活动义齿对牙周病伴牙列缺损患者口腔健康及炎症反应的影响

Effect of removable denture on oral health and inflammatory response in patients with periodontal disease and dentition defect

目的比较活动义齿与固定义齿修复治疗牙周病伴牙列缺损的效果。方法选取山西省人民医院2016年2月至2017年2月收治的牙周病伴牙列缺损患者70例,根据随机数字表法分为对照组与观察组,每组35例。对照组接受固定义齿修复,观察组接受活动义齿修复,修复后随访1年,对比两组修复效果和两组患者治疗后6个月、1年的口腔健康状况及炎症反应改善情况。结果观察组修复总有效率高于对照组,治疗后各时点口腔健康状况较治疗前改善且均优于对照组,炎症反应各指标水平均较治疗前降低且较对照组显著,差异均有统计学意义(均P<0.05)。结论活动义齿用于牙周病伴牙列缺损修复治疗效果较固定义齿理想,患者口腔健康状况改善明显,龈沟液炎症反应显著减轻。

Objective To compare the effects of implant and fixed denture on periodontitis and dentition defect. Methods Seventy cases of periodontitis with dentition defect from February 2016 to February 2017 in Shanxi Provincial People’s Hospital were selected. The patients were divided into the control group and the observation group according to the random digital table method, with 35 cases in each group. The control group received fixed denture implant repair, and the observation group received implant prosthesis, the patients were followed up for 1 year after repair. The repair effect after the oral health status and the improvement of inflammatory reaction, 6 months, 1 year after treatment between the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group(P<0.05). The oral health status of the group was better than that of the control group before treatment(P<0.05). All the indexes of the inflammatory reaction were lower than those before the treatment and were significantly higher than those in the control group, the differences were significant(P<0.05). Conclusions The effect of implant denture on periodontitis with dentition defect is better than that of fixed denture, and the patient’s oral health is improved obviously, and the inflammatory response of gingival crevicular fluid is significantly reduced.