固定-活动义齿联合修复牙列缺损的疗效及患者生活质量评价

目的 研究固定-活动义齿联合修复牙列缺损的疗效并对患者生活质量进行调查,为取得更好修复效果提供依据。 方法 将2012年1月—2014年1月就诊于浙江大学金华医院的113例采用固定-活动义齿或活动义齿的牙列缺损患者纳入研究,进行相关检查后,将患者随机分为观察组和对照组。观察组患者采用固定-活动义齿联合修复,对照组患者采用活动义齿修复。6个月后,采用口腔健康影响程度量表(OHIP-14)评价口腔健康相关生活质量(OHRQoL)。随访2年后,根据美国公共健康协会牙列缺损修正标准评价修复效果及牙龈出血指数。 结果 安装义齿6个月后,观察组患者OHIP-14总分低于对照组患者,差异具有统计学意义(P＜0.05)。随访2年后,2组患者显效、有效、无效等级资料的比较差异无统计学意义(Z=0.825,P=0.409);与义齿安装前对比,2组患者牙龈出血指数均显著降低,差异均具有统计学意义(P＜0.05);与对照组相比,观察组患者修复后出血指数降低更为明显,差异具有统计学意义(P＜0.05)。 结论 固定-活动义齿与活动义齿相比,能够更有效修复牙列缺损,患者口腔长期健康状况更好,生活质量更高。 

Therapeutic effect of the fixed-removable partial denture repair for dentition defect and the investigation of oral health related quality of life

Objective To explore the therapeutic effect of the fixed-removable partial denture repair for dentition defect and investigate the oral health related quality of life,and provide the basis for better repair effect. Methods Total 113 patients with dentition defect treated in our department from January,2012 to January,2014 were enrolled in this study and divided into observation group and control group.The observation group was repaired with the fixed-removable partial denture and the control group was repaired with the removable partial denture.Six months after the treatment,the oral health related quality of life(OHRQOL) was enquired by the OHIP-14.After two years,the therapeutic effect and the gingival bleeding index(GBI) were evaluated by dentition defect standard of American public health association. Results The total scores of the OHIP-14 in the observation group was significantly lower than that in the control group(P<0.05).After two years,the ranked data(effective,effective and ineffective) had no statistically significant difference between the two groups(Z=0.825,P=0.409).Compared with that before the installation of denture,GBI of both groups were significantly decreased(P<0.05).Compared with the control group,the GBI was decreased more significant in the observation group(P<0.05). Conclusion The fixed-removable partial denture repair can be more effective than the removable partial denture repair in the treatment of the dentition defect,and patients would have a better long-term oral health and OHRQOL.