Patient evaluation of treatment with fixed implant‐ supported partial dentures
Patient evaluation of treatment with fixed implant‐ supported partial dentures
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患者对固定种植体支持的局部义齿治疗的评估
DOI：
10.1046/j.1365-2842.2001.00819.x
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
C
中科院分区：
文献类型：
--
作者：
S. Yi;G. E. Carlsson;I. Ericsson;C
本研究的目的是分析 40 名牙周受损患者对功能治疗结果的评估，这些患者接受种植体支持修复体 (ISP) 作为总治疗的一部分。治疗方案包括牙周治疗、拔除预后不良的牙齿、放置牙科钛种植体以及愈合后插入固定的 ISP。其中 5 名患者在拔除所有牙齿并接受完整 ISP 后，其中一颗颌出现无牙颌，而 35 名患者在拔除部分牙齿后出现部分无牙颌，12 名患者在≥3 个种植体上接受部分 ISP，23 名患者在两个种植体上接受部分 ISP。连接修复体后的随访期平均为 1.8 年，为患者提供了平均有 12 个咬合牙单元的牙列。第一作者（S.-W. Yi）进行了所有种植治疗。在种植体安装前和最后一次随访时，通过问卷调查的方式评估患者对口腔功能（咀嚼、发音、口腔卫生、咀嚼舒适度和美观）的看法。对照组由 30 名具有健康牙列（14 对咬合的天然牙齿）的受试者组成，其中一次回答了相同的调查问卷。绝大多数患者对治疗后的口腔功能非常满意，并将 ISP 体验为“天然牙齿”。三个治疗组与对照组在咀嚼、语音、咀嚼舒适度和美观方面没有显着差异。患有 ISP 的患者报告说，与拥有天然牙齿的对照组相比，口腔卫生程序的难度虽小，但明显更大。大多数患者表示，如果有必要，他们会再次接受治疗，并向其他人推荐。结论是，牙周受损患者的康复，包括使用骨整合牙科钛种植体进行 ISP，可带来主观改善和令人满意的口腔功能。
The aim of this study was to analyse the patient evaluation of functional treatment outcome in 40 periodontally compromised patients who received implant-supported prostheses (ISPs) as part of the total treatment. The treatment protocol comprised periodontal treatment, extraction of teeth with poor prognosis, placement of dental titanium implants, and after healing, insertion of fixed ISPs. Five of the patients became edentulous in one jaw after extraction of all teeth and received a complete ISP, whereas 35 patients became partially edentulous after extraction of some teeth, 12 receiving a partial ISP on > or = 3 implants, and 23 one on two implants. The follow-up period was on average 1.8 years after the connection of the prostheses, which provided the patients a dentition with a mean of 12 occluding dental units. The first author (S.-W. Yi) performed all implant treatment. Patients' opinions on oral functions--mastication, phonetics, oral hygiene, chewing comfort and aesthetics--were evaluated by means of a questionnaire both before implant installation and at the last follow-up. A control group of 30 subjects with a healthy dentition of 14 occluding natural pairs of teeth answered the same questionnaire on one occasion. A great majority of the patients were extremely satisfied with the oral function after treatment and experienced the ISPs as 'natural teeth'. There was no significant difference between the three treatment groups and the control group for mastication, phonetics, chewing comfort and aesthetics. Patients with ISPs reported a small but significantly greater difficulty with oral hygiene procedures than the controls with natural teeth. Most patients said that they would undergo the treatment again, if necessary, and recommend it to others. It was concluded that the rehabilitation of the periodontally compromised patients, including ISPs on osseointegrated dental titanium implants, resulted in subjectively improved and satisfactory oral function.