固定义齿修复后基牙牙龈炎、继发龋的临床观察

摘要

目的：观察固定义齿修复后基牙牙龈炎与继发龋的临床表现，对比两种疾病的牙周指标。方法选取本院口腔科接受固定义齿修复的患者共50例：25例患者接受治疗后发生基牙牙龈炎，设定为A组；25例患者接受治疗后发生继发龋，设定为B组，对比两组患者的菌斑指数、社区牙周治疗需要指数、探诊深度以及菌斑细菌分布。结果 A组与B组患者的菌斑指数、社区牙周治疗需要指数、探诊深度差异无统计学意义，A组与B组的菌斑细菌分布差异有统计学意义（P<0.05）。结论固定义齿修复后基牙牙龈炎与继发龋的发生率较高，基牙牙龈炎与继发龋患者的牙周指标无显著差异，因此医生应注重患者固定义齿修复后的健康宣教，以降低牙周疾病的发生率。%Objective To observe the clinical manifestation of abutment gingivitis and secondary caries after partial denture fixing,and to have a comparison of periodontal index between abutment gingivitis and secondary caries. Meth-ods Fifty patients who received partial denture fixing were divided randomly into two groups.Twenty-five patients had abutment gingivitis,and twenty-five patients had secondary caries. The PLI,CPITN,PD and the classification of bacte-rial of two groups were compared. Results The PLI,CPITN,PD of both groups had no difference,but the classification of bacterial in both groups were significantly different (P<0.05). Conclusion The incidence of abutment gingivitis and secondary caries after partial denture fixing is massive. Although the periodontal index between patients who had abut-ment gingivitis or secondary caries after partial denture fixing have no difference. Doctors should strengthen the health education after treatment to reduce the rate of periodontal disease.