摘要
目的探讨数字化技术在牙槽骨严重骨量不足种植义齿修复中的临床应用效果。方法回顾性选取2018年2月至2022年2月广州中医药大学第一附属医院牙槽骨严重骨量不足患者80例作为研究对象,依据种植义齿修复方法分为数字化技术组和常规修复法组,各40例。比较分析两组患者的修复效果、种植体位置手术前后偏差值、口腔功能恢复情况、咀嚼功能、临床疗效、并发症发生情况和就医满意度。结果数字化技术组患者的口腔修复黏合程度、修复体形体、修复体色泽评分分别为(90.73±3.24)、(91.58±3.33)、(90.48±3.17)分,均明显高于常规修复法组[(83.68±2.36)、(82.93±2.36)、(84.30±2.45)分],种植体角度、深度、根部、头部手术前后偏差值分别为(0.13±0.04)°、(0.43±0.14)mm、(0.52±0.10)mm、(0.50±0.14)mm,均明显低于常规修复法组[(0.20±0.06)°、(0.73±0.13)mm、(84.30±2.45)mm、(0.80±0.18)mm],差异均有统计学意义(P<0.05)。数字化技术组患者的咀嚼功能、牙功能、语言功能恢复率分别为95.00%、92.50%、92.50%,均明显高于常规修复法组(80.00%、75.00%、75.00%),差异均有统计学意义(P<0.05)。修复后,两组患者的咀嚼效率、咬合力均明显高于修复前,且数字化技术组患者的咀嚼效率、咬合力分别为(88.91±4.11)%、(130.57±6.78)lbs,均明显高于常规修复法组[(83.50±3.24)%、(123.63±5.37)lbs],差异均有统计学意义(P<0.05)。数字化技术组患者的总有效率为95.00%,明显高于常规修复法组(80.00%),并发症发生率为2.50%,明显低于常规修复法组(20.00%),就医满意度为92.50%,明显高于常规修复法组(75.00%),差异均有统计学意义(P<0.05)。结论与常规修复法相比,种植义齿修复牙槽骨严重骨量不足中数字化技术的修复效果更好,口腔功能恢复情况更佳,总有效率和患者满意度更高,并发症发生率更低。
Objective To explore the clinical application effect of digital technology in implant denture repair of severe alveolar bone deficiency.Methods A total of 80 patients with severe alveolar bone deficiency in First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,from February 2018 to February 2022 were retrospectively selected as research object and divided into the digital technology group and the conventional restoration group according to the method of implant denture restoration,with 40 cases in each group.The repair effect,deviation value of implant position before and after surgery,oral function recovery,masticatory function,clinical efficacy,complications and satisfaction with medical treatment of the two groups were compared.Results The scores for dental restoration adhesion,restoration shape,and restoration color in the digital technology group were(90.73±3.24),(91.58±3.33),(90.48±3.17)points,respectively,which were significantly higher than those in the conventional restoration method group[(83.68±2.36),(82.93±2.36),(84.30±2.45)points],and the differences were statistically significant(P<0.05).The deviation values of implant angle,depth,root,and head before and after surgery in the the digital technology group were(0.13±0.04)°,(0.43±0.14)mm,(0.52±0.10)mm,(0.50±0.14)mm,respectively,which were lower than those in the conventional restoration method group[(0.20±0.06)°,(0.73±0.13)mm,(84.30±2.45)mm,(0.80±0.18)mm],and the differences were statistically significant(P<0.05).The recovery rates of chewing function,dental function,and language function in the digital technology group were 95.00%,92.50%,92.50%,respectively,which were significantly higher than those in the conventional restoration method group(80.00%,75.00%,75.00%),and the differences were statistically significant(P<0.05).After repair,the chewing efficiency and bite force of the two groups were significantly higher than those before repair,the chewing efficiency and bite force of the digital technology group were(88.91±4.11)%,(130.57±6.78)lbs,which were significantly higher than those of the conventional repair method group[(83.50±3.24)%,(123.63±5.37)lbs],and the differences were statistically significant(P<0.05).The total effective rate of the digital technology group was 95.00%,which was significantly higher than that of the conventional repair method group(80.00%),the incidence of complications was 2.50%,which was significantly lower than that of the conventional repair method group(20.00%),and the satisfaction with medical treatment was 92.50%,which was significantly higher than that of the conventional repair method group(75.00%),and the differences were statistically significant(P<0.05).Conclusion Compared with conventional restoration methods,digital technology has a better repair effect,better oral function recovery,higher overall efficiency and patient satisfaction,and lower incidence of complications in the repair of severe alveolar bone deficiency with implant dentures.
作者
郑伟欣
陈苑
刘彩奇
蒋柳宏
ZHENG Wei-xin;CHEN Yuan;LIU Cai-qi(.Department of Stomatology,First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou Guangdong 510080,China)
出处
《临床和实验医学杂志》
2023年第23期2570-2573,共4页
Journal of Clinical and Experimental Medicine
基金
广东省中医药局科研项目(编号:20201102)。
关键词
种植义齿修复
牙槽骨严重骨量不足
数字化技术
Implant supported denture
Severe alveolar bone deficiency
Digital technology
