老年人残根残冠的保留修复

Restoration of the residual root and crown on the elderly

目的:评价老年人保留残根、残冠修复的临床效果。方法:选择患有冠心病、高血压、脑溢血等不适宜拔牙的老年人为本组观察对象。结果:对233例患者,共计841颗残根残冠、进行覆盖义齿、桩核冠、冠、桥等修复,经过6个月至4年的的随访观察,临床效果良好。结论:(1)修复前尤其是余留牙条件较差者,需经口腔内科与修复科医师共同制定治疗方案。(2)医患之间应进行充分沟通。保留残根残冠的标准应因人而异。(3)修复体设计主要遵循生物原则、机械原则和美学原则,保证修复体有良好的固位和抗力。(4)为充分利用患牙的现存条件,保证桩及桩核的精确性及固位力,减少椅旁工作时间以适应年老体弱患者的实际状况,根管熔模最好采用间接法制作。

Objective： To evaluate the clinical results with retain residual roots and crown on the elderly. Methods： the elderly suffering from coronary heart disease, high blood pressure, stroke, and so not suitable for the extraction were selected. Results： 233 patients with a total of 841 residual root and crown repaired by overdenture, post-and-core crowns, crowns, bridges after 6 months to 4 years follow-up were satisfied with the treatment. Conclusions： （1）Before the repair of the residual teeth in particular the disadvantaged, subject to oral medicine and prosthodontic doctor to develop a common treatment. （2）Between doctors and patients should be full communication. To retain residual root and crown should be the standard varies from person to person. （3）Principle of restoration of defected teeth mainly follow the biology principles, mechanical principles and aesthetic principles, to ensure that there is a good retention and resistance. （4）Iin order to take full advantage of existing teeth, guarantee precision and retention of piles and nuclear ,reduce the chair-side time to adapt to the frail elderly with the actual situation, it is best that the root canal casting was fabricated with indirect method.