口腔常规修复与种植修复对牙列缺损的治疗效果比较

Comparison of the effect of oral cavity repair and implant repair in the treatment of dentition defect

目的分析在牙列缺损患者中采取口腔常规修复和种植修复的效果。方法选取2016年3月至2017年12月在永康市第一人民医院治疗的牙列缺损患者110例为研究对象,按照治疗方法不同分为对照组和观察组各55例。对照组患者采用口腔常规修复,观察组采取种植修复治疗,比较两组临床疗效。结果观察组治疗总有效率为96.36%,高于对照组的81.82%,差异有统计学意义(χ^2=3.168,P<0.05)。观察组治疗后固位功能为(18.06±1.32)分,咀嚼功能为(17.97±1.12)分,语言功能为(18.41±1.06)分,舒适程度为(18.24±1.03)分,美观程度为(18.37±1.21)分;对照组治疗后固位功能为(12.51±2.43)分,咀嚼功能为(13.19±2.55)分,语言功能为(13.76±2.46)分,舒适程度为(11.64±2.12)分,美观程度为(13.16±2.45)分,差异均有统计学意义(t=8.957、11.235、10.369、11.036、13.554,均P<0.05)。观察组治疗后1周患者义齿菌斑指数为(0.81±0.11)分,牙龈指数为(0.92±0.14)分,龈沟出血指数为(1.33±0.17)分;对照组治疗后1周患者义齿菌斑指数为(1.58±0.49)分,牙龈指数为(1.65±0.58)分,龈沟出血指数为(2.67±0.62)分,差异均有统计学意义(t=14.512、10.647、11.354,均P<0.05)。结论种植修复治疗牙列缺损疗效优于常规修复,能够提升患者功能修复效果,维护牙周健康,值得在临床推广应用。

Objective To compare the therapeutic effect of conventional dental prosthesis and implant repair in the treatment of dentition defect. Methods From March 2016 to December 2017,110 patients with dental defects in the First People's Hospital of Yongkang were selected and divided into control group and observation group according to different treatment methods,with 55 cases in each group.The control group received oral routine repair,and the observation group was treated with implant repair.The therapeutic effect of the two groups was analyzed. Results The total effective rate of the observation group was 96.36%,which was significantly higher than 81.82% of the control group (χ2=3.168,P<0.05).After treatment,the scores of fixation function,chewing function,language function,degree of comfort,degree of aesthetics in the observation group were (18.06±1.32)points,(17.97±1.12) points,(18.41±1.06) points,(18.24±1.03) points and (18.37±1.21) points,respectively,which in the control group were (12.51±2.43)points,(13.19±2.55)points,(13.76±2.46)points,(11.64±2.12) points,(13.16±2.45)points,respectively,the differences between the two groups were statistically significant (t=8.957,11.235,10.369,11.036,13.554,all P<0.05).After treatment for 1 week,the denture plaque index,gingival index and gingival bleeding index in the observation group were (0.81±0.11) points,(0.92±0.14) points,(1.33±0.17) points,respectively,which in the control group were (1.58±0.49) points,(1.65±0.58) points and (2.67±0.62) points,respectively,and the differences between the two groups were statistically significant (t=14.512,10.647,11.354,all P<0.05). Conclusion The effect of implant repair in the treatment of dentition defect better than conventional dental prosthesis,which can improve the repair effect of patients and maintain the healthy periodontal health,it is worthy of clinical application.