老年人短周期全科序列义齿修复（镶牙）治疗的临床应用

摘要：目的:研究老年人短周期义齿修复技术的临床运用原则并初步评价其临床疗效。方法: 2008年6月至2009年8月从我院口腔门诊就诊患者中选择需要义齿修复的老年人，分为短周期序列修复组：年龄65-92岁，平均：74.14±6.93岁，男性7例,女性10例；正常修复组：年龄65-85岁，平均：72±5.15岁，男性：8例，女性：6例。应用微创拔牙、无翻瓣种植、即刻种植即刻修复、附着体义齿修复、即刻临时义齿等技术，完成咬合重建，随访三个月到十个月。结果: 短周期修复序列组患者咬合重建时间为：47±30天，正常修复序列组患者修复时间95±25天，两者比较有明显差异（P<0.05）。短周期序列修复序列组的29枚种植体骨结合良好，目前种植体存留率为100%，行使功能良好。短周期序列修复序列组患者对义齿修复效果均满意。结论:老年人短周期义齿修复的临床效果是可以预期的。可以缩短患者缺牙时间，减少手术创伤和拔牙后的牙槽骨吸收，并在最短的时间内重建患者口内咬合功能，明显改善老年人的生活质量。解放军总医院第一附属医院口腔科孙鹏

中图分类号：R781.5文献标识码：A 文章编号：

A clinical study on short-period and team approach of restoring dentition function for elderly patients

 Sun Peng, Zhang Jianqiang, Zhang Hui, Cao Jing, Liu Bin, Li Yanfeng, Liu Tao. Stomatolagy Department, The first Hospital Affiliated to the PLA General Hospital ,Beijing 100037 China

Abstract Objective: To evaluate the clinical effect of short-period and team approach of recovering dentition defect.  Methods: 31 cases were divided into two groups, short-period group (SP group) including 17 cases with average of 74.14±6.93 and traditional group (control group) including 14 cases with average of 72±5.15.  All cases with dentition defect were from dental clinic of our hospital during Jun. 2008 to Aug. 2009. With minimal invasive extracting teeth, minimal invasive implants placement surgery, immediate implants placement surgery and immediate temporary denture techniques to reconstruct the occlusion temporarily or permanently and all cases with three to ten months follow-up. Results: The occlusion reconstruction period of sp group and control group were 47±30days and 95±25days respectively. There were statistically significant differences（P<0.05）. All the 29 implants of SP group had a good result. Accumulation survival rate was 100%. All the patients of SP group were satisfied with the result. Conclusions: The result of short-period team approach of restoring dentition function is predictable, the advantages are cutting down the treating time of dentition defect, avoiding the alveolar bone loss after teeth extraction, less operation trauma, improving the life quality of elderly patients.

Key words:  dental implant, immediately loading, elderly patients, short-period, team approach, Prosthesis

目前我国已经进入老年社会，老年人牙裂缺失、缺损发病率也逐渐升高。由于老年人都有不同程度的全身性疾病，如何为老年人高质量完成义齿修复成为当前的研究热点。我们通过在临床中不断的探索，摸索出一套应用微创拔牙技术、一次性根管治疗技术、如果本信息还未能解决您的问题，可以加www·yake*net·cn牙科网qq牙痛交流群144^270@484了解，种植义齿技术、覆盖义齿及附着体义齿技术，并以全科治疗的理念为指导，在较短的周期内为老年人恢复咬合、咀嚼及外形功能的技术方法，我们称其为：老年人全科序列短周期义齿修复法。为探讨该技术方法的临床运用原则和初步评价其临床疗效，现将已完成修复的17例病例进行总结及讨论如下。

1.  资料和方法

1.1. 临床资料:

13例患者均为解放军总医院第一附属医院口腔科门诊2008年6月至2009年11月就诊的患者，分为短周期序列修复组：年龄65-90岁，平均：74.14±6.93岁（如图一），男性7例,女性10例；正常修复组：年龄65-85岁，平均：72±5.15岁72男性8例，女性6例。其中短周期序列修复组有高血压、糖尿病、心脏病病史的患者分别为5人次、2人次、4人次。正常修复组：有高血压、糖尿病、心脏病病史的患者分别为1人次、2人次、1人次。