在五年内评估三种类型的上部分牙套设计的审美和功能益处
Sanja Peršić Kiršić1, Asja Čelebić1, Irina Filipović-Zore2,3
1Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000 Zagreb, Croatia.
Dentistry journal
|December 24, 2025
概括
扣留式可拆卸部分假牙 (C-RPD) 的长期结果比附着式 (A-RPD) 或植入式 (I-RPD) 的选择差. 使用C-RPD的患者在五年内报告了较低的满意度,生活质量和功能.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 生物材料科学 生物材料科学
背景情况:
- 可拆卸部分假牙 (RPD) 对于恢复部分牙患者的功能和审美至关重要.
- 大肯尼迪I类牙症提供了治疗选择,包括扣式保留 (C-RPD),附着式保留 (A-RPD) 和植入式保留 (I-RPD) 假肢.
- 关于这些RPD设计对患者报告的措施的长期比较结果的证据有限.
研究的目的:
- 为了比较患者报告的C-RPD,A-RPD和I-RPD的结果 (美学,口腔健康相关的生活质量,功能) 在五年期间.
- 评估长期临床成功和患者满意度与不同的RPD设计与上肯尼迪I类情况相关.
主要方法:
- 一项纵向研究涉及88名接受C-RPD,半精密附着A-RPD或迷你植入物I-RPD治疗的患者.
- 患者报告的结果包括审美满意度 (OES),口腔健康相关的生活质量 (OHIP-14) 和功能 (CFQ) 在基线,治疗后和1年和5年的随访中进行了评估.
- 统计分析使用ANCOVA进行基线得分和共变量调整,并使用ANCOVA重复测量进行长期趋势评估.
主要成果:
- 在三个RPD组中观察到结果的显著差异 (p < 0.001).
- 与A-RPD和I-RPD用户相比,C-RPD用户报告了明显较低的审美满意度,OHRQoL和功能.
- 在五年内,OES在所有群体下降,最显著的是C-RPD,而OHIP-14和CFQ得分在C-RPD佩戴者中显著恶化,表明患者报告的长期结果较差.
结论:
- 关闭保留的RPD与较差的长期患者报告的结果有关,包括美学,生活质量和功能下降,在五年内显著下降.
- 附着保留和植入保留的RPD在五年研究期间显示出更有利和更稳定的患者报告结果.
- 结果表明,A-RPDs和I-RPDs可能为患有大肯尼迪一级牙症的患者提供优越的长期益处,尽管应该考虑自我选择偏差.
关键词:
人权组织的权利.连接器保留的RPD被固定起来.的功能 的功能被扣扣固定的RPD被扣扣固定.d-PROMs 的使用情况.审美学是一种美学.马克西拉 (Maxilla) 是一个大.迷你植入器保留了RPD的RPD.可拆卸的部分假牙.更多相关视频
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