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目的:将口腔种植修复方式应用于牙列缺损患者,探讨其应用价值及美容效果。方法:本研究采用1:1频数匹配的病例对照研究设计。观察组:选择2013年6月-2014年6月在笔者医院采用口腔种植修复方式进行牙列缺损修复治疗的61例患者;对照组:选择来自同期入院采用常规修复方式进行修复治疗的61例患者。对比两组患者治疗的不良反应、咀嚼功能、稳固性、舒适感、美观度等评分情况、红白美学指数以及咬合功能评价。结果:观察组修复后咀嚼功能(91.48±2.89)分、稳固性(94.52±2.46)分、舒适感(92.02±2.13)分、美观度(96.46±2.28)分、牙龈出血(4.92%)、修复体脱落(1.64%)、牙齿疼痛(3.28%)、PES指数(8.42±1.67)分、WES指数(8.58±1.79)分、ICP-HB肌电值(73.83±5.23)mV、ICP-MC肌电值(76.91±5.58)m V明显优于对照组的咀嚼功能(76.38±2.73)分、稳固性(74.03±2.13)分、舒适感(81.24±2.52)分、美观度(78.14±2.56)分、牙龈出血(22.95%)、修复体脱落(13.11%)、牙齿疼痛(16.39%),PES指数(6.31±1.06)分、WES指数(7.17±1.26)分、ICP-HB肌电值(68.21±5.46)mV、ICP-MC肌电值(69.18±5.59)m V,差异有统计学意义(P<0.05)。结论:牙列缺损患者采用口腔种植方式进行修复,有较好的稳定性,可改善患者的咀嚼功能,且更加舒适美观,临床应用及美容效果确切。
OBJECTIVE: To investigate the application value and cosmetic effect of oral implants in dentition defect patients. Methods: This study used a 1: 1 frequency matching case-control study design. Observation group: 61 patients who underwent dental implant repair in our hospital from June 2013 to June 2014 were selected; control group: 61 patients selected from the same hospital who were treated by routine repair method . Adverse reactions, masticatory function, stability, comfort, aesthetics and other scores, red and white aesthetic index and bite function evaluation of two groups were compared. Results: The chewing function (91.48 ± 2.89), stability (94.52 ± 2.46), comfort (92.02 ± 2.13), aesthetic appearance (96.46 ± 2.28), gingival bleeding (4.92% (1.64%), dental pain (3.28%), PES index (8.42 ± 1.67), WES index (8.58 ± 1.79), ICP-HB EMG value (73.83 ± 5.23) mV, ICP-MC EMG (76.91 ± 5.58) m V was significantly better than that of the control group (76.38 ± 2.73), stability (74.03 ± 2.13), comfort (81.24 ± 2.52), aesthetics (78.14 ± 2.56) Gingival bleeding (22.95%), prosthesis detachment (13.11%), tooth pain (16.39%), PES index (6.31 ± 1.06), WES index (7.17 ± 1.26), ICP-HB EMG value (68.21 ± 5.46 ) mV, ICP-MC EMG (69.18 ± 5.59) m V, the difference was statistically significant (P <0.05). Conclusion: The dental implants were repaired by oral implant, with good stability, which can improve the chewing function of the patients and have more comfortable and beautiful appearance. The clinical application and cosmetic effect are exact.