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目的:探讨不良修复体拆除后多学科再治疗的临床疗效评价。方法:选取2014年3月至2015年3月佛山市口腔医院修复科和正畸科收治的60例拆除不良修复体患者,采用随机数字表法均分为观察组和对照组,对照组给予单纯修复治疗,观察组给予修复和正畸联合治疗为主的多学科再治疗,观察治疗前、后两组牙周指数、探诊深度(PD)、探诊出血(BOP)、菌斑指数(PLI)及咀嚼效率。结果:治疗后两组PD、BOP、PLI分别均较治疗前显著降低,差异具有统计学意义(P<0.05),且观察组PD(2.55±0.52)mm、BOP(6.80±1.20)%、PLI(0.87±0.21)均较对照组降低显著,差异具有统计学意义(P<0.05);治疗后两组咀嚼效率均较治疗前显著增高,观察组各阶段咀嚼效率(0.098±0.031)%、(0.210±0.045)%、均较对照组显著升高,差异具有统计学意义(P<0.05)。结论:正畸和修复联合治疗为主的多学科再治疗不良修复体的临床积极作用显著,可显著降低反映患者牙周状况的指标,显著升高患者咀嚼效率。
Objective: To evaluate the clinical efficacy of multidisciplinary re-treatment after removal of poor prosthesis. Methods: From March 2014 to March 2015, Foshan Dental Hospital, orthopedics department of orthopedics and orthopedics, 60 cases of patients with poor removal of the removal of patients, using random number table were divided into observation group and control group, the control group was given simple The patients in the observation group received multidisciplinary re-treatment based on the combined treatment of orthodontics and orthodontics, and the indexes of periodontal index, probing depth (PD), probing bleeding (PLP), plaque index (PLI) ) And chewing efficiency. Results: After treatment, the PD, BOP and PLI in the two groups were significantly lower than those before treatment, the difference was statistically significant (P <0.05), and the PD of the observation group was 2.55 ± 0.52 mm, BOP was 6.80 ± 1.20% (0.87 ± 0.21) decreased significantly compared with the control group, the difference was statistically significant (P <0.05); after the treatment, the chewing efficiency of the two groups was significantly higher than that before treatment, the chewing efficiency (0.098 ± 0.031)%, 0.210 ± 0.045)%, which were significantly higher than those in control group (P <0.05). CONCLUSION: The clinical active effect of multidisciplinary re-treatment of adverse prosthesis with combination of orthodontics and repair is significant, which can significantly reduce the indicators reflecting the periodontal status of patients and significantly increase the masticatory efficiency of patients.