华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

种植磁附着体在全口义齿修复中的临床应用

汪厚希,丁仲鹃,林云红,周屹立,谢 静   

  1. 昆明医学院第一附属医院 口腔修复科,云南 昆明650031
  • 收稿日期:2005-12-25 修回日期:2005-12-25 出版日期:2005-12-20 发布日期:2005-12-20
  • 通讯作者: 汪厚希,Tel:0871-6411651
  • 作者简介:汪厚希(1953-),女,湖北人,教授,学士
  • 基金资助:
    云南省科研基金资助项目(00112432)

Clinical Study of Complete Dentures Supported by Two Endosteal Magnetic-attachment Implants

WANGHou-xi,DING Zhong-juan,LIN Yun-hong,ZHOU Yi-li,XIE Jing   

  1. Dept.ofProsthodontics,The First AffiliatedHospital,Kunming Medical College,Kunming650031,China
  • Received:2005-12-25 Revised:2005-12-25 Online:2005-12-20 Published:2005-12-20

摘要: 目的 探讨种植磁附着体全口义齿对下颌牙槽嵴重度吸收的无牙颌患者的修复效果。方法 采用CDIC 牙种植体及配套磁性附着体,为8例下颌牙槽嵴重度吸收的无牙颌患者在下颌两侧第一前磨牙区各植入1枚种植 体,5个月后制作下颌全口义齿并在组织面粘固磁体。对粘固磁体前、后及粘固磁体后6个月的义齿固位力、咀嚼 效率和最大咬合力进行测试。结果 种植磁附着体全口义齿在粘固磁体后及粘固后6个月的固位力、咀嚼效率、 最大咬合力均较放置磁体前明显提高,其差异具有统计学意义(P<0·01)。结论 对牙槽嵴重度吸收的无牙颌患 者,采用种植磁附着体全口义齿修复能显著提高义齿的固位力、咀嚼效率及最大咬合力。

关键词: 全口义齿, 磁性附着体, 固位力, 咀嚼效率, 咬合力

Abstract: bjective To evaluate treatment outcomes ofmandibular complete denture supported bytwo endosteal magnetic-at- tachment implants in edentulous patients with severe mandibular alveolar ridge absorption.Methods Eight edentulous patients with severe mandibular alveolar ridge absorption were chosen. Each of themwas treated with a complete denture supported by two CDIC implants. The implants were inserted at the areas of two the first premolars respectively. After five months, two magnets were adhered to the inside of the complete dentures.Retention,masticatory efficiency and maximal masticatory force were measured before and after the magnets were adhered and six months later.Results Statistical analysis revealed that retention, masticatory efficiency and maximal masticatory force were all increased after the magnetswere adhered (P<0·01) and sixmonths later(P< 0·01).Conclusion Retention, maximal masticatory force and masticatory efficiency were significantly increased after the en- dosteal magnetic attachment implants were applied. It is concluded that mandibular complete denture supported by two endosteal magnetic attachment implants is an effective method for severe alveolar ridge absorption cases.

Key words: complete denture, magnetic-attachment, retention, masticatory efficiency, masticatory force