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目的探讨牙齿重度磨耗咬牙合重建的临床效果。方法选取于2010年2月至2010年10月在安阳市口腔医院口腔科治疗的牙齿重度磨耗患者65例为研究对象,对其行咬牙合重建术治疗和术后6个月的随防,统计和分析手术取得的临床疗效和随访结果。结果患者面部外形得到了明显改善,恢复了面下1/3垂直距离,恢复了鼻唇沟正常深度。咀嚼功能正常,提高了咀嚼效率。所有患者在接受治疗后已逐渐适应各种不适症状,并在1个月内恢复了咀嚼功能。其中8例患者在咬牙合重建取得了理想的疗效后接受了永久性修复体。经过平均6个月的随访,所有患者的基牙牙周、牙体一切正常,牙龈恢复正常,无压迫症状,关节处无不适症状。结论对牙齿重度磨耗(伴牙列缺损)者进行咬牙合重建和修复治疗可改善患者面部美观和功能的恢复,是一种理想的治疗方法。
Objective To investigate the clinical effect of severe dental wear and occlusal reconstruction. Methods From February 2010 to October 2010 in Anyang City Stomatological Hospital dental treatment of 65 cases of severe dental wear patients as the object of study, its bite occlusion reconstruction and postoperative 6 months with the prevention and statistics And analysis of the clinical efficacy and follow-up results obtained. Results The facial appearance of the patient was significantly improved. The normal 1/3 of the face was recovered and the normal depth of the nasolabial fold was restored. Chewing function is normal, improve chewing efficiency. All patients were gradually acclimated to various symptoms after treatment and returned to chewing function within 1 month. Eight of these patients underwent permanent restoration after the occlusal reconstruction was achieved. After an average of 6 months of follow-up, all patients with abutment periodontal, all normal teeth, gums returned to normal, no symptoms of oppression, joints without symptoms. Conclusion Tooth occlusal reconstruction and repair of severe dental wear (with dentition defect) can improve facial aesthetic and functional recovery of patients, which is an ideal method of treatment.