磁性附著體義齒臨床病例報(bào)告分析
發(fā)布時(shí)間：2018-08-27 10:56
【摘要】：目的:觀察磁性附著體義齒在修復(fù)缺損與缺失牙列的效果。方法:選取2015年7月至2016年9月來(lái)大連醫(yī)科大學(xué)附屬大連市口腔醫(yī)院接受治療并實(shí)施磁性附著體修復(fù)的10例患者。男性1例,女性9例。年齡在50至90歲之間,平均年齡72歲。所有患者都為牙列缺損,同時(shí)保有不同數(shù)目的剩余牙齒為殘根、殘冠。松動(dòng)度不足二度,經(jīng)過(guò)完善的牙體牙周治療。10例患者一共設(shè)置19只Magfit磁性附著體,其中MagfitMD800型設(shè)置數(shù)量為10只,MagfitEX600型設(shè)置數(shù)量為9只。共修復(fù)磁性附著體義齒12件,其中包括:全口覆蓋義齒5件、卡環(huán)與磁性附著體聯(lián)合固位的可摘部分義齒6件、上頜修補(bǔ)義齒1件。修復(fù)前詢問(wèn)患者是否有過(guò)敏史、全身性疾病,口外檢查顳下頜關(guān)節(jié)和開(kāi)口度有無(wú)異常。對(duì)患者口內(nèi)具體情況進(jìn)行詳細(xì)分析,通過(guò)影像學(xué)輔助檢查了解患者口腔內(nèi)余留牙健康狀況。積極與患者溝通,告知患者治療方法、過(guò)程及所需要的費(fèi)用�；颊咧橥�,最后確定修復(fù)治療方案。修復(fù)中,經(jīng)過(guò)完善根管治療2周后,患牙叩(-)、無(wú)不適,基牙牙體預(yù)備,齊齦截冠,預(yù)備根管,制取樁道印模。銜鐵蠟型完全覆蓋根面。銜鐵高于根面的部分應(yīng)形成鈍角,依根面的大小選擇600型號(hào)或800型號(hào)的磁性附著體。鎳鉻合金鑄造完成、拋光,用富士粘接劑將其粘固于根管內(nèi)。將磁鐵準(zhǔn)確固定在銜鐵表面,制取終印模。制作全口義齒或可摘局部義齒,8例患者10件義齒選擇使用維他林金屬支架或鈦支架�；颊咴谡彻檀盆F前試戴義齒2周無(wú)不適后,用自凝塑料粘固磁鐵。自凝塑料結(jié)固,打磨拋光,完成義齒修復(fù)。修復(fù)后6個(gè)月,患者來(lái)醫(yī)院復(fù)查。通過(guò)患者對(duì)義齒的咀嚼功能、穩(wěn)定性、美觀性、舒適度、語(yǔ)言功能等5項(xiàng)和義齒總體的滿意度進(jìn)行評(píng)價(jià),了解修復(fù)治療的效果和義齒的使用情況。通過(guò)檢查義齒的完整性、基牙牙周情況、有無(wú)齲壞、粘膜是否有壓痛,作出客觀的臨床評(píng)價(jià)。結(jié)果:10組病例患者均有過(guò)可摘局部義齒修復(fù)經(jīng)歷。10組病例患者對(duì)磁鐵粘固后6個(gè)月義齒的咀嚼功能的滿意度,均高于磁鐵粘固前義齒的咀嚼功能的滿意度�；颊邔�(duì)磁鐵粘固后6個(gè)月義齒的穩(wěn)定性、美觀性、舒適度、語(yǔ)言功能、義齒總體滿意度均較高。12件義齒獲得了滿意的臨床修復(fù)效果。滿足了所有患者的要求。12件義齒未發(fā)現(xiàn)義齒固位不良、銜鐵脫落、繼發(fā)齲壞、基牙松動(dòng)、義齒折斷、義齒翹動(dòng)、牙齦炎等不良現(xiàn)象。結(jié)論:磁性附著體義齒對(duì)修復(fù)缺損牙列具有良好的臨床修復(fù)效果。明顯提高義齒的固位力,提高穩(wěn)定性,改善美觀性與舒適性,在適宜的情形下,磁性附著體義齒是一個(gè)較好的選擇。
[Abstract]:Objective: to observe the effect of magnetic attachment denture in repairing defect and missing dentition. Methods: from July 2015 to September 2016, 10 patients were treated and repaired with magnetic attachment in Dalian Stomatological Hospital affiliated to Dalian Medical University. There were 1 male and 9 female. It is between 50 and 90 years old, with an average age of 72. All patients had dentition defects and retained different numbers of residual teeth with residual roots and crowns. The degree of mobility was less than two degrees. 19 Magfit magnetic attachments were set up in 10 patients with periodontal treatment, of which 10 were MagfitMD800 type and 9 were MagfitEX600. A total of 12 magnetic attachment dentures were repaired, including 5 complete overdentures, 6 removable partial dentures with clasp and magnetic attachment, and 1 maxillary prosthetic denture. Patients were asked if they had a history of allergies, systemic diseases, and extraoral examination of the temporomandibular joint and degree of opening. The status of residual teeth in oral cavity was analyzed in detail, and the health status of residual teeth in oral cavity was studied by imaging assisted examination. Actively communicate with patients and inform them of the treatment, procedures and costs involved. Patient informed consent, the final repair treatment program. During the restoration, after 2 weeks of perfect root canal treatment, the affected teeth percussed (-) without discomfort, the abutment teeth were prepared, the crown of the gingival was cut, the root canal was prepared, and the impression of the post canal was made. Armature wax completely covers the root surface. The part of armature above the root surface should form obtuse angle, depending on the size of the root surface, the type 600 or 800 type magnetic attachment should be selected. Nickel-chromium alloy is cast, polished and glued in root canal with Fuji adhesive. The magnet is accurately fixed on the surface of the armature and the final impression is made. Ten complete or removable partial dentures of 8 patients with complete denture or removable partial denture were treated with Vitamin metal or titanium stent. A self-solidified plastic magnet was used to fix the denture magnet after the patient tried to wear it without discomfort for 2 weeks before cementing the magnet. Self-solidified plastic fastening, grinding and polishing, complete denture repair. Six months after the repair, the patient came to the hospital for reexamination. Five items of masticatory function, stability, beauty, comfort, language function and the overall satisfaction degree of denture were evaluated to understand the effect of prosthetic treatment and the use of denture. Objective clinical evaluation was made by examining the completeness of denture, periodontal condition of abutment, caries and tenderness of mucous membrane. Results all the patients in 10 groups had the experience of removable partial denture restoration. The patients of 10 groups had satisfaction with masticatory function of denture 6 months after magnet bonding, which was higher than that of predenture with magnet bonding. The stability, beauty, comfort, language function and overall satisfaction of the dentures were all higher than that of the patients in 6 months after magnet bonding. The clinical results were satisfactory. All patients were satisfied with the requirements. 12 dentures were not found to have poor denture retention, armature fall off, secondary caries, abutment loosening, denture fracture, denture tilting, gingivitis, and so on. Conclusion: magnetic attachment denture has good clinical effect in repairing defective dentition. The retention force, stability and comfort of denture can be improved obviously. Magnetic attachment denture is a better choice under suitable conditions.
