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目的观察低平牙槽嵴下颌总义齿临床修复的疗效及意义。方法自2009年以来我院收治的对低平牙槽嵴下颚总义齿修复患者60例,按标准进行选择并分类急性评判观察,按照我院修复低平齿槽嵴下颌总义齿的方法步骤急性修复,修复完成后对所有患者进行2～3年的随访,按照标准评定修复效果。结果 60例低平下颌牙槽嵴患者中,达到一级标准的患者有28例,占46.7%;达到二级标准的患者有30例,占50.0%;达到三级标准的患者有2例,占3.3%,总有效率达到96.7%。本组患者中,有32例患者在佩戴义齿1～2年后做了相关的基托垫底处理,对患者义齿进行边缘进程封闭及增大其固位力等相关处理,其牙槽嵴的吸收状况没有显著变化,所有患者的义齿都能正常使用。结论低平齿槽嵴下颌总义齿修复要有好的效果,主要是能否制做出良好的印模,从而保证基托质量。
Objective To observe the effect and significance of clinical treatment of mandibular total denture with low level alveolar ridge. Methods Sixty patients with mandibular maxillary denture under low alveolar ridge treated in our hospital since 2009 were selected and classified according to the criteria and acutely judged. According to the method of acute mandibular total denture restoration in our hospital, All patients were followed up for 2 to 3 years after the repair was completed, and the repair effect was evaluated according to the standard. Results Among the 60 patients with low-lying mandibular alveolar ridge, 28 cases reached grade I standard (46.7%), 30 cases reached grade 2 standard (50.0%), 2 cases reached grade 3 standard, Accounting for 3.3%, the total effective rate reached 96.7%. In this group of patients, 32 patients in the denture after 1 to 2 years to do the relevant base treatment, the patient denture closed the edge of the process and increase its retention and other related treatment, the alveolar ridge absorption The condition did not change significantly and all patients had normal dentures. Conclusion The treatment of mandibular total denture with low crest ridge should have good effect, mainly whether it is possible to make a good impression, so as to ensure the quality of the base.