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目的分析牙列缺损伴重度磨损的修复方法和修复效果。方法回顾性分析2006年5月至2009年10月来我院就诊的牙列缺损伴中重度磨耗的患者28例的临床资料。结果对28例患者进行咬重建。23例适应性较好,5例适应性中等。自我感觉舒适度较好24例,3例患者因以前没有戴过活动义齿自觉舒适度较差,1例铸造垫式活动义齿修复患者出现颞颌关节疲劳症状,经调磨后舒适度尚可。结论牙齿磨损患者的修复应缓解咬紧的状态,恢复原有的垂直距离,在修复时要采用垫和一些对症措施以建立正确的咬关系,达到恢复功能和提高美观性的目的 。
Objective To analyze the repair method and repair effect of dentition defect with severe wear. Methods The clinical data of 28 patients with dentition defect and moderate to severe abrasion admitted to our hospital from May 2006 to October 2009 were analyzed retrospectively. Results Twenty-eight patients underwent bite reconstruction. 23 cases of good adaptability, 5 cases of moderate adaptability. Self-feeling comfortable better in 24 cases, 3 patients had not been wearing active denture self-conscious comfort is poor, 1 case of cast pad movable denture patients with TMJ fatigue symptoms, comfort after grinding is acceptable . Conclusion The restoration of patients with tooth wear should relieve the bite tightness and restore the original vertical distance. When repairing, it should use the pad and some symptomatic measures to establish the correct bite relationship so as to restore the function and improve the aesthetics.