口腔医学研究

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (9): 835-839.DOI: 10.13701/j.cnki.kqyxyj.2021.09.014

• 牙周病学研究 • 上一篇    下一篇

80例下前牙松牙固定术的长期疗效观察

项乾峰1,2, 陈丹艳2, 蔡伊琳3, 孟子堰2, 王春2, 董维理1,2*   

  1. 1.武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学 教育部重点实验室 湖北 武汉 430079;
    2.武汉大学口腔医院牙周科 湖北 武汉 430079;
    3.汕头大学医学院第二附属医院 广东 汕头 515000
  • 收稿日期:2021-04-27 出版日期:2021-09-28 发布日期:2021-09-16
  • 通讯作者: *董维理,E-mail:zdwlss272@whu.edu.cn
  • 作者简介:项乾峰(1995~),男,浙江丽水人,硕士在读,主要从事牙周病的临床治疗工作。

Long Term Observation of Splinted Anterior Mandibular Teeth in 80 Periodontitis Patients

XIANG Qianfeng1,2, CHEN Danyan2, CAI Yilin3, MENG Ziyan2, WANG Chun2, DONG Weili1,2*   

  1. 1. The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079,China;
    2. Department of Periodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    3. The Second Affiliated Hospital of ShanTou University Medical College,Shantou 515000, China
  • Received:2021-04-27 Online:2021-09-28 Published:2021-09-16

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摘要： 目的: 介绍一种针对下前牙的改良松牙固定术,分析常规和改良下前牙松牙固定术的长期疗效。方法: 回顾性分析80例行下前牙松牙固定患者的临床资料,记录固定患牙0、3、6、12个月的牙周、邻面龋以及牙周夹板的修理情况。结果: 80例下前牙松牙固定患者,54例行常规松牙固定术,26例行改良松牙固定术,平均观察(4.85±3.14)年,患牙牙周状况改善明显,期间3例因反复炎症拔除单颗下前牙后行改良松牙固定术。结论: 松牙固定术是解决下前牙松动,长期保存患牙的有效方法。改良松牙固定术为拔除单颗预后无望下前牙后,提供了一种新的修复选择。

关键词: 松牙固定术, 纤维牙周夹板, 牙周治疗, 牙齿松动

Abstract: Objective: To introduce a modified splint method for lower anterior teeth, and analyze the long-term effect of conventional and modified splints in periodontitis patients. Methods: Eighty patients involving lower anterior teeth splinting were retrospectively accessed. The periodontal and proximal caries conditions of splinted teeth in 0, 3, 6, and 12 months and the repair of splint were recorded. Results: Eighty patients were followed over (4.85±3.14) (range: 1.0-8.5) years. The periodontal condition of the affected teeth improved significantly. During this period, 3 patients underwent modified splint after extracting a single lower anterior tooth due to repeated inflammation. Conclusion: Fiber-reinforced composites splint is an effective method to fix the loose lower anterior teeth and preserve the affected teeth for a long time. The modified splint provides a new restoration choice for the extraction of a single lower anterior tooth with poor prognosis.

Key words: splinting, fiber-reinforced composites splint, periodontal therapy, loose teeth