口腔不良固定修复体107例临床分析

Clinical Analysis of 107 Cases with Poor Oral Fixed Prostheses

目的探讨不良修复体对患者口腔的危害,并具体探讨其治疗措施。方法抽取该院在2013年1月—2014年5月期间收治的107例口腔固定修复不良的患者作为该次研究观察对象,在入院后均被给予口腔检查,总结患者的临床特征,进而实施龋损充填与根管、龈上洁治与龈下刮治等对症治疗。结果通过对所有患者的临床资料进行分析发现,在所有患者中,因边缘悬突与设计制作不合理而造成牙龈出血、粘膜创伤的患者比例最多,有43例,占总人数的40.19%,其次为表现继发龋、根尖炎症或牙髓炎,基牙松动与修复体脱落,比例分别为29.91%、21.50%、8.41%,所有口腔不良固定修复体患者通过立即拆除进行治疗,治疗后随访3个月,95%患者不良表现基本消失,3%患者牙龈仍有出血,2%的患者基压略有松动。结论在临床分析的基础上,对口腔固定修复不良的患者给予有效的对症治疗,精心实施口腔不良固定修复。

Objective To investigate the harm of poor oral prosthesis to the patients and discuss the corresponding treatment specifically. Methods 107 cases with poor oral fixed prostheses admitted in our hospital from January 2013 to May 2014 were selected as the subjects of this study. All the patients underwent oral examination after admission. The clinical characteristics of pa-tients were summarized and the patients were given symptomatic treatment such as caries filling, root canal, gingival scaling and subgingival scaling and so on. Results It was found by analyzing the clinical data of all the patients that 43 patients with gingival bleeding and mucosal trauma due to the edge of the overhang and unreasonable design accounted for the largest proportion,40.19% of the total patients, followed by patients with secondary caries, periapical inflammation or pulpitis, loose abutments and restorations off, accounted for 29.91%, 21.50%, 8.41%, respectively. The poor oral prostheses were removed immediately and the patients were treated. The 3-month follow-up after treatment showed that the poor performance of 95% patients disappeared basically, 3% patients still had gingival bleeding, 2% patients had slightly loose abutments. Conclusion Patients with poor oral prostheses can be given effective symptomatic treatment and careful oral fixed prosthodontics based on clinical analysis.