中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (3): 263-266.doi: 10.19438/j.cjoms.2023.03.010

• 论著 • 上一篇    下一篇

功能性塞治器在颌骨囊肿开窗治疗中的应用效果评价

周运, 王震*, 赵小妹*   

  1. 上海交通大学医学院附属第九人民医院 口腔颌面-头颈肿瘤科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海市头颈肿瘤诊治和转化医学中心,上海 200011
  • 收稿日期:2023-02-27 修回日期:2023-04-05 出版日期:2023-05-20 发布日期:2023-08-16
  • 通讯作者: 王震,E-mail: pmxcl@me.com;赵小妹,E-mail: zhaoxiaomei9th@163.com。*共同通信作者
  • 作者简介:周运（1982-）,女,E-mail: 314691149@qq.com

Application and efficacy evaluation of functional fixator in the fenestration treatment of jaw cyst

ZHOU Yun, WANG Zhen, ZHAO Xiao-mei   

  1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology; Shanghai Center of Head and Neck Oncology Clinical and Translational Science. Shanghai 200011, China
  • Received:2023-02-27 Revised:2023-04-05 Online:2023-05-20 Published:2023-08-16

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摘要： 目的：评价排牙功能性塞治器在颌骨囊肿开窗治疗中的应用效果。方法：选择首次接受开窗手术治疗的颌骨囊肿患者50例,根据治疗方式分为常规塞治器组和排牙功能性塞治器组,每组25例。采用X线片测量塞治器维持缺牙间隙的效果,应用阻塞器功能评价量表（obturator functioning scale, OFS）评估开窗治疗期间患者戴用两类不同塞治器的舒适度、咀嚼效能及美观度,问卷调查患者对最终修复的满意度。采用SPSS 20.0软件包对数据进行统计学分析。结果：与常规塞治器相比,功能性塞治器组病变痊愈后患侧对颌牙伸长较少（P<0.01）,但戴用塞治器期间患侧咀嚼效率无统计学差异（P>0.05）,排牙塞治器在前牙区患者的美观满意度显著提高（P<0.01）。结论：兼具人工牙修复的功能性塞治器不仅具有良好美观性与佩戴舒适性,还可更好维持患侧缺失牙间隙稳定,更有利于缺失牙的修复。

关键词: 颌骨囊肿, 开窗减压, 塞治器

Abstract: PURPOSE: To evaluate the effect of functional occlusal device in the fenestration of jaw cyst. METHODS: Fifty patients with jaw cyst who underwent fenestration surgery for the first time were selected. According to the treatment methods, they were divided into the conventional treatment group and functional treatment group, with 25 cases in each group. Obturator functioning scale (OFS) was used to evaluate the comfort, masticatory efficiency and aesthetics of patients wearing two kinds of different endodontics during fenestration treatment. The patients' satisfaction with the final restoration was investigated by questionnaire. SPSS 20.0 software package was used for data analysis. RESULTS: Compared to conventional obturators, the functional obturator group showed a statistically significant reduction in mandibular and maxillary tooth extension after healing of the lesion (P<0.01). However, there was no significant difference in chewing efficiency during the wearing of the obturator(P>0.05). The esthetic satisfaction of the functional obturator was significantly higher in patients with anterior tooth loss(P<0.01). CONCLUSIONS: The functional obturator, which combines the functions of denture restoration, not only has good esthetics and wearing comfort, but also better maintains stability in missing interdental spaces and is more favorable for the restoration of missing teeth.

Key words: Odontogenic cyst, Marsupialization, Obturator

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