中国实用口腔科杂志

中国实用口腔科杂志 ›› 2012, Vol. 5 ›› Issue (12): 742-747.

• 论著 • 上一篇    下一篇

后牙区种植义齿不同材料冠修复5年临床疗效评价

封伟，江鹭鹭，张娇，邓春富，张翀，赵宝红   

  1. 作者单位：中国医科大学口腔医学院种植中心·辽宁省口腔医学研究所口腔种植研究室，沈阳 110002
  • 出版日期:2012-12-15 发布日期:2013-01-06
  • 通讯作者: 赵宝红
  • 基金资助:

    辽宁省自然科学基金(20092093);沈阳市科技计划项目基金(F11-264-1-25)

A clinical retrospective study of different crowns restoration for implant teeth in the posterior area over 5 years

FENG Wei，JIANG Lu-lu，ZHANG Jiao，DENG Chun-fu，ZHANG Chong，ZHAO Bao-hong   

  1. Center of Implant Dentistry，School of Stomatology，China Medical University，Shenyang 110002，China
  • Online:2012-12-15 Published:2013-01-06

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摘要： 摘要: 目的 评价后牙区种植义齿不同材料冠修复的5年临床效果。方法 选取2006年6月至2011年6月中国医科大学口腔医学院种植中心收治的603例因上、下后牙缺失接受种植固位修复的患者，植入种植体1135枚并完成1159颗冠修复。其中氧化锆全瓷冠修复135颗，金合金烤瓷冠修复396颗，银钯合金烤瓷冠修复363颗，金合金聚合瓷冠修复131颗，银钯合金聚合瓷冠修复134颗。随访6～66个月，观察方法为临床检查、X线片、患者满意度调查。应用SPSS13.0软件包对不同材料冠修复产生的修复后并发症情况进行χ2检验比较，同时参照Davarpanah等提出的修复体失败评价标准计算后牙区种植修复体的累积成功率。结果 不同材料冠修复产生的修复后并发症情况差异无统计学意义(χ2 = 4.885， P = 0.299)，后牙区种植修复体的5年累积成功率为97.2%，同时患者对不同材料制作的人工牙冠的满意度均高于95%。结论 后牙区种植义齿不同材料冠修复均能取得较好的临床效果，长期效果有待于进一步观察。

关键词: 种植体, 后牙, 冠修复, 临床疗效

Abstract: Abstract: Objective To evaluate five years of clinical results of different crowns restoration for implant teeth in the posterior area. Methods From June 2006 to June 2011，603 patients with 1159 crowns after 1135 dental implants were followed up for 6～66 months. There were 135 zirconia all-ceramic，396 porcelain-fused-to-crown of gold alloy，363 porcelain-fused-to-crown of Ag-Pd，131 gold alloy based polymerization porcelain and 134 Ag-Pd based polymerization porcelain. Clinical examination，X-ray and patient satisfaction investigation were conducted，the software of SPSS 13.0 was used for restoration complications analysis and the cumulative success rate was evaluated with Davarpanah’s standard about failed crowns. Results There was no significant difference among different restoration(P = 0.299);the cumulative success rate was 97.2%;more than 95% of the patients were satisfied with the different restoration. Conclusion The different crowns restoration of implant in the posterior area can achieve good clinical results，whereas long-term effect need to be followed up.

Key words: implant, posterior area, crown restoration, clinical effect

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