旧义齿分析应用于全口义齿再修复的临床病例报告

发布时间：2018-04-20 01:42

本文选题：全口义齿 + 旧义齿　；参考：《大连医科大学》2014年硕士论文

【摘要】：背景：随着中国人口老龄化进程的加快，无牙颌患者逐渐增多，为提高老年人的生活质量，保证其身心健康，拥有一副良好功能的全口义齿是必不可少的。行全口义齿再修复的患者多为老年人，多伴有骨质疏松，随着戴用义齿及戴用时间的延长，会引起牙槽骨不断吸收，导致牙槽骨变窄或者低平，甚至导致颌骨萎缩或变形，进而影响全口义齿的固位和稳定。且义齿咬合面的磨耗、人工牙缺损、变色等也影响患者的外貌及心理。临床行义齿再修复患者也大都是以上述原因为主诉要求重新修复治疗。而这类患者的旧义齿就好比患者个性化的“口腔档案”，从中可以获得许多供义齿再制参考的有用信息。目的：探讨旧义齿在临床全口义齿再修复治疗过程中的应用价值，并使其在临床工作中发挥临床意义。方法：选取大连医科大学附属口腔医院2013年3月至2014年3月的全口义齿再修复病例6例，通过病史采集及对患者旧义齿的检查分析，充分把握义齿再修复中需要注意的问题，制定治疗计划，完成全口义齿再修复。修复完成后以临床问卷的形式对患者进行临床满意度调查。结果：调查结果显示参考旧义齿制作的新义齿在固位稳定性、舒适度、美观性及咀嚼效率等各方面均较之前旧义齿有明显改善。作为本研究对象的所有6例患者初戴义齿时均无无明显异物感，表现出良好的适应性，患者主观满意度高。结论：全口义齿再修复过程中，临床医生不应忽视对旧义齿的分析利用，需结合患者主诉、口腔检查及对旧义齿的检查分析，合理制定治疗计划，，再制作时注意保留旧义齿的合理设计，纠正和改进旧义齿设计与制作过程中存在的问题与不足，使再制义齿既可恢复患者口腔功能又易被患者接受和适应，提高临床修复效果。
[Abstract]:Background: with the rapid aging of the population in China, the number of edentulous patients is increasing gradually. In order to improve the quality of life of the elderly and ensure their physical and mental health, it is necessary to have a functional complete denture. Most of the patients undergoing complete denture rerepair are elderly people, and most of them are accompanied by osteoporosis. With the extension of denture wear and wear time, the alveolar bone will continue to absorb, leading to narrow or low alveolar bone, or even to atrophy or deformation of the jaw bone. Thus, the retention and stability of complete denture are affected. The attrition of denture occlusal surface, artificial tooth defect and discoloration also affect the patient's appearance and psychology. The patients with clinical denture re-repair are mostly based on the above-mentioned reasons for the request of re-repair treatment. And this kind of patient's old denture is like patient's individualized "oral file", from which can obtain a lot of useful information for denture remaking reference. Objective: to explore the application value of old denture in the course of clinical complete denture rerepair and to make it play a clinical significance in clinical work. Methods: from March 2013 to March 2014, 6 cases of complete denture reconstruction were selected from the affiliated Stomatology Hospital of Dalian Medical University. Through the collection of medical history and the examination and analysis of the patients' old dentures, the problems needing attention in the reconstruction of dentures were fully grasped. Make treatment plan, complete complete denture restoration. The clinical satisfaction was investigated by clinical questionnaire after repair. Results: the results showed that the stability, comfort, beauty and mastication efficiency of the new dentures made with reference to the old dentures were significantly improved than those of the old dentures. All the 6 patients who were included in this study had no obvious foreign body feeling when they first wore dentures and showed good adaptability and high subjective satisfaction. Conclusion: clinicians should not ignore the analysis and utilization of old dentures in the process of complete denture rerepair, and should make a reasonable treatment plan by combining with the main complaint of patients, oral examination and examination and analysis of old dentures. Attention should be paid to the reasonable design of the old denture and the problems and deficiencies in the design and manufacture of the old denture should be corrected and improved, so that the remade denture could not only restore the oral function of the patients but also be easily accepted and adapted by the patients, and improve the effect of clinical restoration.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R783.6

【参考文献】