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目的分析活动和固定义齿在牙周病(PD)伴牙列缺损修复治疗中的临床疗效及患者的满意度。方法 120例PD伴牙列缺损患者按抽签顺序分成对照组和实验组各60例,对照组患者采用临床传统的固定义齿修复治疗,实验组患者采取圆锥型套筒冠活动义齿修复治疗,对比两组患者术后1~2年基牙健康情况和咀嚼情况。结果实验组患者治疗1年后咀嚼功能和对照组基本相同(P>0.05),2年后牙齿咀嚼功能明显优于对照组(P<0.05);修复后1年基牙健康情况与对照组无差异(P>0.05),修复2年对照组基牙健康有效率明显高于实验组(P<0.05)。实验组患者的满意度为96.67%,对照组为80%(P<0.05)。结论活动和固定义齿治疗方法各有各的优点,应根据患者的自身情况和PD伴牙列缺损情况来选择合适的治疗方法。
Objective To analyze the clinical efficacy and satisfaction of patients with denture during periodontal disease (PD) and dentition defect repair. Methods 120 cases of PD patients with dentition defect were divided into control group and experimental group according to the order of lottery 60 cases in each group. The control group was treated with traditional fixed denture. The patients in experimental group were treated with conical sleeve crown removable denture. Group of patients 1 to 2 years after abutment health and chewing conditions. Results The chewing function of the experimental group was basically the same as that of the control one year after treatment (P> 0.05). The chewing function of the experimental group was significantly better than that of the control group (P <0.05) after 2 years; (P> 0.05). The effective rate of abutment teeth in the control group after 2 years of repair was significantly higher than that in the experimental group (P <0.05). Satisfaction of patients in the experimental group was 96.67% and that of the control group was 80% (P <0.05). Conclusion The activities and the treatment of fixed dentures each have their own advantages and should be based on the patient’s own situation and PD with dentition defect to choose the appropriate treatment.