植入物支持的Sjögren病患者的过度合:一个多中心前性队列研究
Floor Maarse1, Willem M M Fennis2, Jos W R Twisk3
1Department of Maxillofacial Surgery and Oral Pathology, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands.
Clinical and experimental rheumatology
|November 29, 2023
概括
植入物支持的过度口术显著改善了Sjögren的口腔健康生活质量.
科学领域:
- 口腔和牙面部外科手术
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 类风湿病学 类风湿病学
背景情况:
- 斯约格伦病 (SjD) 是一种自身免疫性疾病,经常导致异口腔,影响口腔健康和生活质量.
- 在SjD患者中,牙磨损对假肢康复提出了独特的挑战.
- 植入物支持的过度合提供了一个潜在的解决方案,以恢复无牙患者的功能和生活质量.
研究的目的:
- 为了比较患者报告的结果和植入物支持的过度合在无牙的Sjögren病 (SjD) 患者与非SjD患者的临床性能.
- 评估植入物支持过度合对口腔健康相关生活质量 (OHRQoL) 和能力的影响.
- 评估SjD患者牙科植入物的长期临床成功和边缘骨稳定性.
主要方法:
- 一项前性研究涉及12名SjD患者和12名非SjD患者,分别接受51名和50名植入物,以支持过度牙.
- 临床表现的评估,边缘骨水平变化,患者满意度和OHRQoL在1,6,12和18个月后的Overdenture安置.
- 验证了患者满意度和OHRQoL的问卷,骨水平的标准牙科放射,以及包括植入物存活率,斑块,出血,牙指数和探测深度在内的临床参数.
主要成果:
- 在SjD患者的OHRQoL显著改善,这些患者在置后进行了置 (p<0.05).
- 非SjD患者在所有时间点表现出明显更好的硬/硬食物的能力 (p<0.05).
- 18个月后,SjD患者的植入物存活率为100%,非SjD患者的存活率为98%,两组间的边际骨损失和整体临床表现相似.
结论:
- 在没有牙的SjD患者中,植入物支持的过度合剂对OHRQoL产生了积极的影响.
- 牙植入物在没有牙的SjD患者中成功应用,产生与非SjD患者相比的结果.
- 植入物支持的过度合体是改善SjD患者口腔功能和生活质量的可行治疗选择.
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