纵折后牙粘接再植的长期疗效评价

doi:10.3969/j.issn.1673-5749.2009.05.007

摘要/Abstract

摘要： 目的评价纵折后牙粘接再植的长期疗效并分析预后的影响因素。方法对接受纵折后牙粘接再植手术患者的折裂牙进行定期临床随访，对再植牙进行牙体、牙周、松动度和咀嚼功能等方面的检查，记录病史和临床检查结果，并保存X 线影像学检查资料。通过资料分析对折裂牙粘接再植技术的长期疗效进行评价。结果 40 颗患牙3 年保存了32 颗（80%），成功16 颗，有功能11 颗，失败5 颗。其中20 颗患牙5 年保存了15 颗（75%），成功9 颗，有功能3 颗，失败3 颗。结论折裂时间、咬合力、患者身体和口腔卫生状况均可影响预后。纵折后牙粘接再植技术的3 年保存率和疗效均令人满意，能够保留一些原来需要拔除的牙齿，维持了牙列完整，恢复了患者的咀嚼功能，是目前治疗后牙纵折一种较好的方法；5 年保存率基本令人满意，但预后效果还有待进一步观察。

关键词: 纵折后牙, 粘接, 再植, 疗效

Abstract: Objective To evaluate the long term effect of vertical fractured posterior teeth treated by bonding and replantation surgery and analyze the influential factors of prognosis. Methods Follow up the treated teeth periodically by the examination of tooth, periodontal tissues, flexible degree, and mastication. Record the clinical examination, history registration, and X-rays, etc. Analyze all the information to evaluate the long term effect and prognosis. Results Among 40 teeth observed, the reserved rate of 3 years was 80% while among 20 teeth observed, the reserved rate of 5 years was 75%. There were 32 treated teeth survived, within which 16 were successful, 11 were functional and 5 were failured after 3 years. And there were 15 treated teeth survived, within
which 9 were successful, 3 were functional and 3 were failured after 5 years. Conclusion Time, occlusal force, physical and oral health can influence the prognosis. The treatment effects of 3 years are satisfactory. Bonding and
replantation surgery can be used to save teeth which theoretically needed to be extracted, so as to maintain the denture integrity and restore the masticatory function. The treatment effects of 5 years are just fine, which needs further study.

Key words: vertical fractured posterior teeth, bonding, replantation, prognosis

蔡意达, 李凤波, 俞立英, 盛乾斌. 纵折后牙粘接再植的长期疗效评价[J]. 国际口腔医学杂志, 2009, 36(5): 521-523.

CAI Yi-da, LI Feng -bo, YU Li -ying, SHENG Qian -bin. Long term observation after bonding and replantation of vertical fractured poster[J]. Inter J Stomatol, 2009, 36(5): 521-523.

参考文献

相关文章 15

[1]	吴礼安. 部分断冠粘接术在儿童恒前牙复杂冠根折中的初步应用[J]. 国际口腔医学杂志, 2023, 50(6): 623-631.
[2]	薛晶, 杨静. 基于循证实践的Ⅱ类洞复合树脂修复的操作要点[J]. 国际口腔医学杂志, 2023, 50(4): 375-387.
[3]	林恺丰,王昕玥,邹静,张琼. 窝沟封闭剂保留率的临床相关影响因素及提高对策[J]. 国际口腔医学杂志, 2022, 49(6): 699-706.
[4]	李俊霖,肖立伟. 隐形矫治技术推磨牙远移机制与疗效的研究进展[J]. 国际口腔医学杂志, 2022, 49(1): 109-115.
[5]	丁景瑜,田子璐,王惠敏,朱轩言,杨宇斌,朱松. 即刻牙本质封闭的研究进展[J]. 国际口腔医学杂志, 2022, 49(1): 121-124.
[6]	王剑. 浅谈嵌体和高嵌体修复的临床应用[J]. 国际口腔医学杂志, 2021, 48(5): 497-505.
[7]	邢桂琪,郭林溪,苏勤. 根管治疗后疾病的综合评估和治疗决策[J]. 国际口腔医学杂志, 2021, 48(5): 579-584.
[8]	刘昱晨,田敏,牛丽娜,方明. 粘接固定桥存留率的影响因素及提高对策[J]. 国际口腔医学杂志, 2021, 48(5): 585-591.
[9]	黎敏,华成舸,蒋丽. 提高氧化锆陶瓷粘接性能新技术的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 485-490.
[10]	钮晔,曾芸婷,曾悦翔,张泽宇,肖立伟. 数字化技术在直丝弓托槽间接粘接中的应用[J]. 国际口腔医学杂志, 2021, 48(4): 491-496.
[11]	沈冬妮,施莹,傅柏平. 后牙牙合贴面修复的研究进展[J]. 国际口腔医学杂志, 2021, 48(3): 287-291.
[12]	刘敏,张宽收,刘青梅. 激光蚀刻牙体组织在直接粘接技术中的研究进展[J]. 国际口腔医学杂志, 2021, 48(3): 292-296.
[13]	汪是琦,常雅琴,陈斌,谭葆春,泥艳红. 植骨术与植骨联用屏障膜在牙周再生治疗中临床疗效对比的系统评价与Meta分析[J]. 国际口腔医学杂志, 2020, 47(6): 644-651.
[14]	刘恩言,李明云. 茶多酚类化合物在牙本质粘接中应用的研究进展[J]. 国际口腔医学杂志, 2020, 47(6): 732-738.
[15]	张佳喻,罗宁,苗棣,应绚,陈悦. 意向性牙再植治疗重度牙周炎患牙的临床研究[J]. 国际口腔医学杂志, 2019, 46(4): 400-406.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed