不同方案治疗前牙残根Ⅴ类缺损的临床疗效观察  

Clinical observation of different schemes in the treatment of class V defect of residual roots of anterior teeth

作　　者：卢勇士 LU Yong-shi(Pinghe County Hospital,Zhangzhou 363700,China)

机构地区：[1]平和县医院,363700

出　　处：《中国现代药物应用》2023年第14期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察不同方案治疗前牙残根Ⅴ类缺损的临床疗效。方法180例前牙残根Ⅴ类缺损患者,按照治疗方案的不同分为对照组及研究组,各90例。研究组接受种植修复治疗,对照组接受残根保存修复治疗。比较两组修复后6、12个月的修复体稳定性评分、修复体牙周组织健康状况评分、修复体美学效果评分、口腔健康影响程度评分及修复效果。结果修复后12个月,研究组修复体稳定性评分(0.46±0.11)分、修复体牙周组织健康状况评分(0.55±0.05)分及口腔健康影响程度评分(0.38±0.04)分均低于对照组的(0.86±0.17)、(0.94±0.06)、(0.94±0.06)分,修复体美学效果评分(21.96±1.71)分高于对照组的(18.75±1.36)分,差异具有统计学意义(P<0.05)。修复后6个月,两组修复成功率比较,差异无统计学意义(P>0.05);修复后12个月,研究组修复成功率98.89%高于对照组的91.11%,差异具有统计学意义(P<0.05)。结论前牙残根Ⅴ类缺损患者采用种植修复治疗、残根保存修复治疗均可获得较好的近期修复效果,在远期修复效果比较中,种植修复治疗更具有优势,值得临床推广。Objective To observe the clinical efficacy of different schemes in the treatment of class V defect of residual roots of anterior teeth.Methods A total of 180 patients with class V defect of residual roots of anterior teeth were randomly divided into control group and research group according to different schemes,with 90 cases in each group.The research group received implant restoration and the control group received residual root preservation and restoration.Both grousp were compared in terms of prosthesis stability score,the periodontal tissue health status score,the aesthetic effect score and the oral health impact score and the restoration effect at 6 and 12 months after the restoration.Results At 12 months after the restoration,the research group had prosthesis stability score of(0.46±0.11)points,periodontal tissue health score of(0.55±0.05)points and oral health impact score of(0.38±0.04)points,which were lower than those of(0.86±0.17),(0.94±0.06)and(0.94±0.06)points in the control group;the aesthetic effect score of(21.96±1.71)points in the research group was higher than that of(18.75±1.36)points in the control group;the differences were statistically significant(P<0.05).At 6 months after the restoration,there was no statistically significant difference in the success rate of restoration between the two groups(P>0.05).At 12 months after testoration,the success rate of restoration was 98.89%in the research group,which was higher than that of 91.11%in the control group,and the difference was statistically significant(P<0.05).Conclusion Among the patients with class V defect of residual roots of anterior teeth,both implant restoration and residual root preservation and restoration can obtain better recent restorative results.In the comparison of long-term restorative results,implant restorative treatment has more advantages and is worthy of clinical promotion.

关 键 词：种植修复 残根保存修复 前牙残根Ⅴ类缺损 修复体稳定性 修复体牙周组织健康状况 修复效果 

分 类 号：R783.3[医药卫生—口腔医学]