【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
，
本文編號(hào)：2207063
[Abstract]:Objective: to observe the effect of magnetic attachment denture in repairing defect and missing dentition. Methods: from July 2015 to September 2016, 10 patients were treated and repaired with magnetic attachment in Dalian Stomatological Hospital affiliated to Dalian Medical University. There were 1 male and 9 female. It is between 50 and 90 years old, with an average age of 72. All patients had dentition defects and retained different numbers of residual teeth with residual roots and crowns. The degree of mobility was less than two degrees. 19 Magfit magnetic attachments were set up in 10 patients with periodontal treatment, of which 10 were MagfitMD800 type and 9 were MagfitEX600. A total of 12 magnetic attachment dentures were repaired, including 5 complete overdentures, 6 removable partial dentures with clasp and magnetic attachment, and 1 maxillary prosthetic denture. Patients were asked if they had a history of allergies, systemic diseases, and extraoral examination of the temporomandibular joint and degree of opening. The status of residual teeth in oral cavity was analyzed in detail, and the health status of residual teeth in oral cavity was studied by imaging assisted examination. Actively communicate with patients and inform them of the treatment, procedures and costs involved. Patient informed consent, the final repair treatment program. During the restoration, after 2 weeks of perfect root canal treatment, the affected teeth percussed (-) without discomfort, the abutment teeth were prepared, the crown of the gingival was cut, the root canal was prepared, and the impression of the post canal was made. Armature wax completely covers the root surface. The part of armature above the root surface should form obtuse angle, depending on the size of the root surface, the type 600 or 800 type magnetic attachment should be selected. Nickel-chromium alloy is cast, polished and glued in root canal with Fuji adhesive. The magnet is accurately fixed on the surface of the armature and the final impression is made. Ten complete or removable partial dentures of 8 patients with complete denture or removable partial denture were treated with Vitamin metal or titanium stent. A self-solidified plastic magnet was used to fix the denture magnet after the patient tried to wear it without discomfort for 2 weeks before cementing the magnet. Self-solidified plastic fastening, grinding and polishing, complete denture repair. Six months after the repair, the patient came to the hospital for reexamination. Five items of masticatory function, stability, beauty, comfort, language function and the overall satisfaction degree of denture were evaluated to understand the effect of prosthetic treatment and the use of denture. Objective clinical evaluation was made by examining the completeness of denture, periodontal condition of abutment, caries and tenderness of mucous membrane. Results all the patients in 10 groups had the experience of removable partial denture restoration. The patients of 10 groups had satisfaction with masticatory function of denture 6 months after magnet bonding, which was higher than that of predenture with magnet bonding. The stability, beauty, comfort, language function and overall satisfaction of the dentures were all higher than that of the patients in 6 months after magnet bonding. The clinical results were satisfactory. All patients were satisfied with the requirements. 12 dentures were not found to have poor denture retention, armature fall off, secondary caries, abutment loosening, denture fracture, denture tilting, gingivitis, and so on. Conclusion: magnetic attachment denture has good clinical effect in repairing defective dentition. The retention force, stability and comfort of denture can be improved obviously. Magnetic attachment denture is a better choice under suitable conditions.
【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
，
本文編號(hào)：2207063
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