种植覆盖义齿与种植固定义齿修复对无牙颌患者治疗效果及其满意度比较分析  

Comparison of Satisfaction and Cosmetic Effect between Implant-supported Overdenture and Implant-retained Fixed Denture for Edentulous Patients

作　　者：黄春水[1] 王丁[1] HUANG Chun-shui;WANG Ding(Department of Stomatology,Beijing Civil Aviation General Hospital,Beijing 100025,China)

机构地区：[1]北京民航总医院口腔科,北京100025

出　　处：《中国美容医学》2020年第8期145-148,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析种植固定义齿修复与种植覆盖义齿修复对无牙颌患者的满意度及美容效果。方法:回顾性分析2016年1月-2018年1月在笔者医院进行无牙颌种植修复治疗的71例患者病例资料,根据无牙颌种植修复治疗方式的不同将71例患者分为A组(n=33)与B组(n=38),A组患者行种植固定义齿修复,B组患者行种植覆盖义齿修复,比较两组患者种植体周围软组织状况[改良菌斑指数(PLI)评分、改良出血指数(BI)评分、探诊深度]、主观感受(咀嚼功能、语言功能、舒适程度、固定功能、方便程度及美观程度方面分值)及治疗满意度(治疗费用、治疗周期及治疗效果方面分值)。结果:B组种植成功率与A组比较,无显著性差异(P>0.05);B组修复后1、6、12个月种植体改良PLI评分、种植体改良BI评分与A组比较,无显著性差异(P>0.05);B组修复后1、6、12个月种植体探诊深度明显高于A组(P<0.05);B组修复后1、6、12个月咀嚼功能、语言功能、固定功能及舒适程度方面分值与A组比较,无显著性差异(P>0.05);B组修复后1、6、12个月美观程度方面分值明显高于A组(P<0.05);B组修复后1、6、12个月方便程度方面分值明显低于A组(P<0.05);B组治疗费用、治疗周期及治疗效果方面分值明显高于A组(P<0.05)。结论:无牙颌种植覆盖义齿修复治疗满意度及美容效果明显优于种植固定义齿修复,值得临床推广应用。Objective To compare the satisfaction and cosmetic effect between implant-supported overdenture and implantretained fixed denture for edentulous patients.Methods The clinical data of 71 edentulous patients in our hospital from January 2016 to January 2018 were analyzed retrospectively.Patients were divided into two groups according to the different treatment methods.Group A(n=33)received the implant-retained fixed denture,and group B(n=38)were treated with implant-supported overdenture.Then various indexes were compared between groups,including the soft tissue condition around the implant[plaque index(PLI)score,bleeding index(BI)score,probing depth],subjective evaluation(mastication function,language function,comfort degree,fixation function,convenience degree,aesthetic degree),and treatment satisfaction(treatment cost,treatment period,treatment effect).Results There was no significant difference in implant success rate between group B and group A(P>0.05).There was no significant difference in PLI score and BI score between group B and group A at 1 st month,6 th month and 12 th month after the implant restoration(P>0.05).The probing depth in group B was significantly higher than that in group A at 1 st month,6 th month and 12 th month after implant restoration(P<0.05).The mastication function,language function,fixation function and comfort degree had no difference between group B and group A at 1 st month,6 th month and 12 th month after the implant restoration(P>0.05).The aesthetic score in group B was significantly higher than that in group A at 1 st month,6 th month and 12 th month after implant restoration(P<0.05).The convenience score of group B was significantly lower than that of group A at 1 st month,6 th month and 12 th month after implant restoration(P<0.05).The treatment cost,treatment periodand treatment effect scores of group B were significantly higher than those of group A(P<0.05).Conclusion Compared with implant-retained fixed denture,application of the implant-supported overdenture has better sat

关 键 词：种植固定义齿修复 无牙颌 种植覆盖义齿修复 满意度 美容效果 

分 类 号：R782.12[医药卫生—口腔医学]