活动义齿和固定义齿应用于烤瓷冠修复牙列缺损患者对牙咬合功能和炎症指标的影响  

Effect of Removable Denture and Fixed Denture on Occlusal Function and Inflammation Index in Patients with Denture Defect Repaired by Porcelain Crown

作　　者：韩玉敏 HAN Yumin(Department of Stomatology,Liangshan People's Hospital,Jining 272600,China)

机构地区：[1]梁山县人民医院口腔科,山东济宁272600

出　　处：《反射疗法与康复医学》2024年第15期164-167,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析活动义齿和固定义齿应用于烤瓷冠修复牙列缺损患者对牙咬合功能和炎症指标的影响。方法选择该院2022年10月—2023年12月收治的78例牙列缺损患者为研究对象,按随机数字表法将其分为对照组和观察组,各39例。两组均进行烤瓷冠修复,在此基础上,对照组使用活动义齿,观察组则使用固定义齿,比较两组治疗总有效率、咬合功能、炎症因子和口腔健康状态。结果观察组治疗总有效率为94.87%,高于对照组的79.49%,差异有统计学意义(P<0.05)。治疗开始前,两组肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平和龈沟出血指数(SBI)、菌斑指数(PLI)、口腔健康影响程度(OHIP-14)评分比较,组间差异无统计学意义(P>0.05);治疗结束后6个月,观察组TNF-α、IL-1β、IL-6水平和PLI、SBI、OHIP-14评分分别为(0.28±0.04)μg/L、(0.31±0.07)μg/L、(9.21±0.20)pg/mL、(0.59±0.14)分、(1.24±0.31)分、(10.91±0.12)分,均低于对照组的(0.39±0.06)μg/L、(0.47±0.10)μg/L、(11.73±0.41)pg/mL、(1.27±0.33)分、(2.11±0.37)分、(16.22±0.19)分,组间差异有统计学意义(P<0.05)。治疗开始前,两组咀嚼效率和咬合力比较,组间差异无统计学意义(P>0.05);治疗结束后6个月,观察组咀嚼效率和咬合力分别为(91.24±0.31)%、(140.91±10.12)lbs,均高于对照组的(87.11±0.37)%、(131.22±10.19)lbs,组间差异有统计学意义(P<0.05)。结论和活动义齿相比,固定义齿在烤瓷冠修复牙列缺损中的使用能够提高患者牙咬合功能,减轻炎症刺激,保护牙周组织,改善口腔健康状况,实用性较高。Objective To analyze the effect of removable denture and fixed denture on occlusal function and inflammation index in patients with denture defect repaired by porcelain crown.Methods A total of 78 patients with dental defects admitted to the hospital from October 2022 to December 2023 were selected as the research subjects and were randomly divided into a control group and an observation group using a computer random number table method,with 39 cases in each group.Both groups underwent porcelain crown restoration.On this basis,the control group used removable dentures,while the observation group used fixed dentures.The total effective rate,occlusal function,inflammatory factors,and oral health status of the two groups before and after treatment were compared.Results The total effective rate of the observation group was 94.87%,which was higher than the control group's 79.49%,and the difference was statistically significant(P<0.05).Before the start of treatment,the levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6)and the scores of sulcus bleaching index(SBI),plaque index(PLI),oral health impact profile-14(OHIP-14)showed no statistically significant differences(P>0.05);after 6 months of treatment,the levels of TNF-α,IL-1β,IL-6 and the scores of PLI,SBI,OHIP-14 in the observation group were(0.28±0.04)μg/L,(0.31±0.07)μg/L,(9.21±0.20)pg/mL,(0.59±0.14)points,(1.24±0.31)points and(10.91±0.12)points respectively,which were lower than(0.39±0.06)μg/L,(0.47±0.10)μg/L,(11.73±0.41)pg/mL(1.27±0.33)points,(2.11±0.37)points and(16.22±0.19)points of the control group,the differences between the groups were statistically significant(P<0.05).Before the start of treatment,there were no statistically significant differences in chewing efficiency and bite force between the two groups(P>0.05);after 6 months of treatment,the chewing efficiency and bite force of the observation group were(91.24±0.31)%and(140.91±10.12)lbs,respectively,which were higher than(87.11±0.37)%and(131.22±1

关 键 词：活动义齿 固定义齿 烤瓷冠修复牙列缺损 牙咬合功能 炎症因子 口腔健康状态 

分 类 号：R78[医药卫生—口腔医学]