患者口腔义齿修复的认知调查

目的了解患者对口腔义齿修复知识的了解程度,为口腔义齿修复知识的宣传提供依据。方法选择500例于修复科和种植中心就诊的患者作为研究对象,采用自行设计的问卷调查患者对口腔义齿修复的认知情况,问卷包括9个部分的内容。调查问卷由专人实施发放和回收工作,由患者填写。回收后对问卷进行计分和分析。结果回收有效问卷477份。经分析,患者对接受口腔义齿修复治疗时机了解得最清楚,对修复后不良反应、修复前治疗过程和常规修复治疗的就诊次数等方面了解较好;对口腔修复的基本概念、修复材料及修复体结构、修复后注意事项等方面了解较差,对修复过程中常见问题的了解最差。结论对口腔义齿修复知识的宣传应重点放在口腔修复的基本概念、修复材料及修复体结构、修复过程中的常见问题和修复后注意事项等方面,临床医生在遇到相应的问题时应该耐心地给患者进行讲解。     

口腔修复门诊健康宣教体会

口腔健康教育是健康教育的一个分支,WHO(1970年)指出,牙科健康教育的目的,是使人认识到并能终生保持口腔健康,它是以教育的手段促使人们主动采取利于口腔健康的行为,它是让人们理解和接受各种预防措施所采取的教育步骤。口腔修复门诊健康教育是一种治疗方法,是降低医疗费用,提高医疗设备利用率的有效途径。因此,如何作好口腔修复门诊健康教育工作,是医院门诊工作者的重要课题之一。口腔健康教育的任务就是要帮助人们在口腔健康方面学会自助,使人们在掌握有关知识后自觉地去实践[1]。1.口腔修复门诊就诊患者的特点(1)口腔修复门诊整个诊治…     

口腔修复新技术——全塑弹性义齿(隐形义齿)

弹性义齿是美国口腔修复专家开发研制的一种新型义齿,无金属卡环.除人造牙外,其色泽与牙龈组织非常相近似,因此美观舒适,真假难分,被称为隐形义齿.我院开展此项业务以来,共制作各类隐形义齿600余件,经临床试用效果良好,现就有关问题简介如下:1　主要设备性能及用途:1多功能注压机:　用于压注隐形义齿.压型盒,压制各种规格的铸造蜡条和其它塑料制品.2温度控制器:　用于加热器的温度控制,采用分体温控定时报警设计,温控准确,避免了材料暴破、加温不足或过度加温材料老化等问题,使铸件更加精确.3　加热器:　用于装料器的预热、材料的加温,采用…     

口腔修复知识宣教对总义齿修复效果的影响

以往在修复临床工作中，只看重总义齿修复的治疗过程，忽视对患者口腔修复知识的宣教工作，以致使许多患者对总义齿认识不足，错误的认为总义齿与真牙一样；或者由于医嘱交代不清楚，在修复后因对总义齿不能很快适应，常常在短时间内将其丢弃不用；或者只为美观，进食时放在一边不用，从而使总     

口腔门诊患者对口腔美容修复认知与需求的调查

目的：了解患者对口腔美容修复的认知与需求,为临床提供参考。方法：将自行设计的结构化调查问卷发放给在中南大学湘雅二医院口腔门诊就诊的调查年龄范围内的患者,问卷由专人发放,发放问卷800份,回收有效问卷775份,将调查结果导入SPSS 19.0软件进行统计分析,对计量资料采用均数及标准差进行统计,采用独立样本t检验及方差分析进行统计学分析。结果：女性对口腔美观的关注度、重视程度得分显著高于男性(P<0.05);年龄差异对患者口腔美观的重视程度差异有统计学意义(P<0.05),35-44岁年龄段得分最高(P<0.05),55-64岁年龄段得分最低(P<0.05);年龄差异对患者口腔美观自身满意度差异无统计学意义(P>0.05);55-64岁年龄段患者对于口腔美观的关注度最低,差异有统计学意义(P<0.05);本科及以上学历患者对口腔美观的关注度及重视程度得分高于大专及以下患者(P<0.5);部分患者希望“就诊时间控制在30min-1h”、“在与医师意见产生分歧时听从医师意见”。结论：性别、年龄、学历、收入等社会背景影响患者口腔美容修复的认知和需求。医院及医师应根据患者的主观及客观需要为其安排临床过程,制定治疗计划。     

