活动义齿和固定义齿在牙周病伴牙列缺损修复治疗中的临床效果比较

Comparsion of clinical effect of fixed and active denture in the repair treatment of periodontal disease and dentition defect

目的探究活动义齿和固定义齿在牙周病伴牙列缺损修复治疗中的临床效果。方法选择2014年6月至2016年6月收治的100例牙周病伴牙列缺损患者为研究对象,按照数字奇偶法分为对照组和研究组,每组50例。对照组给予活动义齿修复,研究组给予固定义齿修复。比较两组的临床疗效。结果治疗后,两组出血指数评分均降低,但对照组显著低于研究组(P<0.05)。治疗2周后,研究组咀嚼功能改善总有效率显著高于对照组(P<0.05)。研究组的基牙健康指数优良率显著高于对照组(P<0.05)。结论牙周病伴牙列缺损患者应用固定义齿,可显著改善咀嚼功能和基牙健康状态,但活动义齿修复在出血指数评分方面显著优于固定义齿修复,临床可根据患者的具体情况选择合适的治疗方法。

Objective To explore the clinical effect of fixed and active denture in the repair treatment of periodontaldisease and dentition defect. Methods From June 2014 to June 2016, a total of 100 patients with periodontal disease anddentition defect in our hospital were selected as the research objects, and they were divided into control group and studygroup by applying digital parity methods, with 50 cases in each group. Active denture repair was used in the control group,fixed denture repair was applied in the study group. The clinical efficacies of the two groups were compared. Results Aftertreatment, the bleeding index scores in the two groups decreased, but that in the control group was significantly lower thanthe study group （P〈0.05）. At 2 weeks of treatment, the total effective rate of chewing function improvement in the studygroup was significantly higher than that in the study group （P〈0.05）. The excellent and good rate of abutment health indexin the study group was significantly higher than that in the study group （P〈0.05）. Conclusion Applying fixed denture intopatients with periodontal disease and dentition defect can significantly improve chewing function and abutment healthstatus. In terms of bleeding index score, the active denture repair is significantly better than the fixed denture repair.Clinically, the appropriate treatment method can be selected according to the specific conditions of patients.