Thực trạng chăm sóc phục hình toàn hàm bắt vít trên bệnh nhân đã cấy ghép Implant All on X tại Viện Đào tạo Răng - Hàm - Mặt năm 2018

Thực trạng chăm sóc phục hình toàn hàm bắt vít trên bệnh nhân đã cấy ghép Implant All on X tại Viện Đào tạo Răng - Hàm - Mặt năm 2018 - 2022

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Tác giả: Ngọc Trâm Đàm, Thị Duyên Hoàng, Phú Thắng Nguyễn, Thị Mỹ Hạnh Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 611.724 Human anatomy, cytology, histology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 372-375

Bộ sưu tập: Metadata

ID: 502539

Thêm vào giỏ

Nghiên cứu này nhằm (1) Đánh giá thực trạng chăm sóc phục hình toàn hàm bắt vít trên bệnh nhân đã cấy ghép Implant All on X tại Viện đào tạo Răng - Hàm - Mặt năm 2018 - 2022. (2) Phân tích liên quan giữa kiến thức, hành vi với kết quả phục hình toàn hàm bắt vít ở nhóm bệnh nhân trên. Đối tượng và phương pháp: Một nghiên cứu được tiến hành trên các bệnh nhân mất răng toàn hàm được cấy ghép Implant All on X và được phục hình theo loại FP3. Có tổng số 31 bệnh nhân tham gia nghiên cứu với 37 phục hình toàn hàm và trên 177 trụ Implant. Kết quả nghiên cứu cho thấy: phần lớn nhóm đối tượng nghiên cứu là nam giới (71,0%)
nữ chỉ chiếm 29,0%. Tuổi trung bình của nhóm đối tượng nghiên cứu là 61,32±10,53 tuổi, với tuổi nhỏ nhất là 27, lớn nhất là 71. Tỉ lệ xuất hiện viêm niêm mạc quanh implant là 87,1% ở cấp độ cá thể, 31,1% ở cấp độ trụ. Tỉ lệ chảy máu tự nhiên quanh Implant là 22,1% ở cấp độ cá thể, 5,1% ở cấp độ trụ và không bệnh nhân nào có túi lợi bệnh lý. Điểm thực hành chăm sóc phục hình tốt chỉ chiếm 9,7%, điểm thực hành chăm sóc phục hình chưa tốt chiếm tới 90,3%. Kết luận: Có mối liên quan giữa việc thực hành chăm sóc chưa tốt với tình trạng viêm niêm mạc quanh Implant (OR = 3,44 và p = 0,047). Nguy cơ viêm niêm mạc quanh Implant ở nhóm đối tượng nghiên cứu thực hành chăm sóc chưa tốt cao hơn so với nhóm thực hành chăm sóc tốt. Có sự liên quan giữa việc thực hành chăm sóc và cặn bám nền phục hình (p<
0,05), giá trị trung bình cặn bám nền phục hình của nhóm thực hành chăm sóc chưa tốt cao hơn nhóm thực hành chăm sóc tốt.This study aims to (1) Evaluate the current status of full arch dental implants treatment in patients who have implanted All on X at the Institute of Dental, Maxillofacial and Facial Training in 2018 - 2022. (2) Analyze the relationship between the knowledge, behavior and the results of the full arch dental implants treatment of these patients. Subjects and methods: A study was conducted on patients who had lost all tooth, then were implanted All on X and restored according to type FP3. A total of 31 patients participated in the study with 37 full arch dental implants and over 177 implants. Research results show that: the majority of the study subjects are men (71.0%)
female accounts for only 29.0%. The mean age of these subjects was 61.32±10.53 years old, with the youngest age being 27, the oldest being 71. The rate of occurrence of peri-implant mucositis was 87.1% at patient level, 31.1% at implant level.The rate of spontaneous bleeding around the implant was 22.1% at patient level, 5.1% at implant level and no patient had a pathological pocket. The patients with good score of prosthetic care only accounted for 9.7%, while the patients with low score of prosthetic care accounted for 90.3%. Conclusion: There is a relationship between poor care practice and inflammation of the peri-implant mucositis (OR = 3.44 and p = 0.047). The risk of peri-implantation mucositis in the group of patients with poor care practice was higher than the group of patients with good care practice. There is a relationship between the care practice and the restorative residue (p <
0.05), the mean value of restorative residue in the poor care practice group is higher than the good care practice group.

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