牙周病患者经套筒冠义齿修复治疗后的回访调查

目的：通过问卷调查表对牙周病患者戴用套筒冠义齿后的主观感觉进行分析研究。方法：选择牙周病患者15例，其中男性7例，女性8例，平均年龄为48岁。共制作套筒冠义齿24件，其中上颌10件，下颌14件。通常于戴牙后1个月，患者基本适应戴用义齿。通过问卷调查表，了解患者戴用义齿后的适应情况，对义齿的满意程度及咀嚼功能的变化等方面。结果：所有患者每天坚持戴用义齿，并保持较好的清洁习惯；80％以上的患者对各自所戴用的套筒冠义齿表示满意，90％以上的患者感觉义齿对说话和进食无影响；大多数患者认为饮食结构与治疗前相比发生了变化，咀嚼功能变好。结论：调查结果说明牙周病患者对套筒冠义齿的修复治疗效果是满意的。结合牙周临床观察指标及X光片，说明套筒冠义齿对牙周病有较好的治疗效果。     

老年患者口腔修复的护理

随着人民生活水平的提高和口腔卫生宣教工作的开展,人们的口腔保健意识有很大的提高,同时随着老龄化的现象增长,我国老年患者口腔修复健康促进工作中的不足,日益受到重视.护理人员作为身处第一线的专业人员,必须全方位、多层次的投入到健康促进工作中去.本文就老年患者口腔修复的心理、修复特点及护理人员的参与进行阐述.     

健康老年人口腔念珠菌与义齿修复的相关研究

目的 研究健康老年人群中口腔念珠菌的定植状况,分析义齿修复对老年人口腔念珠菌定植的影响。方法 212例健康老年人分为4组：A1组（男性,有义齿）,B1组（男性,无义齿）,A2组（女性,有义齿）和B2组（女性,无义齿）。标准含潄法取样,样本接种于沙堡琼脂培养基培养念珠菌,CHROMagar CandidaTM鉴定培养基鉴定白色念珠菌,碳水化合物同化反应鉴定体系鉴定念珠菌菌种。培养基中念珠菌菌落计数为每个样本的念珠菌检出强度。比较4组健康老年人念珠菌检出率和检出强度有无统计学差异。结果 212例老年人中116例检出念珠菌,检出率为54.72％。检出念珠菌包括白色念珠菌、近平滑念珠菌、克柔念珠菌、热带念珠菌等10个菌种。A1、B1、A2和B2组念珠菌检出率分别为66.67%,36.07%,64.15%和56.00%;白色念珠菌检出率分别为56.25%,21.31%,56.60%和38.00%。A1组念珠菌、白色念珠菌检出率高于B1组（P<0.05）。高念珠菌强度者在A1、A2组所占比例分别较B1、
B2组高（P<0.05）。结论 健康老年人口腔总念珠菌及白色念珠菌检出率和检出强度增高与义齿修复相关。老年人
口腔念珠菌检出率和检出强度的差异主要是白色念珠菌检出率和检出强度的差异所造成。     

口腔修复患者的临床心理分析

目的:探讨口腔修复患者的临床心理问题.方法:应用汉密顿焦虑(HAMA)汉密顿抑郁(HRSD)量表对口腔修复患者修复前后进行心理状况评定.结果;牙列缺损和牙列缺失患者修复前HAMA 、HRSD的测定结果明显高于修复后的结果.结论:口腔修复患者修复前普遍存在焦虑、抑郁等临床心理问题.有针对性的心理支持可改善患者的心理问题.     

口腔专业人员口腔健康观念调查分析

口腔专业人员口腔健康观念调查分析广东省口腔医院（５１０２６０）黄少宏，欧尧口腔专业人员（包括口腔科护士）在日常工作中不可避免地要对病人及陪人进行的口腔健康教育，而病人及陪人又常常将口腔专业人员的意见当作指导自我口腔保健的权威信息。因此，口腔专业人员的...     

