牙骨传导助听器对基牙影响的初步研究  

A preliminary study on the effect of intraoral bone conduction device on abutment teeth

作　　者：时权[1] 郗昕[2] 孟盼盼 范佳慧 张贤华[1] SHI Quan;XI Xin;MENG Pan-pan;FAN Jia-hui;ZHANG Xian-hua(Department of Stomatology,First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心口腔科,北京100853 [2]解放军总医院耳鼻咽喉头颈外科医学部国家耳鼻咽喉疾病临床医学研究中心,北京100853

出　　处：《中华老年口腔医学杂志》2021年第1期22-25,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:初步探索单侧耳聋患者短期内佩戴牙骨传导助听器的对佩戴区域口腔健康情况的影响,为牙骨传导助听器的推广与应用提供指导依据。方法:2018年10月至2019年5月间于中国人民解放军总医院招募符合条件的单侧耳聋患者共18人,为患者制作口内助听器部件并教会其佩戴,佩戴时间为8周。所有患者在研究前后对基牙进行检查,记录探诊深度、探诊出血、松动度情况,并观察是否有明显不良反应情况。结果:18名受试患者均配合良好,共36颗牙齿纳入研究,均为上颌第一、二磨牙。佩戴前后基牙的探诊深度分别为3.04±0.59mm、3.06±0.57mm,无统计学差异;探诊出血率在试验前后为13.89%±8.66%、15.72%±8.60%,无统计学差异;所有牙齿松动度均无变化。结论:短期内佩戴牙骨传导助听器并不会引起基牙的探诊深度加深、探诊出血,松动度无加大,具有一定的安全性,但需要大样本、长期的研究来进一步验证。Objective:To explore the effect of wearing intraoral bone conduction device on the oral health of patients with single-sided deafness in a short period of time,so as to provide guidance for the promotion and application of intraoral bone conduction device.Methods:Ffrom October 2018 to May 2019,a total of 18 patients with unilateral deafness were recruited the Chinese PLA General Hospital.The patients were taught to wear the components of intraoral devices for 8 weeks.All patients took panoramic tomography,and were examined the abutment teeth before and after the study,recorded the probing depth,bleeding on probing,tooth mobility,and observed whether there were obvious adverse reactions.Results:all the 18 patients were well cooperate,and 36 teeth were included in the study,all of which were the first and second maxillary molars.There was no statistical difference in the probing depth of abutment teeth before and after wearing,which was 3.04±0.59mm and 3.06±0.57mm,respectively;the bleeding on probing rate was 13.89%±8.66%and 15.72%±8.60%before and after wearing,which also had no statistical difference;there was no change in the mobility of all teeth.Conclusion:it is safe to wear intraoral bone conduction device in a short period of time.However,the large sample and long-term research is needed to further verify.

关 键 词：牙骨传导助听器 单侧耳聋 探诊出血 探诊深度 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]