强力纤维唇侧夹板在上前牙种植术后过渡性修复中的临床应用

发布时间：2018-07-10 05:51

本文选题：强力纤维唇侧夹板 + 牙种植　；参考：《第三军医大学学报》2014年07期

【摘要】：目的分析强力纤维唇侧夹板用于上前牙种植术后过渡性修复的临床效果。方法收集上前牙种植患者35例,缺失1颗牙者24例,连续缺失2颗牙者11例。种植术前戴活动义齿,术后采用everStick NET强力纤维、复合树脂及人工塑料牙制作唇侧夹板。临床观察3~6个月,评价夹板使用效果,综合评价美观、舒适、便利、咀嚼功能,评价邻牙菌斑指数及龈乳头高度。结果①35例观察3个月,其中33例(94.3%)夹板不松动,修复体完好,2例(5.7%)夹板折断。35例患者中有19例因术中进行骨增量术延长观察期至6个月,16例(84.2%)夹板无松脱,无明显染色,3例(15.8%)夹板松脱。②采用自身对照,唇侧夹板组对美观、舒适、便利及咀嚼功能的综合评分明显高于活动义齿组(P0.05)。③固定前,固定后1、3个月邻牙的菌斑指数及龈乳头高度均无明显差异(P0.05)。结论强力纤维唇侧夹板制作简单、无创、效果可靠、患者满意,对邻牙菌斑控制无明显影响,保持了龈乳头的稳定,对患者的咬合无明显要求,值得临床推广。
[Abstract]:Objective to analyze the clinical effect of strong fibrous labial splint in the transitional restoration of anterior teeth after implant. Methods A total of 35 cases of anterior dental implants, 24 cases of missing one tooth and 11 cases of continuous loss of 2 teeth were collected. The removable denture was worn before implantation, and the labial splint was made by using everstick net strong fiber, composite resin and artificial plastic teeth. The clinical observation was conducted for 3 ~ 6 months to evaluate the effect of splint use, comprehensive evaluation of beauty, comfort, convenience, masticatory function, evaluation of dental plaque index and height of gingival papilla. Results among 135 cases observed for 3 months, 33 cases (94.3%) were not loosened, and 19 cases (84.2%) had no loosening of splint because of the lengthening of the observation period to 6 months during the operation, and 2 cases (5.7%) had splints broken off in 2 cases (5.7%). In 3 cases (15.8%) without obvious staining, the scores of beauty, comfort, convenience and masticatory function in labial splint group were significantly higher than those in active denture group (P0.05) before fixation. There was no significant difference in plaque index and height of gingival papilla between 1 month and 3 months after fixation (P0.05). Conclusion the strong fibrous labial splint is simple, noninvasive, reliable, satisfactory to the patients, has no obvious influence on the control of dental plaque, keeps the stability of the gingival papilla, and has no obvious requirement for the occlusion of the patients. It is worth popularizing in clinic.
【作者单位】：重庆医科大学附属口腔医院牙周科重庆市口腔疾病与生物医学研究中心;
【基金】：重庆市自然科学基金(CSTC2011jjA0274)~~
【分类号】：R783.6

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