[摘要]目的：比较活动义齿和固定义齿对牙周病伴牙列缺损患者的修复效果。方法：选取2019年1月-2021年6月笔者医院收治的80例牙周伴牙列缺损患者，随机分为研究组和对照组，每组40例。对照组采用固定义齿修复，研究组采用活动义齿修复，观察两组修复效率、美学效果、咀嚼功能（咬合力和咀嚼效率）、满意度、牙周指标[牙周探诊深度（Probing depth，PD）、菌斑指数（Plaque index，PLI）、龈沟出血指数（Sulcus bleeding index，SBI）]及不良反应发生情况。结果：修复后，研究组修复总有效率、满意度、咀嚼功能均高于对照组，PD、PLI、SBI水平均低于对照组（P＜0.05），两组美学效果及不良反应发生率比较，差异无统计学意义（P＞0.05）。结论：活动义齿与固定义齿修复牙周病伴牙列缺损患者均能提高美学效果，但活动义齿改善咀嚼功能和牙周指标更明显，患者满意度更高。

[关键词]活动义齿；固定义齿；牙周病；修复效果；咀嚼功能；满意度

[中图分类号]R783.3" " [文献标志码]A" " [文章编号]1008-6455（2025）06-0171-04

Comparison of the Repair Effect of Movable Denture and Fixed Denture in Periodontal Disease with Dentition Defect

TENG Yan1， LIU Jie2， PAN Yue1

（ 1.Department of Prosthodontics， 2.Department of Implantology， Xining Stomatological Hospital， Xining 810013，

Qinghai， China ）

Abstract： Objective" To compare the effectiveness of removable and fixed denture restorations in patients with periodontal disease with edentulism. Methods" 80 patients with periodontal disease admitted to the hospital from January 2019 to June 2021 were selected and divided into study group （40 cases） and control group （40 cases）， with fixed partial denture restoration in the control group and removable partial denture restoration in the study group， and the restoration efficiency， aesthetic effect， masticatory function （occlusal force， masticatory efficiency）， satisfaction， periodontal index [probing depth （PD），plaque index （PLI）， sulcus bleeding index （SBI）] and adverse reactions in both groups were observed and recorded. Results" After treatment， the overall restorative efficiency， satisfaction， occlusal force and masticatory function of the study group were higher， and PD， PLI and SBI were lower than those of the control group （P＜0.05）， and the difference in the aesthetic effect and incidence of adverse reactions between the two groups was not statistically significant （P＞0.05）. Conclusion" Both fixed and removable prostheses can improve aesthetic results in patients with periodontal disease with tooth loss， but removable prostheses improve masticatory function and periodontal indexes more significantly， and patient satisfaction is higher.

Key words： fixed partial denture; removable partial denture; periodontal disease; repair effect; masticatory function; satisfaction

牙周病是临床口腔科常见疾病之一，具有较高发病率，在我国成人发病率高达80%左右[1]，早期无明显特异性病变，易被患者忽略，牙周组织长时间经受慢性感染，致使炎症反复发作，不仅损害患者口腔健康，还易并发牙列缺损，损害口腔系统的肌肉功能与颞下颌关节，对患者牙齿美观性及口腔发音也有不利影响，降低患者生活质量[2-3]。近年来，临床常采用活动义齿与固定义齿对其进行修复治疗，且多数患者均能获得良好预后[4]，但患者常就两种修复方式难以抉择，因此，本研究就活动义齿修复与固定义齿修复进行对比，以此为患者选择提供参考。……