不同修复方法在下颌低平牙槽嵴患者中的应用比较  

Comparison of Application of Different Restoration Methods in Patients with Atrophic Mandibular Alveolar Ridge

作　　者：郭彦[1] 孔玉 赵许兵[1] GUO Yan;KONG Yu;ZHAO Xubing(Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research,College of Stomatology,Xi’an Jiaotong University,Xi'an 710004,Shaanxi,China)

机构地区：[1]西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室,陕西西安710004

出　　处：《中国美容医学》2023年第9期164-167,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析比较不同修复方法在下颌低平牙槽嵴患者中的应用效果。方法:选择2019年3月-2021年9月于笔者医院就诊的130例下颌低平牙槽嵴患者为研究对象,采用随机数字表法分为对照组和观察组,每组65例。对照组患者采用传统方法进行修复,观察组患者采用生物功能性义齿修复系统(Biofunctional prosthetic system,BPS)进行修复,比较两组患者修复后的牙周情况[牙龈出血指数(Sulcus bleeding index,SBI)、菌斑指数(Plaque index,PLI)]、牙齿性能(咀嚼功能、牙齿美观度、牢固程度、语言功能)、不适感发生率、口腔健康生活质量及患者对修复满意度的差异。结果:修复后,两组SBI、PLI均明显低于修复前(P<0.05),且观察组治疗后SBI、PLI均明显低于对照组(P<0.05)。修复后,两组患者咀嚼功能、牙齿美观度、患者修复后牙齿的稳固程度及语言功能评分均优于修复前(P<0.05),且观察组修复后牙齿的稳固程度及语言功能评分均明显优于对照组(P<0.05);修复后,观察组患者不适感发生率显著低于对照组(P<0.05)。修复后,两组患者口腔疼痛、身体机能、心理状况、独立能力和总分均明显降低(P<0.05),且观察组修复后各单项评分和总分均明显低于对照组(P<0.05);观察组患者修复满意度明显优于对照组(P<0.05)。结论:采用BPS对下颌低平牙槽嵴患者进行活动义齿修复疗效确切,相较于传统全口义齿修复方法可更好地改善患者修复后口腔健康生活质量、牙龈出血和细菌感染情况,增强咀嚼、语言等功能,提高牙齿稳固程度和美观程度,患者满意度更高。Objective To analyze and compare the application effects of different restoration methods on patients with atrophic mandibular alveolar ridge.Methods Totally 130 patients with atrophic mandibular alveolar ridge who were treated in the author’s hospital from March 2019 to September 2021 were selected as the research subjects,and they were divided into control group and observation group,with 65 cases in each group.The patients in control group were repaired by traditional method,and the patients in observation group were repaired by biofunctional prosthetic system(BPS).The periodontal conditions[sulcus bleeding index(SBI),plaque index(PLI)],tooth performance(chewing function,tooth aesthetics,stability degree,language function),incidence rate of discomfort,oral health quality of life and the satisfaction of patients towards restoration were compared between the two groups.Results After restoration,the SBI and PLI of the two groups were significantly lower than those before restoration(P<0.05),and the SBI and PLI in observation group were significantly lower than those in control group after treatment(P<0.05).After restoration,the scores of chewing function,tooth aesthetics,tooth stability degree after restoration and language function after restoration were better than those before restoration(P<0.05),and the scores of tooth stability degree and language function after restoration in observation group were significantly better than those in control group(P<0.05).After restoration,the incidence rate of discomfort in observation group was significantly lower than that in control group(P<0.05).After restoration,the score of oral pain,physical function,psychological status and independence and total score of the two groups were significantly reduced(P<0.05),and the scores of items and total score in observation group after restoration were significantly lower than those in control group(P<0.05).After restoration,the satisfaction degree of patients in observation group was significantly better than that in control gro

关 键 词：生物功能性义齿修复系统 活动义齿修复 下颌低平牙槽嵴 传统全口义齿修复 满意度 

分 类 号：R783.6[医药卫生—口腔医学]