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目的探讨老年牙列重度磨耗伴牙列缺损的修复治疗。方法选择1999年9月至2009年9月枣庄矿业集团中心医院收治的牙列重度磨耗伴牙列缺损患者56例,根据患者余留牙情况、息止间隙等分析,其中37例患者采用垫式可摘义齿修复,19例患者采用固定义齿修复。治疗后随访观察1年。结果随访1年后,56例患者咀嚼功能均明显改善,颞下颌关节紊乱症状缓解,面型改善。结论老年患者由于牙列重度磨耗导致了垂直距离降低,有必要对其进行咬合重建,过渡性重建修复可为永久性重建修复提供重要的参考依据。
Objective To investigate the treatment of elderly patients with severe dentition dentition defect. Methods From September 1999 to September 2009, Zaozhuang Mining Group Central Hospital admitted 56 patients with severe dentition abrasion and dentition defect. According to the analysis of residual teeth, Denture repair, 19 patients with fixed denture repair. Follow-up after treatment for 1 year. Results One year after follow-up, the masticatory function of 56 patients was significantly improved, the symptoms of temporomandibular joint were relieved, and the facial appearance was improved. Conclusion In elderly patients, the vertical distance is reduced due to severe dentition wear. It is necessary to reconstruct the occlusal reconstruction in the elderly patients. Transitional reconstruction and reconstruction can provide important reference for permanent reconstruction.