80例下前牙松牙固定术的长期疗效观察  

Long Term Observation of Splinted Anterior Mandibular Teeth in 80 Periodontitis Patients

作　　者：项乾峰 陈丹艳 蔡伊琳 孟子堰 王春 董维理 XIANG Qianfeng;CHEN Danyan;CAI Yilin;MENG Ziyan;WANG Chun;DONG Weili(The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079,China;Department of Periodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China;The Second Affiliated Hospital of ShanTou University Medical College,Shantou 515000, China)

机构地区：[1]武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学,教育部重点实验室,湖北武汉430079 [2]武汉大学口腔医院牙周科,湖北武汉430079 [3]汕头大学医学院第二附属医院,广东汕头515000

出　　处：《口腔医学研究》2021年第9期835-839,共5页Journal of Oral Science Research

基　　金：吉林省卫健委科研项目(编号:2017J112);吉林省教育厅研究项目(编号:JJKH20190093KJ);吉林省财政厅项目(编号:JCSZ2019378-9)。

摘　　要：目的:介绍一种针对下前牙的改良松牙固定术,分析常规和改良下前牙松牙固定术的长期疗效。方法:回顾性分析80例行下前牙松牙固定患者的临床资料,记录固定患牙0、3、6、12个月的牙周、邻面龋以及牙周夹板的修理情况。结果:80例下前牙松牙固定患者,54例行常规松牙固定术,26例行改良松牙固定术,平均观察(4.85±3.14)年,患牙牙周状况改善明显,期间3例因反复炎症拔除单颗下前牙后行改良松牙固定术。结论:松牙固定术是解决下前牙松动,长期保存患牙的有效方法。改良松牙固定术为拔除单颗预后无望下前牙后,提供了一种新的修复选择。Objective:To introduce a modified splint method for lower anterior teeth,and analyze the long-term effect of conventional and modified splints in periodontitis patients.Methods:Eighty patients involving lower anterior teeth splinting were retrospectively accessed.The periodontal and proximal caries conditions of splinted teeth in 0,3,6,and 12 months and the repair of splint were recorded.Results:Eighty patients were followed over(4.85±3.14)(range:1.0-8.5)years.The periodontal condition of the affected teeth improved significantly.During this period,3 patients underwent modified splint after extracting a single lower anterior tooth due to repeated inflammation.Conclusion:Fiber-reinforced composites splint is an effective method to fix the loose lower anterior teeth and preserve the affected teeth for a long time.The modified splint provides a new restoration choice for the extraction of a single lower anterior tooth with poor prognosis.

关 键 词：松牙固定术 纤维牙周夹板 牙周治疗 牙齿松动 

分 类 号：R78[医药卫生—口腔医学]