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冠外附着体在游离端牙列缺损修复中的临床应用及近期观察 被引量:4

Evaluation of Different Extracoronal Attachments on Distal Extension Removable Partial Denture
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摘要 目的:探讨游离端牙列缺损患者进行冠外附着体义齿修复的临床效果。方法:对18例游离端牙缺失的患者,设计5种冠外附着体作为固位体进行修复治疗。随访1~3年,观察患者对义齿使用的满意情况,复查检查基牙和修复体的情况。结果:患者对冠外附着体义齿的美观非常满意,对义齿的固位稳定效果和咀嚼功能均满意。临床检查未见基牙松动,1年后,出现2例基牙牙龈炎,1例附着体阳性构件松动;2年后,出现2例义齿松动和1例义齿下沉;3年后,出现1例基牙牙龈炎,3例义齿松动和2例义齿下沉。所有出现异常的患者经对症治疗后义齿均能继续使用。结论:对于游离端牙缺失的患者,采用冠外附着体义齿修复可获得良好的临床效果。 Objective: To observe the clinical effect of different extracoronal attachments on distal extension removable partial denture.Methods: 23 removable partial dentures using different extraconal attachment were made for 18 patients with distal extension dentition defect.Patients' satisfaction,condition of abutment and prosthesis were observed.The follow-up time ranged from 1 to 3 years.Results: Function,retention and esthetic results of dentures were achieved for all the cases.There was no abutment loosening and no secondary caries.1 year later,gingivitis of abutment occurred in 2 cases and loosening of positive part of attachment occurred in 1 case.2 years later,loosening of denture in 2 cases and subsidence of denture in 1 case were observed.3 years later,it was found that 1 case with gingivitis,3 cases with loosening of denture and 2 cases with subsidence of denture.The dentures of above-mentioned cases were used normally after symptomatic treatment.Conclusion: The application of extracornal attachments is an effective treatment option for patient with distal extension dentition defect.
出处 《口腔医学研究》 CAS CSCD 北大核心 2011年第6期521-523,共3页 Journal of Oral Science Research
关键词 游离端牙缺失 冠外附着体 义齿 Distal extension defect Extracornal attachment Denture
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