中国现代医学杂志2025，Vol.35Issue(6)：17-23,7.DOI:10.3969/j.issn.1005-8982.2025.06.004
固定义齿、活动义齿及其联合修复对牙周病伴牙列缺损患者咀嚼功能和语言功能的修复效果比较
Comparison of the restorative effects of fixed dentures,removable dentures,and their combination on masticatory and speech functions in patients with periodontal disease and dentition defects
摘要
Abstract
Objective To explore the restorative effects of fixed dentures,removable dentures,and their combination on masticatory and speech functions in patients with periodontal disease and dentition defects.Methods A total of 153 patients with periodontal disease and dentition defects who were treated at the Department of Stomatology of Dazu District People's Hospital were enrolled between July 2021 and July 2023.According to different repair methods.Patients were categorized into three groups based on the type of restoration:the fixed-removable group,the fixed group,and the removable group,with 51 cases in each group.The three groups were compared in terms of treatment outcomes,changes in masticatory and speech functions before and after treatment,and patient aesthetic satisfaction scores.Results There was no significant difference in the overall effective rate among the fixed-removable group,the fixed group and the removable group(P＜0.05).The occlusal force and masticatory efficiency of the three groups before treatment,1 month after treatment and 3 months after treatment were compared,which demonstrated that they were different among the time points(P＜0.05).There was no significant difference in occlusal force and masticatory efficiency among the groups before treatment(P＞0.05),but they were better in the fixed-removable group than those in the fixed group and the removable group at 1 month and 3 months after treatment(P＜0.05).There were significant differences in occlusal force and masticatory efficiency among the three groups(P＜0.05).The change trends of the occlusal force and masticatory efficiency were also different among the groups(P＜0.05).There was no significant difference in speech functions among the three groups before treatment(P＞0.05).The proportion of patients reporting tongue comfort and ease of pronunciation after treatment was higher in the fixed-removable group than in the other groups(P＜0.05).After treatment,the speech articulation in the fixed-removable group was higher than that in the other groups(P＜0.05).The PES,WES and aesthetic scores in the fixed-removable group were higher than those in the fixed group and the removable group(P＜0.05).In the fixed-removable group,there were 2 cases of denture base fracture and 3 cases of poor denture base retention,with an incidence rate of 9.80％.In the fixed group,2 cases of denture base fracture and 1 case of poor denture base retention were observed,with an incidence rate of 5.88％.In the removable group,1 case of denture base fracture and 3 cases of poor denture base retention occurred,resulting in an incidence rate of 7.84％.The comparison of adverse event incidence rates among the three groups showed no statistically significant difference(P＞0.05).Conclusions Fixed-removable dentures,fixed dentures,and removable dentures all improve masticatory function,speech function,and aesthetics,but fixed-removable dentures provide superior results.关键词
牙周病/牙列缺损/活动义齿/固定义齿Key words
periodontal disease/dentition defect/removable denture/fixed denture分类
口腔医学引用本文复制引用
郑睿,张志刚..固定义齿、活动义齿及其联合修复对牙周病伴牙列缺损患者咀嚼功能和语言功能的修复效果比较[J].中国现代医学杂志,2025,35(6):17-23,7.基金项目
重庆市自然科学基金面上项目(No:CSTB2022NSCQ-MSX0128) （No:CSTB2022NSCQ-MSX0128）
重庆市大足区科技发展项目(科卫联合医学科研项目类)(No:DZKJ2024JSYJ-KWXM1063) （科卫联合医学科研项目类）
