本文關(guān)鍵詞：口腔不良固定修復(fù)體產(chǎn)生原因分析及再治療　出處：《大連醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 不良固定修復(fù)體 病因 并發(fā)癥 再治療

【摘要】：目的:現(xiàn)今的臨床工作中,出現(xiàn)了很多修復(fù)后失敗的病例,導(dǎo)致牙齦炎癥、基牙牙髓或根尖周炎癥、基牙松動、口腔異味、口腔黏膜病變等癥狀,對患者的生理和心理造成了嚴(yán)重的影響。不良修復(fù)體已經(jīng)成為一個亟待解決的問題,本文從幾個方面分析了可能造成不良修復(fù)體的原因,并且對不良修復(fù)體患者進(jìn)行再治療,為今后的臨床工作提供依據(jù)。材料和方法:病例收集自2014年8月至2016年1月就診于大連醫(yī)科大學(xué)附屬第一醫(yī)院口腔門診的患者,共有54例因戴有口腔不良固定修復(fù)體導(dǎo)致口腔疾病。通過患者主訴、采集現(xiàn)病史和臨床檢查,填寫不良固定修復(fù)體調(diào)查表,分析不良修復(fù)體產(chǎn)生的原因,對不良修復(fù)體進(jìn)行拆除和再治療,隨訪1-2年,通過患者的滿意度調(diào)查表來評價臨床再次修復(fù)的效果。結(jié)果:54名不良修復(fù)體患者中,男性15例(38顆牙),女性39例(86顆牙),共124顆牙(前牙12顆,前磨牙48顆,磨牙64顆)。年齡26-80歲,平均年齡50.7歲。修復(fù)史2-28年。鑄造冠橋13例,烤瓷冠橋25例,全瓷冠橋2例,錘造橋14例。修復(fù)體違反修復(fù)治療原則12例,義齒設(shè)計不當(dāng)20例,義齒制作不符合要求22例。39名患者出現(xiàn)牙齦炎,35名患者基牙出現(xiàn)疼痛,22名患者出現(xiàn)牙周疾病,基牙根折2例,修復(fù)體脫落、松動、斷裂10例,口腔異味15例,口腔黏膜病變2例。26名再治療患者中,對10名患者進(jìn)行了固定修復(fù)治療,修復(fù)治療后基牙無疼痛感,牙齦恢復(fù)良好,根尖周暗影基本消失,咀嚼功能恢復(fù)良好,義齒形態(tài)美觀;16名患者拆除不良修復(fù)體后,拔除不能保留的基牙,三個月后復(fù)診,牙周情況恢復(fù)良好,牙槽窩形成骨組織,選用可摘局部義齒進(jìn)行修復(fù)治療。結(jié)論:1.不良修復(fù)體形成是由于違反修復(fù)治療原則、義齒設(shè)計不當(dāng)、義齒制作技術(shù)不符合要求、患者自身維護(hù)不佳導(dǎo)致。2.不良修復(fù)體會導(dǎo)致患者牙齦炎癥、基牙牙髓或根尖周炎癥、基牙松動、牙周病、口腔異味、口腔黏膜病變等癥狀。3.不良修復(fù)體的患者再治療需要根據(jù)基牙及經(jīng)濟(jì)情況選擇合適的修復(fù)方式。
[Abstract]:Objective: in the current clinical work, there are many cases of failure after repair, leading to gingival inflammation, abutment pulp or periapical inflammation, abutment loosening, oral odour, oral mucosal lesions and other symptoms. Bad restoration has become a problem to be solved urgently. This paper analyzes the possible causes of bad restoration from several aspects. And the patients with poor prosthesis were retreated. Materials and methods: cases were collected from August 2014 to January 2016 in the Stomatological outpatient Department of the first affiliated Hospital of Dalian Medical University. A total of 54 cases of oral diseases caused by wearing defective dental prosthesis. Through the main complaint of patients, collect the present medical history and clinical examination, fill in the questionnaire of defective fixed prosthesis, analyze the causes of bad prosthesis. The patients were followed up for 1-2 years to evaluate the effect of clinical re-repair through the questionnaire of patients' satisfaction. Results among 54 patients with poor prosthesis. A total of 124 teeth (12 premolars, 48 premolars, 64 molars, aged 26-80 years) were found in 15 males (38 teeth) and 39 females (86 teeth). The average age was 50.7 years. The restoration history was 2-28 years. There were 13 cases of cast crown and bridge, 25 cases of porcelain crown bridge, 2 cases of all porcelain crown bridge, 14 cases of hammer bridge. There were 22 cases of gingivitis and 35 cases of abutment pain and 22 cases of periodontal disease and 2 cases of base root fracture. 10 cases were removed, loosened and broken, 15 cases were odour, 2 cases were retreated with oral mucosal lesion, 10 cases were treated with fixed repair, and the abutment teeth were free of pain after repair. Gingiva recovered well, periapical shadow disappeared basically, masticatory function recovered well, denture appearance was beautiful. After removing the defective prosthesis, 16 patients pulled out the abutment teeth which could not be retained. After 3 months of treatment, the periodontal condition recovered well and bone tissue formed in the alveolar fossa. Conclusion 1. The formation of defective prosthesis is due to the violation of the principles of repair, improper design of denture, and the technology of denture making does not meet the requirements. 2. Poor maintenance of patients caused by .2. poor repair experience led to inflammation of the gingival abutment pulp or periapical inflammation abutment teeth loose periodontal disease oral odour. Oral mucosal lesions and other symptoms .3. patients with poor prostheses need to choose appropriate repair methods according to abutment and economic conditions.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R783

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