【作者】 高清平； 郭峰； 翦新春； 刘迎春；

【Author】 GAO Qing-ping~1,GUO Feng~2,JlAN Xin-chun~2,LIU Ying-chun~1. (1.Department of Prosthodontics,Xiang Ya Hospital,Central South University.Changsha 410008; 2.Department of Oral and Maxillofacial Surgery,Xiang Ya Hospital,Central South University.Changsha 410008,China)

【机构】 中南大学湘雅医院口腔修复科； 中南大学湘雅口腔颌面外科；

【摘要】 目的:探讨钛支架式中空式赝复体在单侧上颌骨缺损伴牙列缺损修复中的应用。方法:对35例单侧上颌骨缺损伴牙列缺损的患者,采用纯钛支架式中空赝复体进行修复,并随访1-4年,观察疗效(包括主观问卷调查和专科检查)。同时采用普通铸造支架中空式赝复体28例进行对照。结果:临床应用发现,两组患者面部外形有了很大改善,咀嚼功能部分恢复,达到赝复体修复目的;而两组进一步比较:钛支架式赝复体组反映修复体轻巧,体积小,摘戴方便,舒适,获得了更好的固位和支持,咀嚼和发音功能状态时修复体具有良好的稳定性。结论:钛支架式中空赝复体生物相容性好,更好地恢复了外形、语言、咀嚼及美观,保护了基牙,大大提高了患者的生存和生活质量。更多还原

【Abstract】 Objective:To investigate the clinical application and effect of the prosthesis with titanium framework in the reconstruction of the unilateral maxillary defect and dentition defect.Methods:We had the one to four years follow-up of 35 cases of unilateral maxillary defect and dentition who used the obturator prosthesis with titanium framework to observe the clinical effect.At the same time we chose 28 patients with unilateral maxillary defect by ordinary framework prosthesis as control.Results:Both of these two patients got some function repaired including face appearance and mastication facts.The prostheses with titanium framework were much more excellent in biocompatibility,lighter in weight,smaller in volume,more comfortable in wear.And distinctively the titanium’ group could provide enough retention and decrease the stress of abutments and residual ridge to protect the abutments and residual ridge.Conclusions: Both of these two prostheses can obtain the obturator’s functions,especially the prosthesis with titanium framework.The titanium framework prosthesis can play better in the reconstruction of the unilateral maxillary defect and dentition defect.更多还原