三种不同材料支架义齿对临床修复效果的影响  

The comparsion of clinical effect in different materials dentures in repaired of teeth

作　　者：苏勤[1] 徐萍[1] 金松[1] 韩前超[1] 

机构地区：[1]华中科技大学同济医学院附属普爱医院口腔科,武汉市430033

出　　处：《实用医学杂志》2014年第22期3598-3600,共3页The Journal of Practical Medicine

摘　　要：目的:比较三种不同材料支架义齿在修复牙列缺损中的临床效果。方法:选择2010年1月至2012年12月间来我院牙列缺损并行可摘局部义齿修复的患者570例,根据患者选择的支架材料不同分为Vitallium2000组、纯钛支架组和钴铬合金铸造组,比较患者修复效果。结果:三组就位率(χ2=10.283,P<0.05)和2W调整率(χ2=16.262,P<0.05)比较,差异均具有统计学意义。三组义齿性口炎发生率(χ2=12.773,P<0.05)、咀嚼效率(t=8.194,P<0.05)、不良反应发生率(χ2=6.028,P<0.05)比较,差异均有统计学意义。三组支架义齿美观满意度(χ2=2.191,P>0.05)比较,差异无统计学意义。三组舒适满意度(χ2=6.827,P<0.05)、语言功能满意度(χ2=6.002,P<0.05)、咀嚼功能满意度(χ2=5.838,P<0.05)比较,差异具有统计学意义。结论:Vitallium2000支架义齿较纯钛和钴铬合金支架义齿小而轻、强度好、义齿稳固,且其不致敏、不变色、无异味,确保了义齿的美观性、舒适度和提高咀嚼效率,适合临床广泛应用。Objective To compare the clinical effect of different materials dentures in repaired of teeth. Methods A retrospective analysis of 570 patients with framework removable partial dentures, which were divided into the Vitallium 2000 group, the pure titanium group and the Co-Cr alloy group randomly from Jan. 2010 to Dec. 2012 in our hospital. Compare the clinical effect of three groups. Results The emplacement rate （X^2 = 10.283, P 〈 0.05 ）and the 2-week adjust rate （X^2 = 16.262, P 〈 0.05 ）of three groups were statistical different significantly. The incidence rate of denture stomatitis （X^2 = 12.773, P 〈 0.05）, the mastieatory efficiency （t = 8.194, P 〈 0.05 ）and the incidence rate of adverse reactions （X^2 = 6.028, P 〈 0.05 ）of three groups were statistical different significantly. The patients＇ satisfaction （X^2 = 2.191, P 〉 0.05）of three groups weren＇t statistical different significantly. The degree of comfort （X^2 = 6.827, P 〈 0.05 ）, the speech satisfaction （X^2 = 6.002, P 〈 0.05 ） and the chewing speech satisfaction （X^2=5.838,P〈0.05）three groups were statistical different significantly. Conclusion The clinical effect of the Vitallium 2000 group is better of weight, strength and stability than other groups. The Vitallium 2000 frame removable partial denture is nontoxic, fastness and no peculiar smell, which could be ensure the aesthetics, the degree of comfort and improve the mastieatory efficiency, worthy to recommend its clinical use.

关 键 词：支架义齿 覆盖 牙髓 固位力 咀嚼效率 

分 类 号：R783.6[医药卫生—口腔医学]