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  本文關(guān)鍵詞：口腔不良固定修復體產(chǎn)生原因分析及再治療　出處：《大連醫(yī)科大學》2016年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 不良固定修復體 病因 并發(fā)癥 再治療

【摘要】：目的:現(xiàn)今的臨床工作中,出現(xiàn)了很多修復后失敗的病例,導致牙齦炎癥、基牙牙髓或根尖周炎癥、基牙松動、口腔異味、口腔黏膜病變等癥狀,對患者的生理和心理造成了嚴重的影響。不良修復體已經(jīng)成為一個亟待解決的問題,本文從幾個方面分析了可能造成不良修復體的原因,并且對不良修復體患者進行再治療,為今后的臨床工作提供依據(jù)。材料和方法:病例收集自2014年8月至2016年1月就診于大連醫(yī)科大學附屬第一醫(yī)院口腔門診的患者,共有54例因戴有口腔不良固定修復體導致口腔疾病。通過患者主訴、采集現(xiàn)病史和臨床檢查,填寫不良固定修復體調(diào)查表,分析不良修復體產(chǎn)生的原因,對不良修復體進行拆除和再治療,隨訪1-2年,通過患者的滿意度調(diào)查表來評價臨床再次修復的效果。結(jié)果:54名不良修復體患者中,男性15例(38顆牙),女性39例(86顆牙),共124顆牙(前牙12顆,前磨牙48顆,磨牙64顆)。年齡26-80歲,平均年齡50.7歲。修復史2-28年。鑄造冠橋13例,烤瓷冠橋25例,全瓷冠橋2例,錘造橋14例。修復體違反修復治療原則12例,義齒設(shè)計不當20例,義齒制作不符合要求22例。39名患者出現(xiàn)牙齦炎,35名患者基牙出現(xiàn)疼痛,22名患者出現(xiàn)牙周疾病,基牙根折2例,修復體脫落、松動、斷裂10例,口腔異味15例,口腔黏膜病變2例。26名再治療患者中,對10名患者進行了固定修復治療,修復治療后基牙無疼痛感,牙齦恢復良好,根尖周暗影基本消失,咀嚼功能恢復良好,義齒形態(tài)美觀;16名患者拆除不良修復體后,拔除不能保留的基牙,三個月后復診,牙周情況恢復良好,牙槽窩形成骨組織,選用可摘局部義齒進行修復治療。結(jié)論:1.不良修復體形成是由于違反修復治療原則、義齒設(shè)計不當、義齒制作技術(shù)不符合要求、患者自身維護不佳導致。2.不良修復體會導致患者牙齦炎癥、基牙牙髓或根尖周炎癥、基牙松動、牙周病、口腔異味、口腔黏膜病變等癥狀。3.不良修復體的患者再治療需要根據(jù)基牙及經(jīng)濟情況選擇合適的修復方式。
[Abstract]:Objective: in the current clinical work, there are many cases of failure after repair, leading to gingival inflammation, abutment pulp or periapical inflammation, abutment loosening, oral odour, oral mucosal lesions and other symptoms. Bad restoration has become a problem to be solved urgently. This paper analyzes the possible causes of bad restoration from several aspects. And the patients with poor prosthesis were retreated. Materials and methods: cases were collected from August 2014 to January 2016 in the Stomatological outpatient Department of the first affiliated Hospital of Dalian Medical University. A total of 54 cases of oral diseases caused by wearing defective dental prosthesis. Through the main complaint of patients, collect the present medical history and clinical examination, fill in the questionnaire of defective fixed prosthesis, analyze the causes of bad prosthesis. The patients were followed up for 1-2 years to evaluate the effect of clinical re-repair through the questionnaire of patients' satisfaction. Results among 54 patients with poor prosthesis. A total of 124 teeth (12 premolars, 48 premolars, 64 molars, aged 26-80 years) were found in 15 males (38 teeth) and 39 females (86 teeth). The average age was 50.7 years. The restoration history was 2-28 years. There were 13 cases of cast crown and bridge, 25 cases of porcelain crown bridge, 2 cases of all porcelain crown bridge, 14 cases of hammer bridge. There were 22 cases of gingivitis and 35 cases of abutment pain and 22 cases of periodontal disease and 2 cases of base root fracture. 10 cases were removed, loosened and broken, 15 cases were odour, 2 cases were retreated with oral mucosal lesion, 10 cases were treated with fixed repair, and the abutment teeth were free of pain after repair. Gingiva recovered well, periapical shadow disappeared basically, masticatory function recovered well, denture appearance was beautiful. After removing the defective prosthesis, 16 patients pulled out the abutment teeth which could not be retained. After 3 months of treatment, the periodontal condition recovered well and bone tissue formed in the alveolar fossa. Conclusion 1. The formation of defective prosthesis is due to the violation of the principles of repair, improper design of denture, and the technology of denture making does not meet the requirements. 2. Poor maintenance of patients caused by .2. poor repair experience led to inflammation of the gingival abutment pulp or periapical inflammation abutment teeth loose periodontal disease oral odour. Oral mucosal lesions and other symptoms .3. patients with poor prostheses need to choose appropriate repair methods according to abutment and economic conditions.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R783

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本文編號：1393207