牙周植骨術聯(lián)合夾板式金屬烤瓷冠橋保留末端松動基牙的療效分析.pdf

1、新疆醫(yī)科大學碩士學位論文牙周植骨術聯(lián)合夾板式金屬烤瓷冠橋保留末端松動基牙的療效分析姓名：滿云娜申請學位級別：碩士專業(yè)：口腔臨床醫(yī)學指導教師：何惠宇201004新疆醫(yī)科大學醫(yī)學碩士學位論文—2—TheeffectofbonegraftincombinationwithsplintlikePFMbridgeonconservinglooseneddisalabutmentteethPostgrduate:Manyunnasupervis:P

2、rof.HehuiyuAbstractObjective：ToevaluatetheeffectofbonegraftincombinationwithsplintlikePFMbridgetreatmentonconservinglooseneddisalteethofKennedyIIIdentitiondefect.Methods：20patientswiththefirstmolarlosttheloosenddisalabut

3、mentteethwithperiodontalbonedefectswereeddividedintotwogroups.Inthetreatmentgroup10patients’looseneddisalteethweretreatedbybonegraftincombinationwithsplintlikePFMbridge.Whilethe10patients’looseneddisalteethweretreatedbys

4、plintlikePFMbridgealoneinthecontrolgroup.Allthepatientswerefollowedupby612months.Periodontalclinicalindex(PD、CAL、BI、TM)valueofmasticatyefficiencyweremeasuredxrayphotoesweretakenbefesurgery3months6monthssurgery.Results:1)

5、InthetreatmentgroupadecreaseinPDTMMEagainofCALwereseenfollowingtheuseofCHAinthedistalabutmentteethstatisticaldifferencewasbeenfoundbetween036month(P＜0.05).OtherwisetheCALoftheotherabutmentteethhadnostatisticaldifferenceb

6、etween036month(P＜0.05).TheBIvalueofalltheabutmentteethhadstatisticaldifferencebetween036month(P＜0.05).Advancedbonelosswasnotfoundinanycase，partiallybonerepairwasfoundinallofthelooseneddisalteeth.2)Nostatisticaldifference

7、wasfoundbetweentreatmentgroupcontrolgroupinPDCAL(P＜0.05)atthebaseline.StatisticaldifferencewasfoundinCALafter6monthsbetweenthetwogroups(P＜0.05).theresultsindicatethatbonegraftincombinationwithsplintlikePFMbridgecanimprov

8、eperiodontaltissueregenerationAdvancedbonelossisnotfoundinthetwogroups，partiallybonerepairwasfoundinallofthelooseneddisalteethintreatmentgroupafter6months.Conclusion:1)Theshttermeffectofapplyingbonegraftincombinationwith

9、splintlikePFMbridgeonconservinglooseneddisalteethhavebeenidentifiedquitesatisfidinginthisstudy.2)OntheconditionofstrictionofindicationSplintlikePFMbridgeisindicatedasaneffectivetreatmentonconservinglooseneddisalteethaswe

10、llasrestingthemissingteeth.3)BycomparingtheclinicalresultsofthetwogroupsbonegraftincombinationwithsplintlikePFMbridgeisbeneficialtoaccentuatingperiodontaltissueregenerationofthedistalabutmentteeth.Keywds：bonegraftPFMbrid