无牙颌患者种植覆盖义齿与固定义齿临床疗效对比研究

发布时间：2018-05-12 03:18

本文选题：无牙颌 + 种植体　；参考：《暨南大学》2014年硕士论文

【摘要】：目的比较无牙颌患者种植体支持式覆盖义齿修复与种植固定义齿修复后的临床疗效和患者满意度，为临床医生提供指导。方法对37例ITI、Zimmer、Osstem等种植系统修复的无牙颌患者进行1年的临床观察。采用临床检查、X射线观测和患者主观评分等来评价种植体与骨组织结合成功率，修复体使用情况，种植体周围骨吸收情况，并进行种植治疗后的满意度调查。结果种植覆盖义齿修复患者（A组）的92颗种植体和种植固定义齿修复患者（B组）的141颗种植体均形成良好的骨结合，种植体周围无明显骨吸收，牙周健康良好，A组修复体成功率96.89%，B组修复体成功率98.03%。A组和B组在种植治疗后的满意度在咀嚼、固位、舒适、发音方面无明显差异，在方便和美观方面存在明显差异。结论对纳入的37例无牙颌患者进行种植覆盖义齿与固定义齿临床疗效对比研究得出结论： 1、无牙颌患者进行种植覆盖义齿与固定义齿修复成功率高。 2、无牙颌患者种植覆盖义齿与固定义齿修复后短期内种植体周围软组织健康良好。 3、无牙颌患者种植覆盖义齿修复后在患者总体满意度及美观方面优于固定义齿修复。 4、无牙颌患者种植固定义齿修复后在患者满意度方便性方面显著优于覆盖义齿。医生在接诊无牙颌患者时需要与患者耐心仔细的沟通，，掌握患者的就诊目的和对义齿的期望值及患者的口腔条件，经济状况，再结合种植覆盖义齿与固定义齿修复的特点，合理引导患者选择合适的种植修复治疗方案。
[Abstract]:Purpose To compare the clinical efficacy and patient satisfaction of implant-supported overdenture and implant fixed denture in patients with edentulous jaw, and to provide guidance for clinicians. Method The clinical observation of 37 patients with edentulous jaw repaired by implant system such as ITII Zimmern Osstem for 1 year was carried out. The success rate of implant and bone tissue bonding, the use of prosthesis and the bone resorption around the implant were evaluated by clinical examination and subjective score of patients, and the satisfaction of implant treatment was investigated. Result 92 implants of implant-overdenture group (group A) and 141 implants of implant-fixed denture group (group B) all formed a good osseous bond, and there was no obvious bone resorption around the implants. The success rate of prosthesis in group A and group B was 98.03.A and B respectively. There was no significant difference in mastication, retention, comfort and pronunciation between group A and group B in terms of convenience and beauty. Conclusion The clinical effects of implant overdenture and fixed denture were compared in 37 patients with edentulous jaw. 1. The success rate of implant overdenture and fixed denture was high in patients with edentulous jaw. 2. The soft tissues around implants and fixed dentures in patients with edentulous maxillary implants were in good health in a short period of time. 3. Implant overdenture was superior to fixed denture in overall satisfaction and beauty. 4. The satisfactory convenience of implant fixed denture in edentulous patients was better than that of overdenture. Doctors need to communicate with the patients patiently and carefully when receiving patients with edentulous jaw patients, to grasp the purpose of the patient's visit, the expected value of the denture, the condition of the patient's mouth, and the economic condition, and then combine the characteristics of the implant overdenture with the fixed denture. The patients should be guided to select the appropriate implant repair therapy.
【学位授予单位】：暨南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R783.6

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