中空式基托在重度牙槽嵴萎缩义齿修复中的临床应用

摘要/Abstract

摘要： 目的探讨解决重度牙槽嵴萎缩义齿修复时因基托过厚使修复体重量过大引起固位稳定降低的问题,提高修复效果。方法选择2018年11月—2022年4月在济宁医学院附属单县中心医院就诊的20例重度牙槽嵴萎缩牙列缺失患者为研究对象,试验采取自身对照,每位患者分别用中空式基托制作修复体和传统方法制作修复体各一副,其中,用中空式基托制作修复体组为试验组,用传统方法制作修复体组为对照组。在患者戴用修复体第7天、第31天,行咀嚼效率、满意度检测,记录数据,进行统计数据分析。结果在第7天时,试验组咀嚼效率高于对照组,舒适、固位、咀嚼的满意度高于对照组,差异有统计学意义（P<0.05）;试验组外观、语言、坚固的满意度与对照组比较,差异无统计学意义（P>0.05）。在第31天时,试验组咀嚼效率高于对照组,咀嚼、固位、舒适、外观、语言的满意度均高于对照组,差异有统计学意义（P<0.05）;试验组坚固的满意度与对照组比较,差异无统计学意义（P>0.05）。结论中空式基托可以解决重度牙槽嵴萎缩义齿修复时基托过厚使修复体重量过大导致的固位稳定降低的问题,提高患者咀嚼效率和满意度。

关键词: 中空式基托, 咀嚼效率, 满意度, 牙槽嵴, 萎缩

Abstract: Objective To solve the problem of reduction of retention stability caused by excessive weight of prosthesis due to too thick base in the repair of severe alveolar ridge atrophy denture, and to improve the repair effect. Methods From November 2018 to April 2022, 20 patients with severe alveolar ridge atrophy and dentition loss were selected as the study subjects according to the inclusion and exclusion criteria from the Shan County Central Hospital affiliated to Jining Medical College. The experiment was conducted as a self control study. Each patient was treated with a hollow base to make a prosthesis and a traditional method to make a prosthesis, respectively. Among them, the group using a hollow base to make a prosthesis was treated as the experimental group, The prosthetic group was made using traditional methods. The masticatory efficiency and satisfaction were tested on the 7th and 31st days after the patient wore the prosthesis, and the data were recorded and analyzed statistically. Results On the 7th day, the masticatory efficiency of the experimental group was higher than that of the control group (P<0.05), and the satisfaction with comfort, retention, and mastication was higher than that of the control group (P<0.05). There was no difference in the satisfaction with appearance, language, and firmness between the experimental group and the control group (P>0.05); On the 31st day, the masticatory efficiency was higher than that of the control group (P<0.05), and the satisfaction with mastication, retention, comfort, appearance, and language was higher than that of the control group (P<0.05). There was no difference in the satisfaction with firmness between the control group and the control group (P>0.05). Conclusion Hollow base can solve the problem of reduction of retention stability caused by excessive weight of denture due to too thick base in the repair of severe alveolar ridge atrophy denture, and improve the masticatory efficiency and satisfaction of patients.

Key words: hollow base, masticatory efficiency, satisfaction, alveolar ridge, atrophy

中图分类号:

R783

刘国存, 鹿时刚. 中空式基托在重度牙槽嵴萎缩义齿修复中的临床应用[J]. 中华养生保健, 2024, 42(3): 173-177.

LIU Guo cun, LU Shi gang. Clinical Application of Hollow Base in Denture Repair of Severe Alveolar Ridge Atrophy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(3): 173-177.

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