附着体义齿在牙列缺损修复中的临床应用

Clinical application of attachment denture in treatment of dentition defect prosthodontics

目的评价牙列缺损患者进行附着体义齿修复的临床效果。方法对30例不同类型的牙列缺损患者分别采用球帽式附着体,磁性附着体,栓体栓道式附着体以及套筒冠义齿修复,对义齿的固位、稳定、美观性及患者使用满意度进行临床定期随访。结果 30例病例经过1～3年的临床观察:1例基牙出现继发龋,给予对症治疗重新粘固内冠后,义齿行使功能良好。3例15个月后基托与黏膜间不密合,给予重衬处理后义齿使用良好。1例磁性附着体使用2年活动义齿支架处断裂,其余附着体义齿均获得良好的支持稳定效果,患者的咀嚼效率明显提高,美观要求达到满意。结论附着体义齿对于牙列缺损患者的修复具有良好的临床效果。

Abstract：Objective To evaluate the outcomes of attachment denture prosthesis in treatment of patient with dentition defect. Methods Thirty patients provided with fixed - removable partial denture were followed - up for lto 3years. Re- suits In thirty patients, abutment of secondary cary in 1 case, in 3 patients the denture were giving soft relining after 15 months. The removable denture part fracture in 1 case. Good retention and stability of the restoration were achieved; Masticatory function and esthetic effects were recovered satisfactorily. Conclusions Attachment denture is an effective method for patients with dentition defect.