铸造可摘式全牙列牙周夹板治疗牙周病148例临床观察

目的 分析铸造可摘式全牙列牙周夹板治疗牙周病或牙周病合并牙列缺失的修复设计和制作方法，并观察其疗效。方法 收集1995～1998年解放军总医院口腔科门诊148例牙周病患者，其中男性81例，女性67例，年龄40～69岁，平均57岁。经过系统的牙周病基础治疗后，采用铸造可摘式全牙列牙周夹板进行治疗，有缺牙者同时修复缺失牙，治疗修复后随访观察1～3年。根据患者症状、临床检查和X线检查结果，综合评价疗效，分为良好、进步、无效三个等级。结果 148例牙周病病例中，疗效良好140例（94．59％），进步6例（4．05%），无效2例（1．35％），总有效率为98．64％。结论 铸造可摘式全牙列夹板治疗牙周病或牙周病伴牙列缺损，可有效改善患者的咀嚼功能，是一种较佳的可逆修复方法。

Clinical application of the casting full dentition splint on treatment of periodontal disease

Objective To introduce and analyze the design, manufacture and clinical effect of the casting full dentition splint in treatment of periodontal disease with or without dentition defect. Methods 148 patients with periodontal disease during 1995 to 1998 were treated with casting full dentition splint after a thorough basic periodontal treatment. The patients were composed of 81 men and 67 women aged 40-69y. The patients were followed up for 1 to 3 years after restoration. General effects of the prosthesis were evaluated based on the chief complain of patients, clinical examination and X-ray examination. Results Among 148 patients, 140 (94.59%) were satisfied with the prosthesis and stable periodontal status, 6 (4.05%) were improved, 2 (1.35%) showed no clinical effect. Conclusion Casting full dentition splint can improve the mastication efficiency in periodontal disease patients. It is an effective and reversible therapeutic method on treatment of the periodontal disease with or without dentition defect.