【摘要】：目的:牙周病會(huì)造成牙齦紅腫、牙周組織破壞,進(jìn)一步發(fā)展將導(dǎo)致咬合不穩(wěn)定及牙齒移位。不當(dāng)?shù)囊Ш狭?huì)造成咬合關(guān)系紊亂,牙槽骨的破壞會(huì)造成牙齒冠根比例失調(diào),從而導(dǎo)致繼發(fā)性咬合創(chuàng)傷。因此,控制繼發(fā)性咬合創(chuàng)傷是牙周病缺失牙修復(fù)治療的首要任務(wù)。常規(guī)的治療方案是使用可摘局部義齒,進(jìn)行跨弓式設(shè)計(jì),讓牙齦粘膜和牙根受力均勻,從而降低牙槽骨吸收速度,且能提高義齒穩(wěn)定性。隨著口腔種植技術(shù)的不斷發(fā)展,使種植治療的成功率顯著提升,也為牙周病缺失牙修復(fù)治療提供了一種新的手段。本研究的目的是,通過對(duì)臨床病例的觀察和分析,探討種植體輔助的不同修復(fù)方式,在牙周炎造成牙缺失患者修復(fù)治療中的臨床效果。方法:本論文收集10例病例,收集資料時(shí)間為2012年2月至2015年10月�；颊呔淮_診為輕度至重度牙周炎,且口內(nèi)缺失牙采用種植體輔助修復(fù)形式。其中固定義齒修復(fù)病例5例,固定可摘義齒修復(fù)病例1例,可摘覆蓋義齒修復(fù)病例4例。除了種植牙植入手術(shù)外,治療過程中還使用了冠延長(zhǎng)術(shù),牙周翻瓣術(shù),截根術(shù)、牙半切術(shù)的手術(shù)方式有等不同設(shè)計(jì)的重建病例。修復(fù)結(jié)束后半年,對(duì)患者進(jìn)行了追蹤隨訪。對(duì)各種修復(fù)方式的費(fèi)用花銷、種植體狀況、美觀程度、咀嚼功能和使用便利性等指標(biāo)進(jìn)行了觀測(cè)和評(píng)估。結(jié)果:通過對(duì)這10個(gè)病例的費(fèi)用花銷、種植體狀況、美觀程度、咀嚼功能和使用便利性等指標(biāo)的觀察分析發(fā)現(xiàn):種植體輔助的不同修復(fù)方式,在牙周炎缺牙病人的咬合重建中,顯示了不同的效果,各有利弊。固定修復(fù)的功能效果最佳,患者的滿意度最高,但價(jià)格昂貴,療程長(zhǎng)�？烧采w義齒咀嚼效果次之,美觀尚可,取摘方便,但費(fèi)用較低。雖然修復(fù)的時(shí)間上因?yàn)榉N植牙植入手術(shù)后需要較長(zhǎng)的恢復(fù)期,但在整體治療結(jié)果上無論是簡(jiǎn)便性、舒適性與耐用性,都表現(xiàn)出明顯的優(yōu)勢(shì)。結(jié)論:種植體輔助義齒修復(fù)的方式,在牙周病缺失牙患者的修復(fù)治療中均顯示出了積極的作用,臨床上應(yīng)根據(jù)患者的需求和經(jīng)濟(jì)狀況,來選擇固定式或可摘式的種植體輔助的義齒修復(fù)方式。
[Abstract]:Objective: periodontal disease can cause gingival redness, periodontal tissue destruction, and further development will lead to occlusal instability and tooth displacement. Improper occlusal force can lead to the disorder of occlusal relationship, and the destruction of alveolar bone will lead to the maladjustment of crown and root ratio, resulting in secondary occlusal trauma. Therefore, the control of secondary occlusal trauma is the primary task in the repair of missing teeth in periodontal disease. The conventional treatment is to use removable partial dentures to design transarch so that the gingival mucosa and root force is uniform so as to reduce the rate of alveolar bone absorption and improve the stability of denture. With the development of dental implant technology the success rate of implant therapy is improved significantly and a new method is provided for the repair of missing teeth in periodontal disease. The purpose of this study was to investigate the clinical effect of implant assisted restoration in patients with periodontitis caused tooth loss by observing and analyzing the clinical cases. Methods: ten cases were collected from February 2012 to October 2015. All patients were diagnosed with mild to severe periodontitis, and dental implants were used to repair the missing teeth. There were 5 cases of fixed denture, 1 case of fixed removable denture and 4 cases of removable overdenture. In addition to implant implantation, crown lengthening, periodontal valvus, root amputation, and half-cut were used in different design reconstruction cases. The patients were followed up half a year after repair. The cost, implant condition, aesthetic degree, masticatory function and ease of use of various restoration methods were observed and evaluated. Results: through the observation and analysis of cost, implant condition, aesthetic degree, masticatory function and ease of use of these 10 cases, it was found that different prosthetic methods assisted by implant were used in the occlusal reconstruction of periodontitis patients with missing teeth. Show different effects, each of the pros and cons. Fixed repair is the best functional effect, patient satisfaction is the highest, but expensive, long course of treatment. Removable overdenture masticatory effect is second, beautiful, easy to pick, but the cost is lower. Although the time of restoration is due to the need for a long recovery period after dental implant implantation, there are obvious advantages in the overall outcome of treatment, such as simplicity, comfort and durability. Conclusion: the method of implant assisted denture restoration has played a positive role in the treatment of patients with periodontal disease missing teeth, and should be based on the needs and economic status of the patients. To select a fixed or removable implant-assisted denture.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R783.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 Baris Simsek,Sebnem Simsek;Evaluation of success rates of immediate and delayed implants after tooth extraction[J];Chinese Medical Journal;2003年08期

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本文編號(hào)：2162833