| 临床路径在可摘局部义齿修复游离端牙列缺失患者中的应用价值 |
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| 引用本文： | 刘霜△,闫卉.临床路径在可摘局部义齿修复游离端牙列缺失患者中的应用价值[J].天津医药,2018,46(2):195-198. |
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| 作者姓名： | 刘霜△ 闫卉 |
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| 作者单位： | 天津市南开医院口腔科 （邮编300100） |
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| 摘 要： | 摘要:目的 研究临床路径在可摘局部义齿修复游离端牙列缺失患者中的应用价值。方法 选择 130 例肯氏 Ⅰ、 Ⅱ类牙列缺损患者， 按口腔内余留牙和牙槽嵴黏膜条件相近、 肯氏分类及亚类相同的 2 例为一对， 分为 65 对， 均分为临床路径组和传统修复组。比较 2 组的适应期调改次数， 适应期结束后咀嚼是否有力， 咀嚼时游离端基托是否存在肉眼可见活动度、 基牙龋坏、 基齿松动和食物嵌塞情况。结果 临床路径组在适应期调改次数低于传统方法组［1.0 （1.0， 2.0） 次 vs. 3.0 （2.0， 4.0） 次］； 适应期结束后调改后咀嚼有力的比例 （93.85% vs. 76.96%） 高于传统方法组， 出现肉眼可见动度 （0 vs. 15.38%）、 基牙龋坏 （1.54% vs. 13.85%）、 基牙松动 （0 vs. 12.31%） 及食物嵌塞 （1.54% vs. 15.38%）比例均低于传统方法组 （均 P＜0.05）。结论 临床路径可以提高可摘局部义齿的固位和稳定， 遵循临床路径方法制作可摘局部义齿能够减小功能状态下义齿的不稳定性， 具有良好的推广前景。
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| 关 键 词： | 关键词： 义齿 局部 可摘 临床路径 远中游离端 牙列缺失 |
| 收稿时间： | 2017-10-10 |
| 修稿时间： | 2017-12-12 |
The application value of the clinical pathway in the repairing distal extension removable partial denture |
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| LIU Shuang△,YAN Hui.The application value of the clinical pathway in the repairing distal extension removable partial denture[J].Tianjin Medical Journal,2018,46(2):195-198. |
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| Authors: | LIU Shuang△ YAN Hui |
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| Affiliation: | Department of Stomtology, Tianjin Nankai Hospital, Tianjin 300100, China |
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| Abstract: | Abstract：Objective To study the application value of the clinical pathway in the repairing distal extension removable partial denture. Methods One hundred and thirty patients with free-end dentition defect were selected in this study. In the oral cavity, the conditions of the mucosa were similar in terms of the residual teeth and alveolar crest mucosa, and the two groups of the same species were divided into 65 pairs. The random digital table method was used to divide patients into clinical path group and traditional repair group. The frequency of adjustments during the adaptive phase, masticatory efficiency of the denture at ending of the adaptive phase, visible movement of the extension base during the masticatory, decay of abutment, abutments loosen and food embedded plug were compared between the two groups. Results The frequency of adjustments during the adaptive phase was significantly lower in clinical path group than that of traditional repair group 1.00 (1.00, 2.00) times vs. 3.00 (2.00, 4.00) times]. The masticatory efficiency of the denture was higher in clinical path group than that of traditional repair group (93.85% vs. 76.96%). The visible movement of the extension base during mastication (0 vs. 15.38%), decay of abutment (1.54% vs. 13.85%), abutments loosen (0 vs. 12.31%) and food embedded plug (1.54% vs. 15.38%) were significantly lower in clinical path group than those of traditional repair group (P＜ 0.05). Conclusion The retention and the stabilization of the removable partial denture can be improved by means of clinical pathway. By following the clinical path method, the removable partial denture shows reduced unstable state of the denture in the functional state and has a good prospect for clinical application. |
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| Keywords: | Key words： denture partial removable critical pathways far in the free end dentition missing |
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