数字化诊断义齿修复单颌牙列缺失的应用与初步临床评价  

Application and preliminary clinical evaluation of digital diagnostic denture for restoration of monomaxillary dentition loss

作　　者：赵甜 陈梁 赖姿雅[1,2] 高益鸣 ZHAO Tian;CHEN Liang;LAI Zi ya;GAO Yiming(Department of Stomatology,Ruijin Hospital of Medical college of Shanghai Jiao Tong University Shanghai 200025,China;College of Stomatology,Shanghai Jiao Tong University,Shanghai 200125,China)

机构地区：[1]上海交通大学医学院附属瑞金医院口腔科,上海200025 [2]上海交通大学口腔医学院,上海200125

出　　处：《大医生》2022年第12期1-5,共5页Doctor

基　　金：上海市卫生健康委员会临床研究专项项目(编号:201940132)。

摘　　要：目的应用数字化技术设计诊断义齿式功能压力印模托盘,修复单颌牙列缺失并进行初步临床评价,探讨辅助建立高效的单颌全口义齿数字化诊疗流程。方法选取一名单颌牙列缺失患者,扫描下颌无牙颌患者初诊制取的红膏初印模及初始颌位记录,利用软件设计制作带有咬合关系的个别托盘,作为诊断义齿试戴并制取终印模后,常规制作单颌全口义齿,医师和患者分别填写满意度视觉模拟评分量表(VAS),医师评估诊断义齿的临床使用效果,医师和患者同时评估义齿的修复效果和满意度。结果VAS法评估医师对诊断义齿临床使用的满意度各项指标平均分达(97.167±1.344)分;VAS法评估医生和患者对诊断义齿修复效果的满意度各项指标平均分达(95.667±0.943)分,(97.333±1.106)分,两者比较,差异有统计学意义(P<0.05)。结论数字化技术辅助制作单颌全口义齿具有临床复诊调改次数少、固位效果好、义齿咀嚼功能良好、医师与患者满意度较高的优点。Objective To design a functional pressure impression tray for diagnosis of monomaxillary denture with digital technology and to make a preliminary clinical evaluation,and to discuss the establishment of an efficient digital diagnosis and treatment process for single complete denture.Methods The initial impression of red paste and initial jaw position records of patients with mandibular edentulous were scanned,and individual trays with occlusal relationship were designed and made by software as diagnostic denture trial.After the final impression was made,single complete denture was routinely made.Doctors and patients filled in visual analog scale(VAS)of satisfaction respectively.Doctors evaluated the clinical efficacy,and doctors and patients evaluated the satisfaction of denture efficacy at the same time.Results The average satisfaction index of clinical use of diagnostic denture by VAS was(97.167±1.344).VAS method was used to evaluate the satisfaction of doctor and patient with the effect of diagnostic denture restoration.The average satisfaction index of the patient was 95.667±0.943,which was lower than that of the doctor(97.333±1.106),and the difference was statistically significant(P<0.05).Conclusion In conclusion,the digital-assisted manufacturing of single complete denture has the advantages of fewer clinical re-examination and adjustment times,good retention effect,good denture mastication function,and high satisfaction of doctor and patient.

关 键 词：诊断义齿 功能压力印模 单颌全口义齿 个别托盘 

分 类 号：R783.4[医药卫生—口腔医学]