Treatment planning for replacing missing teeth in UK general dental practice: current trends

Summary The aim of this study was to examine the confidence, barriers and attitudes towards the replacement of missing teeth by general dental practitioners (GDPs). The perceived impact of the recently introduced National Health Service (NHS) contract on the provision of prosthodontic treatments was also considered. Pre‐piloted postal questionnaires were mailed to 500 GDPs in Wales. Open‐ and closed‐ended questions were utilised to establish confidence, adequacy of training and attitudes towards treatments for replacing missing teeth. Two hundred and seventeen completed questionnaires were received (response rate = 43·4%). Many respondents described themselves as ‘confident’ or ‘very confident’ in the provision of removable partial dentures (RPDs) (acrylic = 100%, metal based = 99·5%), cantilever resin‐bonded bridges (94·4%) and conventional bridgework (98·6%). GDPs were ‘not confident’ providing fixed‐fixed resin‐bonded bridges (21·1%) or implants (81·4%). Financial barriers were identified to the provision of prosthodontic treatments, including comments such as “the new [National Health Service] contract does limit the treatments available”. Privately funded patients were more likely to be offered a fixed bridge or implant replacement of a missing upper first molar, whereas non‐privately funded patients were more likely to be offered no treatment (P < 0·01). Most respondents reported confidence at providing more routine forms of prosthodontic care such as RPDs and bridges. It appears that funding arrangements may have an impact on treatments offered to replace missing teeth, particularly under the current NHS contract.     

前牙美学修复中的牙周配合

前牙是口腔美学体现的最主要区域。要达到较为理想的自然或修复效果,临床医师需要对前牙区的各种组织结构、外观显示、比例关系等有较为全面的了解,调整其符合多数人的一定自然规律,更需要不同学科的参与合作,才能形成最终的和谐关系,并使之稳定持久。本文就此过程中如何从牙周的角度进行配合及常用技术做简要叙述。     

The effect of disinfectant solutions on the hardness of acrylic resin denture teeth

This investigation studied the effects of disinfectant solutions on the hardness of acrylic resin denture teeth. The occlusal surfaces of 64 resin denture teeth were ground flat with abrasives up to 400-grit silicon carbide paper. Measurements were made after polishing and after the specimens were stored in water at 37 degrees C for 48 h. The specimens were then divided into four groups and immersed in chemical disinfectants (4% chlorhexidine; 1% sodium hypochlorite and sodium perborate) for 10 min. The disinfection methods were performed twice to simulate clinical conditions and hardness measurements were made. Specimens tested as controls were immersed in water during the same disinfection time. Eight specimens were produced for each group. After desinfection procedures, testing of hardness was also performed after the samples were stored at 37 degrees C for 7, 30, 60, 90 and 120 days. Data were analysed using two-way analysis of variance (anova) and Tukey's test at 95% confidence level. According to the results, no significant differences were found between materials and immersion solutions (P > 0.05). However, a continuous decrease in hardness was noticed after ageing (P < 0.05). It was conclude that the surfaces of both acrylic resin denture teeth softened upon immersion in water regardless the disinfecting solution.     

1312名大学生牙列缺损及修复情况调查分析

目的：调查1312名山东大学在校大学生牙列缺损及修复情况,为指导大学生口腔保健提供依据.方法：按照1997年世界卫生组织（WHO）《口腔健康调查基本方法》,对山东大学1312名大学生的牙列缺损及修复情况进行调查,调查方式包括问卷调查和口腔检查,对牙列缺损、修复情况与性别、年级、专业、城乡差异的关系,口腔健康行为和认知与专业的关系以及牙列缺损的原因进行统计分析.结果：1312名大学生中,牙列缺损者145名,牙列缺损发病率11.05％,主要病因为龋病.有义齿修复者53名,义齿修复率为36.55％.结论：大学生缺牙后修复情况不佳,且非医学专业学生口腔保健意识不强,需有针对性地制定口腔健康教育计划,提高大学生缺牙后修复率,促进大学生的口腔健康.     

Prosthodontic management of older severe hypodontia patients in general dental practice: A case series

Although a detailed understanding of the etiology of hypodontia is lacking, there is a need for awareness among dental professionals of the social and psychological consequences of severe hypodontia, as well as knowledge of those affected by hypodontia have ongoing dental treatment needs. Although, there may be a need for immediate referral of children to different specialists for optimal multidisciplinary treatment planning, most older patients with severe hypodontia can be treated by general practitioners. Practitioners therefore need to be aware of the ramifications of the condition and be capable of providing adequate oral health care for these patients and referring them for additional services when necessary. A case-report series is used to illustrate routine prosthodontic treatments that can be offered to older patients in general dental practice.