METHODS: Seventy-two cases of dental defects treated in Haishu District Stomatological Hospital from April 2018 to October 2019 were selected for retrospective analysis, of which 36 cases were treated with routine oral restoration (control group) and 34 cases with magnetic attachments (research group). The clinical efficacy, adverse reactions, masticatory efficiency and fixation force were compared between the two groups, and the treatment satisfaction was investigated at discharge. Subsequently, a one-year follow-up survey was conducted on the patients. The probing depth (PD) and alveolar bone height were re-examined at 6-month intervals, and the sulcus bleeding index (SBI), tooth loosening and plaque index (PLI) were recorded.
RESULTS: Compared with the control group, the total effective rate was higher in the research group, and the incidence of adverse reactions was lower (P<0.05). After the restoration treatment, the masticatory efficiency, fixation force, comfort and aesthetic outcome in the research group were higher than those in the control group (all P<0.05). The follow-up results showed that the SBI, PD, PLI and tooth loosening rate of the research group were lower while the alveolar bone height were higher, versus the control group (all P<0.05).
CONCLUSIONS: Magnetic attachments can significantly improve the effect and safety of dental restoration as well as the masticatory efficiency, fixation, and periodontal rehabilitation of patients, which fully illustrates the clinical application value of magnetic attachments.
方法:选取2018年4月至2019年10月海曙区口腔医院收治的72例牙体缺损患者进行回顾性分析。其中常规口腔修复36例(对照组),磁性附着体34例(研究组)。临床疗效,不良反应,比较两组患者的咀嚼效率和固定力,出院时对治疗满意度进行调查。随后,对患者进行了为期一年的随访调查.每隔6个月重新检查探查深度(PD)和牙槽骨高度,和沟出血指数(SBI),记录牙齿松动和菌斑指数(PLI)。
结果:与对照组相比,研究组总有效率较高,不良反应发生率较低(P<0.05)。修复治疗后,咀嚼效率,固定力,研究组患者的舒适度和美学效果均高于对照组(均P<0.05)。后续结果表明,SBI,PD,研究组的PLI和牙齿松动率较低,而牙槽骨高度较高,与对照组比较(均P<0.05)。
结论:磁性附着体可显著提高口腔修复的效果和安全性,提高咀嚼效率。固定,和患者的牙周康复,这充分说明了磁性附件的临床应用价值。