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目的通过调查问卷和口腔检查的方式,了解使用套筒冠义齿修复患者的主观感觉和修复的临床效果。方法选取进行过套筒冠义齿修复的患者21例。其中牙周病伴牙列缺失者17例,面和切缘严重磨损者3例,少数牙残存的牙列缺失1例。共制作修复体32件,其中上颌19件下颌13件。义齿戴用时间均在1~2月。通过问卷表了解患者主观感觉,包括:有无咬合不适;有无疼痛、异物感;咀嚼功能等。再检查患者牙周情况、义齿固位力情况、基牙状况等。结果多数患者戴用义齿感觉较满意,食物结构和咀嚼功能明显改善。检查牙周发现3例轻度牙周炎症,均未探及牙周袋。基牙情况良好无断裂和松动加剧。结论套筒冠义齿在各种牙列缺失的修复中作用良好,在严格掌握其指征的情况下使用可以明显改善患者预后。
Objective To investigate the subjective feeling and the clinical effect of using sleeve crown denture to repair patients through questionnaires and oral examinations. Methods 21 cases of patients who underwent telescopic canopy prosthesis were selected. Among them, 17 cases of periodontal disease accompanied by dentition defect, 3 cases of severe facial and marginal abrasion, and 1 case of a few tooth residual dentition defect. A total of 32 prostheses were made, of which 19 were maxillary and 13 were mandibular. Denture wearing time are in January to February. Through the questionnaire to understand the patient’s subjective feelings, including: with or without discomfort; with or without pain, foreign body sensation; chewing function. Then check the patient’s periodontal situation, denture retention, the abutment condition. Results Most patients wearing dentures feel more satisfied, the food structure and chewing function improved significantly. Check the periodontal found 3 cases of mild periodontal inflammation, no exploration and periodontal pocket. Teeth in good condition without fracture and loose aggravate. Conclusions Sleeve canopy dentures play a good role in the repair of various dentition defects, and the use of these indications can significantly improve the prognosis of patients.