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目的:探讨固定桥修复的临床疗效,总结成功病例的经验,分析失败病例的原因。方法:对635例铸造烤瓷固定桥修复患者进行临床调查分析。结果:635例固定桥修复体修复8年后,558件成功,占88%,77件失败,占12%,其中牙龈变色18例,崩瓷15例,牙龈炎5例,基牙牙髓炎11例,根尖病变10例,修复体松动7例,脱落3例,继发龋8例。结论:正确的基牙选择,严格把握适应证,精细的牙体预备、模型制取和精心维护,是固定义齿修复成功的关键所在。
Objective: To investigate the clinical efficacy of fixed bridge repair, summarize the experience of successful cases and analyze the causes of failure cases. Methods: The clinical investigation and analysis of 635 cases of cast ceramic fixed bridge repair patients. Results: After 8 years of repair of 635 fixed bridge prostheses, 558 cases succeeded, accounting for 88%, 77 failed, accounting for 12%. Among them, 18 cases were gingival discoloration, 15 cases were collapse porcelain, 5 cases were gingivitis, 11 cases were pulpitis 11 For example, root tip lesions in 10 cases, prosthesis loose in 7 cases, shedding in 3 cases, secondary caries in 8 cases. Conclusion: The correct choice of abutment, strict indications, fine preparation of teeth, model preparation and careful maintenance are the keys to the success of fixed denture restoration.