期刊导航

论文摘要

纵折后牙粘接再植的长期疗效评价

Long term observation after bonding and replantation of vertical fractured poster

作者:蔡意达, 李凤波, 俞立英, 盛乾斌

Author:CAI Yi-da, LI Feng -bo, YU Li -ying, SHENG Qian -bin

收稿日期:2009-01-09          年卷(期)页码:2009,36(5):521-523

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:纵折后牙,粘接,再植,疗效,

Key words:vertical fractured posterior teeth, bonding, replantation, prognosis,

基金项目:

中文摘要

目的 评价纵折后牙粘接再植的长期疗效并分析预后的影响因素。方法 对接受纵折后牙粘接再植手术患者的折裂牙进行定期临床随访,对再植牙进行牙体、牙周、松动度和咀嚼功能等方面的检查,记录病史和临床检查结果,并保存X 线影像学检查资料。通过资料分析对折裂牙粘接再植技术的长期疗效进行评价。结果 40 颗患牙3 年保存了32 颗(80%),成功16 颗,有功能11 颗,失败5 颗。其中20 颗患牙5 年保存了15 颗(75%),成功9 颗,有功能3 颗,失败3 颗。结论 折裂时间、咬合力、患者身体和口腔卫生状况均可影响预后。纵折后牙粘接再植技术的3 年保存率和疗效均令人满意,能够保留一些原来需要拔除的牙齿,维持了牙列完整,恢复了患者的咀嚼功能,是目前治疗后牙纵折一种较好的方法;5 年保存率基本令人满意,但预后效果还有待进一步观察。

英文摘要

Objective To evaluate the long term effect of vertical fractured posterior teeth treated by bonding and replantation surgery and analyze the influential factors of prognosis. Methods Follow up the treated teeth periodically by the examination of tooth, periodontal tissues, flexible degree, and mastication. Record the clinical examination, history registration, and X-rays, etc. Analyze all the information to evaluate the long term effect and prognosis. Results Among 40 teeth observed, the reserved rate of 3 years was 80% while among 20 teeth observed, the reserved rate of 5 years was 75%. There were 32 treated teeth survived, within which 16 were successful, 11 were functional and 5 were failured after 3 years. And there were 15 treated teeth survived, within

which 9 were successful, 3 were functional and 3 were failured after 5 years. Conclusion Time, occlusal force, physical and oral health can influence the prognosis. The treatment effects of 3 years are satisfactory. Bonding and

replantation surgery can be used to save teeth which theoretically needed to be extracted, so as to maintain the denture integrity and restore the masticatory function. The treatment effects of 5 years are just fine, which needs further study.

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