咬合重建固定义齿与可摘局部义齿在牙齿重度磨耗伴牙列缺损患者中的应用效果比较  

Comparison of the application effects of occlusal reconstruction fixed partial denture and removable partial dentures in patients with severe tooth wear and dentition defects

作　　者：谷峰 王莉莉 张旭 GU Feng;WANG Lili;ZHANG Xu(Department of Stomatology,990th Hospital,Joint Logistics Support Force,Henan Province,463000,China)

机构地区：[1]联勤保障部队第九九〇医院口腔科,河南驻马店463000

出　　处：《中国医疗美容》2024年第12期76-80,共5页China Medical Cosmetology

摘　　要：目的探讨咬合重建固定义齿(FPD)与可摘局部义齿(RPD)在牙齿重度磨耗伴牙列缺损(DD)患者修复中的应用价值。方法回顾性选取2021年1月至2024年2月联勤保障部队第九九〇医院采用咬合重建FPD修复的41例牙齿重度磨耗伴DD患者纳入观察组,另选取同期采用RPD修复的38例牙齿重度磨耗伴DD患者纳入对照组。比较修复效果、修复前后颞下颌关节功能、咀嚼功能、颌面形态参数与主观感觉质量。结果观察组患者总有效率(95.12%)高于对照组(76.32%),差异有统计学意义(P<0.05);修复后,观察组关节紊乱指数、功能障碍指数、肌肉压痛指数低于对照组,咀嚼值、吸光度、咀嚼变色试验评分、舒适度评分、美观度评分、固定性评分高于对照组,差异有统计学意义(P<0.05);观察组后牙咬合良好率、牙齿排列整齐率、前牙覆盖与覆颌良好率均优于对照组,差异有统计学意义(P<0.05)。结论相较于RPD,咬合重建FPD修复牙齿重度磨耗伴DD效果显著,能改善咀嚼功能,减轻应激反应,提高主观感觉质量。Objective To investigate the application value of fixed partial denture(FPD)and removable partial denture(RPD)in the restoration of patients with severe tooth wear and dentition defect(DD).Methods A retrospective study was conducted to select 41 patients with severe tooth wear and DD who underwent occlusal reconstruction FPD repair in 990th Hospital,Joint Logistics Support Force from January 2021 to February 2024 as the observation group,and another 38 patients with severe tooth wear and DD who underwent RPD repair during the same period were selected as the control group.The repair effect was compared,as well as the temporomandibular joint function,chewing function,maxillofacial morphology parameters,and subjective sensory quality before and after repair.Results The total effective rate of the observation group(95.12%)was higher than that of the control group(76.32%),and the difference was statistically significant(P<0.05).After the repair,the joint disorder index,dysfunction index,and muscle tenderness index in the observation group were lower than those in the control group,while the chewing value,absorbance,chewing discoloration test score,comfort score,aesthetics score,and fixation score were higher than those in the control group,with statistically significant differences(P<0.05).The observation group had better rates of good occlusion of the back teeth,regular arrangement of the teeth,and good coverage and overbite of the front teeth than the control group,with statistically significant differences(P<0.05).Conclusions Compared to RPD,FPD for occlusal reconstruction has a significant effect in repairing severe tooth wear with DD,improving chewing function,reducing stress response,and improving subjective sensory quality.

关 键 词：牙齿重度磨耗 牙列缺损 固定义齿 颞下颌关节功能 咀嚼功能 主观感觉质量 

分 类 号：R78[医药卫生—口腔医学]