种植牙技术在牙列游离端缺失患者修复治疗中的应用

目的探究牙列游离端缺失患者采取种植牙修复法治疗的临床效果。方法72例牙列游离端缺失患者,以其就诊时间先后顺序为依据分为对照组与观察组,每组36例。对照组患者行活动义齿修复法治疗,观察组患者行种植牙修复法治疗。比较两组患者修复效果;治疗前后牙槽骨骨吸收量及语言功能评分、咀嚼功能评分、美观度评分;治疗前后生活质量调查表(QOL)评分;术后不良反应发生情况。结果观察组患者的修复总有效率94.44%显著高于对照组的77.78%,差异具有统计学意义(P<0.05)。治疗前,观察组牙槽骨骨吸收量为(0.47±0.15)mm,对照组牙槽骨骨吸收量为(0.46±0.17)mm,两组患者比较差异无统计学意义(P>0.05);观察组治疗后牙槽骨骨吸收量为(0.51±0.15)mm低于对照组的(0.65±0.12)mm,语言功能、咀嚼功能及美观度评分分别为(9.71±0.21)、(8.86±0.35)、(9.26±0.37)分,均高于对照组的(8.02±0.63)、(6.11±0.42)、(7.35±0.46)分,差异均具有统计学意义(P<0.05)。观察组治疗前后QOL评分为(64.40±10.21)、(85.64±7.69)分,对照组治疗前后QOL评分为(63.54±10.15)、(70.25±8.36)分。治疗前,两组患者的QOL评分比较差异无统计学意义(P>0.05);治疗后,两组患者的QOL评分高于治疗前,且观察组患者的QOL评分高于对照组,差异均具有统计学意义(P<0.05)。观察组患者的术后不良反应发生率5.56%低于对照组的25.00%,差异具有统计学意义(P<0.05)。结论种植牙修复法对牙列游离端缺失疗效理想,可有效改善患者咀嚼和语言功能,减少牙槽骨骨吸收量以保证种植牙稳定性,且美观度更显著,因此该种修复方法值得在临床中推广应用。

Application of dental implant technology in reparative therapy of patients with missing free end of dentition

Objective To investigate the clinical effect of dental implant technology in reparative therapy of patients with missing free end of dentition.Methods A total of 72 patients with missing free end of dentition were divided into control group and observation group by visiting order,with 36 cases in each group.The control group was treated by removable denture repair,and the observation group was treated by dental implant technology.The repair effect,alveolar bone resorption and language function score,masticatory function score,aesthetic score before and after treatment,quality of life(QOL)score before and after treatment and occurrence of adverse reactions after treatment were compared between the two groups.Results The total effective rate of repair 94.44%in the observation group was significantly higher than 77.78%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in alveolar bone resorption between the two groups(P>0.05).After treatment,the alveolar bone resorption in the observation group was lower than that in the control group,and masticatory function,language function and aesthetic score were higher than those in the control group.Their difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in QOL score between the two groups(P>0.05).After treatment,the QOL score in the two groups were higher than those before treatment,and the observation group was higher than the control group.Their difference was statistically significant(P<0.05).The incidence of adverse reactions after operation 5.56%in the observation group was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Dental implant technology shows ideal efficacy for patients with missing free end of dentition.It can effectively improve the masticatory and language function of patients,reduce the amount of alveolar bone absorption to ensure the stability of implant teeth,and the aesthetic degree is more significant.Therefore,this repair method is worth promoting and applying in clinical application.