采用单冠或连冠种植修复上颌后牙连续缺失患者的主观满意度:调查与分析

发布时间：2018-04-18 07:14

本文选题：牙种植 + 义齿　；参考：《中国组织工程研究》2017年14期

【摘要】：背景:患者对种植义齿修复的满意度在种植义齿的临床推广中具有重要意义。目的:调查上颌后牙连续缺失患者对连续单冠与连冠种植修复后的主观满意度。方法:选择203例采取连续单冠与连冠粘接固位种植修复1年的上颌第一二磨牙连续缺失患者,其中单冠修复者99例,连冠修复者104例,进行目测类比评分主观满意度问卷调查。结果与结论:(1)选择单冠组与连冠修复组的男女比例差异不大,年龄多分布35-64岁,连冠修复组食物嵌塞比例、连冠修复脱落比例大于单冠修复组,大部分患者没有使用牙线的习惯;(2)单冠修复组、连冠修复组总体满意度分别为88.96%和85.32%,两组低于80的4项指标均为:我敢用种植牙咬硬食物、我的种植牙容易被清洁、我的种植牙和天然牙相比需要更少时间清洁、我觉得种植牙价格合适可以接受;(3)方差分析结果显示,食物嵌塞会影响咀嚼效果(P=0.047)、会使种植牙清洁工作变得困难(P=0.031)、会使患者感到不适(P=0.038),使用牙线可增强种植牙清洁效果(P=0.019)、大幅度减小刷牙出血问题(P=0.029);(4)结果表明,上颌后牙缺失患者采用单冠与连冠种植修复均可获得较高满意度;连冠修复组患者出现食物嵌塞现象更严重;连冠修复出现冠脱落现象更严重,单冠修复表现出更加优良的特性。
[Abstract]:Background: patients' satisfaction with implant prosthesis is of great significance in the clinical application of implant denture.Objective: to investigate the subjective satisfaction of patients with continuous maxillary posterior tooth loss after continuous monocoronal and continuous crown implants.Methods: a total of 203 cases of maxillary first and second molars with continuous loss of maxillary first and second molars, including 99 cases of monocoronal restoration and 104 cases of continuous crown restoration, were selected for one year. The subjective satisfaction degree of visual analogue score was investigated.Results and conclusion: there was no significant difference between male and female ratio between single crown group and continuous crown restoration group. The age distribution was 35-64 years old. The proportion of food impaction in the continuous crown restoration group was higher than that in the single crown restoration group.Most of the patients were not used to floss. The total satisfaction of the two groups was 88.96% and 85.32, respectively. The four indexes below 80 were: I dare bite hard food with implant, my implant is easy to be cleaned.My dental implants need less time to clean than natural teeth, and I think implant prices are acceptable.) ANOVA results show,Food impaction will affect the masticatory effect (P0. 047), make it difficult to clean the implant teeth and make the patients feel uncomfortable with P0. 038. The use of dental floss can enhance the cleaning effect of dental implants P0. 019, and greatly reduce the bleeding problem of brushing teeth.The patients with maxillary posterior tooth loss could obtain higher satisfaction with single crown and multiple crown implants. The food impaction was more serious in the continuous crown repair group, and the crown loss was more serious in the continuous crown repair group.Single crown restoration shows better characteristics.
【作者单位】：南方医科大学;南方医科大学南方医院口腔种植科;南方医科大学南方医院口腔科;
【分类号】：R783.6

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