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目的评价牙列缺损患者进行附着体义齿修复的临床效果。方法对30例不同类型的牙列缺损患者分别采用球帽式附着体,磁性附着体,栓体栓道式附着体以及套筒冠义齿修复,对义齿的固位、稳定、美观性及患者使用满意度进行临床定期随访。结果 30例病例经过1～3年的临床观察:1例基牙出现继发龋,给予对症治疗重新粘固内冠后,义齿行使功能良好。3例15个月后基托与黏膜间不密合,给予重衬处理后义齿使用良好。1例磁性附着体使用2年活动义齿支架处断裂,其余附着体义齿均获得良好的支持稳定效果,患者的咀嚼效率明显提高,美观要求达到满意。结论附着体义齿对于牙列缺损患者的修复具有良好的临床效果。
Objective To evaluate the clinical effect of denture restoration in dentition defect patients. Methods Thirty patients with different types of dentition defect were treated with ball-cap attachment, magnetic attachment, plug-bolt attachment and telescopic crown prosthesis, respectively. The denture’s retention, stability, aesthetics and the patients’ Satisfaction with clinical regular follow-up. Results The clinical observation of 30 cases after 1 to 3 years: 1 case of secondary caries appeared in the abutment and symptomatic treatment after re-cementing the inner crown, the denture exercised well. Three cases of 15 months after the base and the mucosa is not close, giving the denture treated with denture well. One case of magnetic attachment was ruptured with a 2-year movable denture, and the rest of the attachment prosthesis received good support and stabilization effect. The chewing efficiency of patients was significantly improved and the aesthetic requirements were satisfied. Conclusion Attachment denture has a good clinical effect for the repair of dentition defect patients.