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论文摘要

老年人牙缺失临床修复治疗的分析

The Survey of Prosthetic Treatment in the Elderly

作者:陈思娅,陈秀梅,杜玉石

Author:CHEN Si-ya1,CHEN Xiu-mei1,DU Yu-shiz

收稿日期:2004-10-25          年卷(期)页码:2004,22(05):396-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:老年人,牙缺失,修复治疗,

Key words:the elderly,tooth missing,prosthetic treatment,

基金项目:

四川省科技厅应用基础研究专项基金资助项目(G02)

中文摘要

目的了解老年修复患者的口腔情况及修复特点。方法对1 166例60岁以上老年人牙缺失患者作修复治疗,分析缺牙及修复情况。结果1 166例患者平均缺牙10.25颗。牙缺失数上领>下领,磨牙>双尖牙>切牙>尖牙。1 166例患者中1 120例作可摘义齿修复,其中游离端缺失约占58%0 46例作固定义齿修复。结论老年修复患者具有缺牙数目多,游离端缺失多,余牙磨耗严重,食物嵌塞多,余留牙松动及残根多等特点;修复以可摘义齿为主,可适当行固定义齿修复。修复治疗时尽量发挥尖牙、已治疗的残根及健康第三磨牙的作用。

英文摘要

Objective To acquire teeth and prosthetic conditions of the elderly. Methods 1 166 patients of over 60 years old had been given prosthetic treatment, and the teeth conditions were analyzed. Results The average number of missing teeth~ 10. 25. The maxillary missing teeth were~than mandibular ones. The rate of missing teeth were as follows: maxillary teeth> mandibular teeth;molars>bicuspids>incisors>cuspid. II20 cases were treated with removable dentures. 59% of the re- movable partial dentures had free-end saddles. 46 cases were treated with fixed bridges. Conclusion The characteristics of pros- thetic patients in the elderly were as follows: a large number of missing teeth and free-end missing teeth, attrition of resident teeth, food impaction, existing-residual root and loosen teeth. Removable denture~the main method of the prosthetic therapy for the elderly patients. Fixed bridge~used when the patient condition was good. The cuspid, treated residual root and the third molar should be used for the retention and support of the prosthesis

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