摘要
目的:探讨不同年龄段口腔修复病例疾病诊断、基本特点以及修复类型,为成年人提供口腔修复方案以及口腔健康教育提供依据。方法:由上海市闵行区牙病防治所口腔修复全程信息化管理系统中导出2016年4月-2018年10月在该所口腔修复科就诊的病例共11675例。对相关病历资料采用SPSS 17.0软件包进行统计学分析,使用Pearson卡方检验比较样本率的差异。结果:11675例口腔修复病例中,牙体缺损、牙列缺损和牙列缺失分别占53.15%、43.89%和2.96%。随着年龄增加,牙体缺损修复占比逐渐下降,牙列缺损修复占比逐渐上升。35岁以下组种植修复占比高于固定桥修复。女性牙体缺损修复占比、牙列缺损中固定修复占比均显著高于男性(P<0.01)。65岁以上老年人牙列缺损修复中有92.06%为活动义齿修复。固定类修复中,烤瓷熔附金属占比(67.16%)高于全瓷(32.37%)。基于Vitapan 3D-Master比色板的人工视觉比色法确定的陶瓷类修复体颜色中,3组占比(48.63%)最高;1组占比(0.65%)最低,4组和5组在45~54岁年龄组中占比最高,3M2、2M2、2M3、3M1、3R1.5是使用频率前5位的比色,而同年龄组中女性明度值高于男性。结论:牙体缺损的及时修复有助于延缓失牙,牙列缺损的及时修复可在一定程度上恢复口腔功能,维护牙列稳定、防止口腔状况恶化,促进口腔健康和全身健康,建议将口腔修复加入社区口腔健康教育中。
PURPOSE:To explore the diagnosis,basic characteristics and types of prosthodontic cases in different age groups,and to provide evidence for oral prosthodontic programs and oral health education for adults.METHODS:A total of 11675 patients who visited the department of oral prosthodontics of Shanghai Minhang District Dental Disease Prevention and Treatment Center from April 2016 to October 2018 were derived from the information management system for the whole process of prosthodontics.SPSS 17.0 software package was used for statistical analysis.RESULTS:Among11675 cases of oral prosthodontics,the proportions of tooth defect,dentition defect and edentulism were 53.15%,43.89%and 2.96%,respectively.With the increase of age,the proportions of defect restoration gradually decreased,and the proportions of dentition defect restoration gradually increased.The proportion of implant restoration in the group under 35 years old was higher than that of fixed bridge restoration.The proportion of restoration of tooth defect and fixed restoration of dentition defect in female was significantly higher than that in male(P<0.01).Among patients over 65 years old,92.06%was removable denture.The proportion of porcelain fused to metal(67.16%) was higher than that of porcelain(32.37%) in fixed restoration.Among ceramic restoration colors selected by artificial vision colorimetry based on Vitapan 3 D-master shade guide,group 3(48.63%) accounted for the highest proportion,group 1 had the lowest proportion(0.65%),group 4 and group 5 accounted for the highest proportion in 45-54 year-old group.3 M2,2 M2,2 M3,3 M1 and 3 R1.5 were shade selection with high frequency in the first 5 digits,while value in female was higher than that in male in the same age group.CONCLUSIONS:Timely restoration of dental defects can help delay the loss of teeth,and timely restoration of dentition defects can restore oral function,maintain the stability of dentition,prevent deterioration of oral condition,and promote oral health and overall health.It is suggested that prosthodontics should be added into community oral health education.
作者
徐晓明
刘月华
XU Xiao-ming;LIU Yue-hua(Shanghai Stomatological Hospital,Fudan University. Shanghai 200001,China)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2019年第3期301-306,共6页
Shanghai Journal of Stomatology
关键词
口腔修复
全程信息化
牙体缺损
牙列缺损
比色
Prosthodontics
Whole-process informatization
Tooth defect
Dentition defect
Shade selection
