老年人牙缺失临床修复治疗的分析

华西口腔医学杂志

老年人牙缺失临床修复治疗的分析

陈思娅1，陈秀梅1，杜玉石2

1.四川大学华西口腔医院特诊科，四川成都610041;2.成都市第四人民医院口腔科，四川成都610036

收稿日期:2004-10-25 修回日期:2004-10-25 出版日期:2004-10-20 发布日期:2004-10-20
通讯作者: 陈思娅，Teh028-855050
作者简介:陈思娅(1955-)，女，四川人，副主任医师，学士
基金资助:
四川省科技厅应用基础研究专项基金资助项目(G02)

The Survey of Prosthetic Treatment in the Elderly

CHEN Si-ya1，CHEN Xiu-mei1，DU Yu-shiz

1.Special Department， West China College of Stomatology, Sichuan University, Chengdu 610041，China; 2. Dept.of Stomatology, the Fourth Hospital of Chengdu，Chengdu 610036, China

Received:2004-10-25 Revised:2004-10-25 Online:2004-10-20 Published:2004-10-20
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摘要/Abstract

摘要：

目的了解老年修复患者的口腔情况及修复特点。方法对1 166例60岁以上老年人牙缺失患者作修复治疗，分析缺牙及修复情况。结果1 166例患者平均缺牙10.25颗。牙缺失数上领>下领，磨牙>双尖牙>切牙>尖牙。1 166例患者中1 120例作可摘义齿修复，其中游离端缺失约占58%0 46例作固定义齿修复。结论老年修复患者具有缺牙数目多，游离端缺失多，余牙磨耗严重，食物嵌塞多，余留牙松动及残根多等特点;修复以可摘义齿为主，可适当行固定义齿修复。修复治疗时尽量发挥尖牙、已治疗的残根及健康第三磨牙的作用。

关键词: 老年人, 牙缺失, 修复治疗

Abstract:

Objective To acquire teeth and prosthetic conditions of the elderly. Methods 1 166 patients of over 60 years old had been given prosthetic treatment, and the teeth conditions were analyzed. Results The average number of missing teeth~ 10. 25. The maxillary missing teeth were~than mandibular ones. The rate of missing teeth were as follows: maxillary teeth> mandibular teeth;molars>bicuspids>incisors>cuspid. II20 cases were treated with removable dentures. 59% of the re- movable partial dentures had free-end saddles. 46 cases were treated with fixed bridges. Conclusion The characteristics of pros- thetic patients in the elderly were as follows: a large number of missing teeth and free-end missing teeth, attrition of resident teeth, food impaction, existing-residual root and loosen teeth. Removable denture~the main method of the prosthetic therapy for the elderly patients. Fixed bridge~used when the patient condition was good. The cuspid, treated residual root and the third molar should be used for the retention and support of the prosthesis

Key words: the elderly, tooth missing, prosthetic treatment

陈思娅,陈秀梅,杜玉石. 老年人牙缺失临床修复治疗的分析[J]. 华西口腔医学杂志.

CHEN Si-ya1，CHEN Xiu-mei1，DU Yu-shiz. The Survey of Prosthetic Treatment in the Elderly[J]. West China Journal of Stomatology.

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