华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

分割式可摘局部义齿的制作与临床应用

罗云;王敏;楼北雁;赖锐;鲁喆   

  1. 四川大学华西口腔医院  修复科,四川  成都 610041
  • 收稿日期:2006-04-25 修回日期:2006-04-25 出版日期:2006-04-20 发布日期:2006-04-20
  • 通讯作者: 王 敏, Tel: 028-81808696
  • 作者简介:罗 云(1966-), 男, 四川人, 副教授, 博士
  • 基金资助:

    四川省科技厅应用基础研究基金资助项目(05JY029-   023-2)

Clinical Application and Processing of Separate Movable Partial Denture

LUO Yun, WANG Min, LOU Bei-yan, LAI Rui, LU Zhe   

  1. Dept. of Prosthodontics,West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2006-04-25 Revised:2006-04-25 Online:2006-04-20 Published:2006-04-20

摘要:

目的  探讨分割式可摘局部义齿的制作方法和临床应用效果。方法  分割式可摘局部义齿由双层基托组成,下层基托与口腔牙槽嵴、黏膜紧密接触,附有义齿,起承力作用;上层基托设计卡环,起固位、卡抱作用,维持义齿的稳定。选择15例Kenney Ⅲ类患者采用该方法进行义齿修复,3年后复查,观察基牙松动情况,并通过问卷调查了解患者对义齿的咬合情况、固位稳定性和舒适度的满意率。结果  15例患者的56颗基牙中,38颗正常,18颗Ⅰ°—Ⅱ°松动。3年后正常基牙存留率为100%,松动基牙存留率为83.3%。3年后15例患者对义齿的咬合情况、固位稳定性和舒适度的满意率分别为73%、60%和73%。结论  分割式可摘局部义齿能较好地满足患者对美观和咀嚼功能的要求,并对松动基牙的影响不大,适用于口腔状况欠佳或基牙有Ⅰ°—Ⅱ°松动的患者。

关键词: 活动修复, 可摘局部义齿, 制作方法, 临床应用

Abstract:

Objective  This report is to introduce the processing method of the separate movable partial denture and get an initial clinical evaluation. Methods  The separate movable partial denture was developed as a kind of special design in utilizing double base plate to separately get support for bearing stress and get the stability of retention. Results  The clinical application indicated that the separate movable partial denture has effective function of common movable partial denture as well as has a good function of natural human teeth protection, especially for those patients withⅠ-Ⅱtooth loose. Conclusion  The separate movable partial denture is the ideal choice of treatment for those patients who are suffering Ⅰ-Ⅱ teeth loose. This type of movable partial denture was considered effectively protect natural human teeth and extend the lifetime of natural tooth long term and further observation in clinical care on this type of denture is needed.

Key words: movableprosthodontics, movablepartialdenture, manufacturemethod, clinicaleffect;