论文部分内容阅读
目的 对初次拔牙成人患者临床特点及其相关因素进行分析。方法 采用自行设计的拔牙病历,分别对年龄、性别、职业、拔牙原因和部位、拔牙行为及有关心理状态进行调查记录。按职业分为飞行人员和地面人员两组,按年龄分为3组,进行各组间对比分析。结果 第3磨牙、残根、残冠、牙周病和慢性根尖病是常见拔牙原因。飞行人员第3磨牙(尤其下颌)拔除、被动拔牙和心理紧张恐惧感明显高于地面人员。年龄大的拔牙患者和牙周病拔除比例高;被动拔牙、紧张恐惧感比例较低。绝大多数患者担心拔牙后影响咀嚼功能及美观,大龄患者更关心镶装义齿问题。结论 ①不同人群拔牙患者临床特点及心理状态有一定差异;②第3磨牙拔除多,是疗养院牙科诊治重点;③尽量保留患者牙齿是治疗的基本原则。
Objective To analyze the clinical features and the related factors of adult primary tooth extraction. Methods Tooth extraction records were designed and recorded. The age, sex, occupation, reasons and locations of tooth extraction, tooth extraction behavior and relevant psychological status were recorded. By occupation, pilots and ground crew were divided into two groups, divided into three groups according to their age, and comparative analysis among the groups was conducted. Results The third molars, residual roots, residual crowns, periodontal disease and chronic apical diseases are the common causes of tooth extraction. The third molars (especially jaw) removal of pilots, passive extraction and psychological tension fear was significantly higher than the ground staff. Elderly tooth extraction and periodontal disease, a high rate of removal; passive tooth extraction, a lower proportion of intense fear. The vast majority of patients worried about chewing after extraction affect the appearance and beauty, older patients are more concerned about the denture problem. Conclusion ①There are some differences in the clinical features and psychological status among different groups of tooth extraction patients. ② The third molar removal is the focus of dental treatment in nursing home; ③To keep the patient's teeth as the basic principle of treatment.