种植修复、固定义齿修复牙列缺损的效果比较

许彬

[摘 要]目的 比较种植修复和固定义齿修复在牙列缺损修复中的应用效果，以期为临床选择最佳的修复方法提供参考。方法 选取我院2019年6月-2023年6月收治的100例牙列缺损患者为研究对象，随机分为对照组和观察组，各50例。对照组予以传统固定义齿修复，观察组予以种植修复，比较两组临床疗效及牙周健康状况。结果 观察组治疗总有效率为92.00%，高于对照组84.00%，差异有统计学意义（P<0.05）；观察组咀嚼功能、美观度评分高于对照组，龈沟出血指数及义齿菌斑指数低于对照组，差异有统计学意义（P<0.05）。结论 种植修复在恢复牙列缺损方面具有更好的功能和外观效果，对口腔卫生状况的改善具有积极的影响，能够提供更牢固的支撑和更自然的外观，促进患者咀嚼功能恢复并提高自信心。

[关键词] 种植修复；固定义齿修复；牙列缺损

[中图分类号] R783.3 [文献标识码] A [文章编号] 1004-4949（2024）05-0095-04

Comparison of the Effects of Implant Restoration and Fixed Denture Restoration on Dentition Defect

XU Bin

（Department of Stomatology， Xiajin County Peoples Hospital， Dezhou 253200， Shandong， China）

[Abstract]Objective To compare the application effects of implant restoration and fixed denture restoration in dentition defect repair， so as to provide reference for clinical selection of the best restorationmethod . Methods A total of 100 patients with dentition defect admitted to our hospital from June 2019 to June 2023 were selected as the research objects and randomly divided into control group and observation group， with 50 patients in each group. The control group was treated with traditional fixed denture restoration， and the observation group was treated with implant restoration. The clinical efficacy and periodontal health status of the two groups were compared. Results The total effective rate of the observation group was 92.00%， which was higher than 84.00% of the control group， and the difference was statistically significant （P<0.05）. The masticatory function and aesthetic score of the observation group were higher than those of the control group， and the gingival sulcus bleeding index and denture plaque index were lower than those of the control group， the differences were statistically significant （P<0.05）. Conclusion Implant restoration has better functional and appearance effects in restoring dentition defects， and has a positive impact on the improvement of oral hygiene. Meanwhile， it can provide stronger support and more natural appearance， promote the recovery of masticatory function and improve self-confidence.

[Key words] Implant restoration； Fixed denture restoration； Dentition defect

種植修复（implant restoration）和固定义齿修复（restoration）是现代牙科领域常见修复牙列缺损的方法，可恢复患者口腔功能和美观度。种植修复通过植入人工种植体来模拟天然牙齿根部，然后安装人工牙冠，提供稳固的支撑和自然的外观，具有较高的生物稳定性和长期成功率，可以有效恢复咀嚼功能，并且无需对相邻健康牙齿进行磨削，有利于保留周围牙齿的健康[1-4]。固定义齿修复通过固定人工牙冠在健康牙齿上或人工种植体上恢复牙列缺失部分的功能和外观，适用于较小范围的缺损，其中至少有1个或多个健康牙齿可用于支撑修复[5]。本研究结合夏津县人民医院2019年6月-2023年6月收治的100例患者临床资料，旨在比较种植修复和固定义齿修复在牙列缺损修复中的效果，明确其在咀嚼功能、美观外观等方面的差异，现报道如下。

1 资料与方法

1.1 一般资料 选取夏津县人民医院2019年6月-2023年6月收治的100例患者为研究对象，随机分为对照组和观察组，各50例。……