附着体义齿修复复杂牙列缺损的临床对比研究

目的：比较附着体义齿与传统可摘局部义齿的临床综合修复效果。方法：选择37例因传统可摘局部义齿无法戴用或对此类修复体效果不满意的复杂牙列缺损患者，附着体义齿修复前首先请患者对现有可摘局部义齿就咀嚼功能恢复、舒适度、发音与美观3个主观项目进行评价，其次由修复科医师对义齿的固位情况、对基牙的影响、对口腔卫生的影响3项客观指标进行评价，并在附着体义齿修复后1～5年再对上述6项指标进行评价。SPSS13．0统计软件对传统可摘局部义齿和附着体义齿的综合修复效果进行统计学分析。结果：附着体义齿修复后的主客观满意度均明显高于传统可摘局部义齿（P〈0．05）。结论：附着体义齿对复杂牙列缺损的临床修复综合效果明显优于传统可摘局部义齿，但由于其设计与临床、技工室操作要求较严、价格相对较高，应选好适应证并充分做到知情同意。

The comparative study of patients with complicated dentition defect repaired by the attachment denture on clinical

Objective To compare repairing effect beteew the attachment denture and the traditional removable partial denture. Methods 37patients with complicated dentition defect that can＇t use traditional removable partial denture were involved in the study.The patients appraised three subjective items about mastication, resume comfort degree, pronunciation and elegance and the docter appraised three objective items about the fix of denture, the influence of base teeth, the influence of oral hygiene before treatment and after treatment with attachment denture 1-5 years,and the result was analysed by spss 13.0 statistics soft ware. Results The subjective and objective satisfaction of attachment denture was superior to that of the traditional removable partial denture （P〈0.05）. Conclusion The effect of attachment denture is superior to the traditional removable partial denture on repairing complicated dentition defect,yet we should choose suitable patients and let them see fully because of attachment denture＇s strict demands on design and make and superior price.