上海口腔医学

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (1): 52-55.doi: 10.19439/j.sjos.2018.01.012

• 论著 • 上一篇    下一篇

All-on-4种植即刻修复对口腔健康相关生活质量的影响

唐庭1,2, 张磊1, 侯永福1, 姜迎春1, 汪向东1, 陈宁2   

  1. 1.安徽医科大学合肥口腔临床学院,合肥市口腔医院,安徽 合肥 230001
    2.南京医科大学附属口腔医院,江苏 南京 210029
  • 收稿日期:2017-08-05 修回日期:2017-10-13 出版日期:2018-02-25 发布日期:2018-03-05
  • 通讯作者: 陈宁,E-mail: njcn@njmu.edu.cn
  • 作者简介:唐庭（1983-）,男,在读博士研究生,主治医师,E-mail: tt1983222@sohu.com
  • 基金资助:
    安徽省卫生厅医学科研课题（09C186）; 合肥市自主创新政策“借转补”项目（YW2015120）; 合肥市第五周期临床医学重点培育专科建设项目资助

A prospective study of changes in oral health-related quality of life during "all-on-four" immediate restoration for edentulous individuals

TANG Ting1,2, ZHANG Lei1, HOU Yong-fu1, JIANG Ying-chun1, WANG Xiang-dong1, CHEN Ning2   

  1. 1.Clinical Institute of Dentistry, Anhui Medical University, Hefei Dental Hospital. Hefei 230001, Anhui Province
    2.Nanjing Stomatological Hospital, Medical School of Nanjing University. Nanjing 210029, Jiangsu Province, China
  • Received:2017-08-05 Revised:2017-10-13 Online:2018-02-25 Published:2018-03-05

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摘要： 目的: 应用口腔健康影响程度量表（OHIP-14）观察all-on-4种植修复对牙列缺失患者口腔健康相关生活质量的影响。方法: 对11例单颌或全口牙列缺失患者采用all-on-4进行种植即刻修复,单颌植入4~6颗种植体,采用树脂临时固定桥修复,临时固定桥戴用3~6个月后进行永久性支架固定桥修复,以OHIP-14中文版对患者种植前（T0）、临时固定修复后1周（T1）、永久修复后3个月（T2）的口腔健康相关生活质量（OHRQoL）进行问卷调查,比较不同阶段生活质量的变化。采用SPSS13.0软件包对量表数据进行统计学分析。结果: 总得分在T2期明显下降,“功能受限”、“生理性疼痛”、“心理不适”、“生理障碍”、“心理障碍”在T2期显著下降;另外“功能受限”、 “心理不适”、“生理障碍”、“心理障碍”在T1期也明显下降,但是“社会障碍”、“残疾”在治疗前、后无显著变化。结论: All-on-4种植治疗过程中,支架支持的固定永久修复对改善患者的OHRQoL优于树脂临时固定桥修复。

关键词: All-on-4, 即刻负重, 全口固定修复, 骨内种植体, 口腔健康相关生活质量, 口腔健康影响程度量表

Abstract: PURPOSE: This clinical study was to evaluate oral health-related quality of life (OHRQoL) changes in patients who underwent all-on-4 treatment in one or both jaws. METHODS: Eleven patients underwent placement of 4 to 6 dental implants on the basis of all-on-4 treatment concept in the maxilla, mandible or both jaws and immediate loading with acrylic interim prostheses. The prostheses were replaced after 3-6 months, and definitive prostheses with metal framework and reinforced resin facing were fixed after another 3 months or more. The subjects completed the shortened Chinese version of the Oral Health Impact Profile (OHIP-14) before surgery (T0), 1 week after interim prostheses were placed (T1) and 3 months after definitive prosthesis placement (T2). The data of 11 subjects were analyzed with Wilcoxon signed-rank test using SPSS 13.0 software package. RESULTS: The total OHIP-14 score significantly reduced only at T2 (P<0.05). "Functional limitation," "physical pain," "physical disability," and "psychological disability" scores significantly decreased at T2, and "psychological discomfort" scores also significantly dropped at T1. "Social disability" and "handicap" scores remained unchanged throughout the treatment course. CONCLUSIONS: Fixed definitive prostheses with metal framework are more effective in improving OHRQoL than fixed acrylic prostheses during all-on-4 treatments.

Key words: All-on-4 treatment concept, Immediate loading, Fixed complete dental prosthesis, Dental implants, OHRQoL, OHIP-14

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