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目的:从患者满意度角度分析比较种植覆盖义齿和全口义齿两种修复方式对下颌牙列缺失患者治疗效果的差异,为下颌牙列缺失患者修复方式的临床选择提供参考依据。方法:检索1990-2012年间国内外关于下颌牙列缺失患者对上述两种修复方式满意度比较的前瞻性随机临床试验报道,根据文献纳入标准最终筛选出18篇文献,应用循证医学方法进行分析。结果:经Excel2010卡方检验,接受种植覆盖义齿的下颌牙列缺失患者整体满意度显著高于全口义齿修复者。种植覆盖义齿的优势主要体现在义齿固位和稳定性好、咀嚼效能强、对美学及社会心理影响小(P<0.05);全口义齿的优势在于方便清洁、花费小、时间占用率低(P<0.05)。两者在对味觉的影响和义齿气味等方面无显著差异(P>0.05)。结论:总体而言,种植覆盖义齿患者满意度高于全口义齿。临床上应根据患者的具体需求,结合两者的不同优势,为患者推荐最适宜的修复方式,以期获得最满意的修复效果。
OBJECTIVE: To analyze and compare the effects of two kinds of restoration methods including denture-overdenture and total denture on patients with mandibular dentition defect from the perspective of patient satisfaction, so as to provide reference for the clinical choice of mandibular dentition defect patients. Methods: A prospective randomized clinical trial was conducted to compare the satisfaction of the two repair methods between 1990 and 2012 in both home and abroad. According to the literatures, 18 articles were finally screened and analyzed by evidence-based medicine . Results: The Excel2010 chi-square test showed that the overall satisfaction of mandibular dentition patients undergoing implant overdenture was significantly higher than that of complete denture prosthesis. The advantages of implant overdenture are mainly manifested in good retention and stability of the denture, strong masticatory effect and little impact on aesthetics and social psychology (P <0.05). The advantages of full denture lie in convenience, low cost and low time occupancy P <0.05). There was no significant difference (P> 0.05) between the two effects on the taste and denture odor. CONCLUSIONS: Overall, patients with overdentures were more satisfied with complete dentures. Clinic should be based on the specific needs of patients, combined with the different advantages of both for patients recommended the most appropriate repair methods, in order to obtain the most satisfactory repair effect.