种植义齿植入联合健康教育对患者口腔健康状况的长期影响研究

Study on the Long-term Effects of Using Implant Denture Combined with Health Education to Treat Patients' oral Health Situation

目的：探讨种植义齿植入联合健康教育对患者长期口腔健康状况的影响。方法：对2013年1月-2013年12月在某院种植义齿植入的110例患者,并给予持续的健康教育,分别对其治疗前及种植义齿联合健康教育半年,1年后对所有患者的口腔自我保健意识进行调查及其牙体卫生情况和牙周情况进行比较（评价方法为菌斑指数（PLI）和社区牙周指数（CPI））。结果：与治疗前比较,种植义齿联合健康教育半年、1年后,刷牙正确率、使用牙线或牙间隙刷率、定期洁牙率均显著高于治疗前,刷牙时间明显长于治疗前,刷牙次数明显多于治疗前,吸烟率也明显低于治疗前（P均〈0.05）。治疗后半年与治疗后1年刷牙正确率、使用牙线或牙间隙刷率、定期洁牙率、刷牙时间、刷牙次数、吸烟率均无显著性差异（P〉0.05）;种植义齿联合健康教育半年、1年后,PLI和CPI均较治疗前明显下降（P均〈0.05）,而治疗半年后与治疗1年后,PLI和CPI无显著性差异（P〉0.05）。结论：种植义齿植入联合健康教育具有明显增强患者口腔卫生保健意识,避免剩余牙齿的牙体牙周疾病继续发展,从而提高种植义齿的成功率,值得临床推广。

Objective： This paper aims to discuss the long-term effects of using implant denture combinedwith health education to treat patients＇oral health situation. Methods： From January 2012 to December 2012 in the hospital 110 cases with fully implant dentureare chosen and given continuing health education at the time of before the treatment and implant denture in joint with oral health education for half a year respectively; one year later their self-care consciousness and teeth periodontal health conditions using plaque index （PLI） and community periodontal index （CPI） as evaluation methods. Results： Compared with before treatment, implant denture in joint with health education for half a year and a year later, the accuracy rate of teeth brushing, flossing or brush tooth clearance rate, and regular teeth cleaning rate are significantly higher than those before the treatment; the brushing time is much longer while the brushing times are more than before, and smoking rate is significantly lower than before （P 〈 0.05）. 6 months and 1 year after treatment these indexes above have no significant differences （P 〉 0.05）; Implant denture combined with health education for half a year and a year later, PLI and CPI fall more significantly than before （P 〈 0.05）, while after six months and 1 year＇s treatment, the PLI and CPI have no differences （P〉0.05）. Conclusions： Using implant denture combined with health education could greatly increase patients＂ Self-health care consciousness, avoiding the remaining teeth＇s periodontal diseases to continue developing, which could also improve the success rate of implant denture and is worthy of clinical promotion.