【摘要】：目的：了解普通人群中食物嵌塞的發(fā)病原因和特點、影響因素。觀察金屬嵌體及金屬全冠治療食物嵌塞的臨床效果。方法：采用隨機問卷調查和口內檢查的形式對264人的食物嵌塞情況進行調查統(tǒng)計分析,統(tǒng)計結果用統(tǒng)計學軟件SPSS16.0進行統(tǒng)計分析。從調查中篩選符合納入標準的以后牙鄰牙合面缺損為主的垂直型食物嵌塞病人14例,對其采用金屬嵌體進行修復；同時從調查中篩選出以后牙水平型食物嵌塞為主的混合型嵌塞且伴有牙體缺損的病人10例,對其采用金屬全冠進行修復,在修復后3個月復查,從修復體的粘結前后固位力值、食物嵌塞改善程度等方面予與評價。結果：本項調查顯示,共發(fā)現食物嵌塞病人228例,食物嵌塞的患病率為83.33%;40-59歲組患病率最高為91.11%;漢族和維吾爾族病人的病因方面構成存在統(tǒng)計學意義(P0.05)；嵌塞的類型以垂直型嵌塞和混合型為主,合計占86.36%；病人采用兩種方法粘結前、后固位力及側向力值比較后發(fā)現,金屬全冠修復優(yōu)于金屬嵌體冠,在牙齦的健康情況,金屬嵌體優(yōu)于金屬全冠。結論：食物嵌塞發(fā)病率高,原因復雜多樣,人們對其危害認識不足且無特異有效的治愈方法。金屬嵌體和金屬全冠用于食物嵌塞病人可以獲得臨床滿意的效果,從而減少充填術后食物嵌塞的發(fā)生,且方法簡便易行利于推廣。
[Abstract]:Objective: to investigate the causes, characteristics and influencing factors of food impaction in the general population. To observe the clinical effect of metal inlay and metal crown in the treatment of food impaction. Methods: a random questionnaire survey and an oral examination were used to investigate and analyze the food impaction in 264 people. The statistical results were analyzed by SPSS16.0 software. Fourteen patients with vertical food impaction were selected according to the inclusion criteria and were repaired with metal inlay. At the same time, 10 cases of mixed food impaction with dental defects were selected from the investigation. The metal crown was used to repair them. After 3 months of restoration, the retention force of the restoration was measured before and after the restoration. The improvement degree of food impaction was evaluated. Results: a total of 228 patients with food impaction were found, the prevalence rate of food impaction was 83.33, the highest prevalence rate was 91.11 in 40-59 years old group, the etiological composition of Han and Uygur patients was statistically significant (P0.05). The main types of impaction were vertical impaction and mixed type, which accounted for 86.36.The patients were found to have better restoration of metal crown than metal inlay crown in gingival health after comparing the values of retention force and lateral force between the two methods. Metal inlay is superior to metal crown. Conclusion: the incidence of food impaction is high, the causes are complex, and people do not know enough about its harm and have no specific and effective cure. The use of metal inlay and metal crown in food inlay patients can obtain a satisfactory clinical effect, thus reducing the incidence of food impaction after filling, and the method is simple and easy to popularize.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R783.6

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