability, chewing and language function of dentures. It is worthy of clinical promotion.

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