咬合重建固定义齿修复术与可摘局部义齿修复治疗牙周病合并牙列缺损的疗效对比

Comparison of the therapeutic effects of occlusal reconstruction fixed denture repair and removable partial denture repair in the treatment of periodontal disease with dentition defects

目的分析对比咬合重建固定义齿修复术与可摘局部义齿修复在牙周病合并牙列缺损患者中的效果。方法回顾性分析2018年2月-2023年2月淮安市口腔医院收治的70例牙周病合并牙列缺损患者的临床资料,按治疗方式的不同将其分为两组。其中行可摘局部义齿修复的36例患者纳入对照组,行咬合重建固定义齿修复术的34例患者纳入观察组,术后观察3个月。对比两组修复效果、咀嚼功能、颞下颌功能、满意度、并发症。结果观察组修复总有效率、满意度为高于对照组,有统计学差异(P<0.05);术后,观察组咀嚼效率、咬合力高于对照组,肌肉压痛指数、颞下颌关节功能障碍指数、颞下颌关节紊乱指数低于对照组,有统计学差异(P<0.05);两组并发症相当,无统计学差异(P>0.05)。结论与可摘局部义齿修复治疗相比,咬合重建固定义齿修复术治疗牙周病合并牙列缺损患者效果显著,能够提升修复效果,改善患者的咀嚼功能与颞下颌功能,提高满意度,且无严重并发症。

Objective To analyze and compare the effects of occlusal reconstruction fixed denture repair and removable partial denture repair in patients with periodontal disease and dentition defects.Method Aretrospective analysis was conducted on the clinical data of 70 patients with periodontal disease combined with dentition defects admitted to Huai'an Stomatological Hospital from February 2018 to February 2023.They were divided into two groups according to different treatment methods.Among them,36 patients who underwent removable partial denture restoration were included in the control group,and 34 patients who underwent occlusal reconstruction fixed denture restoration were included in the observation group.The postoperative observation was 3 months.Compare the repair effect,chewing function,temporomandibular function,satisfaction,and complications between the two groups.Result The total effective rate and satisfaction of repair in the observation group were higher than those in the control group,with statistical differences(P<0.05);After surgery,the chewing efficiency and bite force in the observation group were higher than those in the control group,while the muscle tenderness index,temporomandibular joint dysfunction index,and temporomandibular joint disorder index were lower than those in the control group,with statistical differences(P<0.05);The complications in the two groups were comparable and there was no statistically significant difference(P>0.05).Conclusion Compared with removable partial denture repair,occlusal reconstruction fixed denture repair has a significant effect on patients with periodontal disease combined with dentition defects.It can improve the repair effect,improve the chewing function and temporomandibular function of patients,increase satisfaction,and have no serious complications..