华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

功能性肌压等压区排牙法修复全口义齿的疗效评价

韩栋伟,李巧明,周平,杨涛,刘莉,李秉鸿   

  1. 200072 同济大学口腔医学院口腔修复教研室(韩栋伟,李巧明,杨涛,刘莉,李秉鸿),济宁市第一人民医院口腔科(周平)
  • 收稿日期:2003-06-25 修回日期:2003-06-25 出版日期:2003-06-20 发布日期:2003-06-20

Clinical Evaluation on Effects of Functional Muscular Equal Pressure Zone on Complete Denture

HAN Dongwei*, LI Qiaoming, ZHOU Ping, et al.   

  1. *Department of Prosthodontics, School of Stomatology, Tongji University, Shanghai 200072, China
  • Received:2003-06-25 Revised:2003-06-25 Online:2003-06-20 Published:2003-06-20

摘要:

目的 探讨肌压等压区排牙法修复全口义齿的疗效。方法 对 35例下颌牙槽嵴中重度萎缩的无牙颌患者采用功能性肌压等压区排牙法修复 ,3个月后进行随访 ,调查患者对修复疗效的满意度。结果  35例患者经修复后的调查结果表明 ,综合满意度为 81 % ,咀嚼功能为 79 5 % ,对固位、稳定的满意度 ,上颌为 89% ,下颌为78%。结论 采用该方法制作的全口义齿 ,在口腔内具有良好的稳定性 ,能增强义齿的固位 ,提高患者的咀嚼功能 ,特别是对于下颌牙槽嵴吸收严重 ,在临床上被认为修复难度大的无牙颌患者的修复 ,具有很高的实用价值。

关键词: 功能性, 无牙颌, 稳定性

Abstract:

Objective To study the clinical effect of the functional muscular equal pressure zone on complete denture.Methods Artificial teeth were arranged within the functional muscular equal pressure zone. With this technique 35 complete dentures were made to rehabilitate 35 edentulous patients whose alveolar bones were moderately or seriously absorbed. After three months′ following up, the satisfaction of these patients were investigate. Results After prosthesis treatment, 35 patients enunciated well and the aesthetic effect was favorable. 89 percent of these patients satisfied the retention and the stability of the maxillary denture, and 78 percent satisfied the retention and the stability of the mandibular denture. 79 5 percent of these patients satisfied the mastication efficiency.Conclusion With the technique, the complete denture is fairly stable in patient′s mouth. The technique can enhance the denture′s retention and improve the patient′s mastication efficiency, especially to these whose alveolar bones are moderately or seriously absorbed. Clinically the technique is of high practical value to these edentulous patients who are difficult to be rehabilitated.

Key words: functionality, edentulous alveolar, stability