套筒冠义齿修复轻中度牙周炎伴多数牙缺失的疗效观察  

Clinical study of telescopic crown retained denture on the restoration of dentition defect in patients with light,modertate periodontal disease

作　　者：王红梅[1] 杨永进[1] 蔡兴伟[1] 吕晓宁[1] 李雅彬[2] 李晖[3] 

机构地区：[1]解放军第二炮兵总医院口腔科,医师北京100088 [2]解放军302医院,副主任医师北京100039 [3]辽宁医学院,医师辽宁121000

出　　处：《中华老年口腔医学杂志》2012年第3期142-145,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:探讨多数牙缺失伴牙周病的牙列缺损患者应用套筒冠修复的临床效果。方法:选择多数牙缺失并有可摘局部义齿修复史的轻中度牙周炎患者36例,行牙周基础治疗和根管治疗后设计、制作套筒冠义齿,比较分析修复前和修复后6、12、24个月菌斑指数(PLI)、牙龈指数(GI)、探诊深度(PD)、龈沟出血指数(SBI)、牙齿松动度,并进行问卷调查。结果:36例患者在修复后3次复查时牙齿松动度和牙周袋深度(PD)逐渐变小(P<0.05),与修复前相比有明显改善,差异有统计学意义;菌斑指数(PLI)、牙龈指数(GI)、龈沟出血指数(SBI)无明显的变化(P>0.05);随访问卷调查结果显示,患者对套筒冠义齿满意度明显高于活动义齿。结论:套筒冠义齿修复轻中度牙周炎伴多数牙缺失的牙列缺损具有较好的临床效果。Objective： To explore the clinical result of using telescopic crown retained denture to restore dentition defect in patients with most teeth missing and periodontal disease. Methods： Thirty-six cases with dentition defect and periodontal disease were recruited. After the comprehensive periodontal therapy and root canal treatment, telescopic crown retained partial dentures were made and tried in. Plaque index （PLD, gingival index （GO, probing index（PD）, sulcus bleeding index （SBI） and mobility of teeth were checked and recorded before and 6, 12, 24 months atier restoration. The patients were investigated with questionnaires concerning the results. Results： Teeth mobility and PD were significantly improved （P〈0.05） 3 months after restoration in all patients. The change of PLI, GI, SBI showed no statistical significance （P〉0.05）. The results of questionnaires indicated tliat the patients were much more satisfied with telescopic crown dentures than their original removable partial dentures. Conclusion： Using telescopic crown retained dentures to repair dentition defect in patients with periodontal disease could ensure good clinical results.

关 键 词：套筒冠 多数牙缺失 牙周病 牙列缺损 

分 类 号：R783.6[医药卫生—口腔医学]