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老年患者后牙残根残冠的保存与修复治疗

Prosthesis for endodontically treated posterior teeth in the elderly

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【作者】 李政权李四群

【Author】 LI Zheng-quan, LI Si-qun. (Hubei Medical University, Stomatological College & Hospital, Wuhan 430079)

【机构】 湖北医科大学口腔医学院!湖北430079

【摘要】 目的:研究老年患者后牙残根残冠行桩核全冠修复的效果.方法:对103例60岁以上老人的174颗后牙残根残冠进行根充治疗,制作桩核后行金瓷或金属全冠修复,对修复体的卫生、使用情况及基牙牙周健康状况进行为期5年的随访观察.结果:发现3颗全冠和2颗桩核脱落,6颗基牙因松动拔除,13颗基牙出现较重的牙周炎症,4颗基牙发生根面龋,另有4颗基牙动度明显增加,93%的义齿使用良好.结论:后牙桩核全冠修复,不仅能恢复口腔功能,可促进老年患者的健康.但口腔卫生至关重要.

【Abstract】 Objects: To investigate the effects of post-core crowns for endodontically treated posterior teeth in the eldely. Methods: 174 posterior teeth in the elderly were endodontically treated and post-core and metal crowns or porcelain fused to metal crowns were luted.The hygiene of crowns and the periodontal health of abutment teeth were studied for 5 consecutive years. Results: 3 crowns and 2 post-core were dislodged. 6 abutment teeth were extracted because of mobility. 13 abutment teeth developed severe periodentitis. 4 abutment teeth suffered root caries. The mobility of another 4 abutment teeth significantly increased.More than 93% of the crowns have good function. Conclusions: Posterior post-core crowns were good for the health and oral function for the elderly .Oral hygiene is very important for the health of abutment teeth.

  • 【文献出处】 口腔颌面修复学杂志 ,Chinese Journal of Prosthodontics , 编辑部邮箱 ,2000年02期
  • 【分类号】R783
  • 【被引频次】7
  • 【下载频次】40
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