牙列重度磨耗伴缺损老年患者两种咬合重建治疗的效果比较  

The comparision of the effects of different occlusal reconstruction on elderly patients with severe tooth wear and tooth lost

作　　者：李亚男[1] 刘洪臣[2] 石校伟[1] 郭贵华[1] 宫琦玮[1] 李红梅[1] 

机构地区：[1]解放军总医院老年口腔病科,副主任医师副教授北京100853 [2]解放军总医院口腔医学研究所,主任医师教授北京100853

出　　处：《中华老年口腔医学杂志》2011年第3期174-177,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:观察牙列重度磨耗伴缺损的老年患者分别采用垫式可摘局部义齿与固定义齿进行咬合重建治疗的效果,并进行对比研究。方法:24例牙列重度磨耗伴缺损的老年男性患者,分别采用垫式可摘局部义齿与固定义齿进行咬合重建治疗,其中垫式可摘局部义齿咬合重建组15例,固定义齿咬合重建组9例,并分别对患者治疗前后的自我感觉(美观、舒适)、临床表现、咀嚼效率、颞下颌关节紊乱病临床症状的变化等指标进行评估及分析。结果:垫式可摘局部义齿与固定义齿咬合重建治疗后,患者均主观感觉良好、临床症状改善、咀嚼效率增加,差异显著(P<0.01)。固定义齿咬合重建组患者较垫式可摘局部义齿咬合重建组患者主观感觉更好,咀嚼效率增加更多(P<0.05)。有颞下颌关节病症状的患者咬合重建后症状均有改善,两种咬合重建方法间未见明显差异。结论:垫式可摘局部义齿与固定义齿咬合重建治疗均能一定程度恢复牙列重度磨耗伴缺损老年患者的口颌功能,改善颞下颌关节病症状。采用固定义齿进行咬合重建治疗更具有美观、舒适、提高咀嚼效率的作用。Objective: To explore and compare the effects of occlusal reconstruction with occlusal splint removable denture and fixed denture on elderly patients with severe tooth wear and tooth lost.Methods: 24 patients with severe tooth wear and tooth lost were divided into two groups,15 in occlusal splint removable denture group,and 9 in fixed denture group.Their feelings(esthetic feeling,comfort),clinical symptoms,masticatory efficiency and temporomandibular joint disease symptoms(TMJDS) were observed and analyzed before and after occlusal reconstruction.Results: The patients were all satisfied with their prosthesis.Their clinical symptoms,masticatory efficiency were improved.Statistical analysis showed the significant difference before and after occlusal reconstruction(P<0.01).The fixed denture had better effects than the occlusal splint removable denture(p<0.05)on patients'feeling and masticatory efficiency.The TMJDS were all improved after occlusal reconstruction.There was no significant difference between the two methods.Conclusions: Occlusal reconstruction using occlusal splint removable denture and fixed denture was effective to improve the elderly patients'oral and occlusal function.The TMJDS can also be improved.The fixed denture has better effect on esthetics,feeling,comfort and masticatory efficiency.

关 键 词：牙齿磨耗 牙列缺损 咬合重建 老年人 

分 类 号：R783.6[医药卫生—口腔医学]