48例牙槽嵴低平患者全口义齿修复的临床体会

Clinical experience of complete denture restoration for 48 cases with low and flat alveolar ridge

目的探讨牙槽嵴低平患者全口义齿的修复方法、特点和效果。方法对48例牙槽嵴低平的老年患者,通过二次取模,准确地颌位记录,排牙,基托边缘及磨光面做解剖式处理,充分利用唇、颊、舌肌固位,制作全口义齿。结果经过1～5年追踪观察,临床效果良好。一次治疗成功45例(91.7%),重新制作3例(8.3%),其中固位不良2例,局部压痛剧烈1例。结论对牙槽嵴低平的老年患者,采取适当的措施可以达到满意的修复效果。

Objective To investigate the features and restoration efficacy of complete denture for the aged patients with low and flat alveolar ridge. Methods Forty-eight aged patients with low and flat alveolar ridge and complete dentures were treated by taking dental impression for two times, accurately noting the jaw position, arranging tooth, anatomically process- ing the margin and the polished surface of base plate. Results After 1 to 5 years of follow up, it had good clinical effect. There were 45 cases of oncely successful treatment （91.7%）, 3 cases of repreparation （8.3%） of which two cases of bad re- tention and one case of local severe tenderness. Conclusion For the aged patients with low and flat alveolar ridge, it can achieve satisfactory repair results by taking appropriate measures.