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目的探讨老年患者残根残冠保存治疗及功能性修复的方法。方法选择门诊678例患者921颗残根残冠经保存治疗后采用不同方法行功能性修复,并进行1~5年临床追踪观察。结果 921颗患牙经根管治疗并行功能性修复后,879颗未出现异常情况,42颗出现基牙牙根折裂、基牙松动、桩核脱落、牙龈瘘管等并发症。结论老年患者残根残冠的保存治疗及功能性修复对恢复口腔功能,维护口腔健康意义重大;临床常用的残根残冠保存治疗与功能性修复方法是有效的;对老年残根残冠患者应根据其自身特殊性,在严格选择适应证的前提下,经完善根管治疗及冠修复后可获得较满意疗效。
Objective To explore the methods of preserving and repairing residual residual crown in elderly patients. Methods Nine hundred and seventy residual root crowns of 678 patients in our hospital were selected for functional repair by different methods and were followed up for 1 to 5 years. Results There were no abnormalities in 879 and 92 complications such as root fracture, abutment loss, detachment of post and core, and gingival fistula after 921 teeth were treated by root canal therapy. Conclusion The preservation and functional rehabilitation of residual residual crowns in elderly patients are of great significance for the restoration of oral function and oral health, and the preservation and functional repair of residual residual crown are effective in elderly patients. Should be based on its own particularities, in the strict selection of indications under the premise of improved root canal treatment and crown repair can be more satisfactory results.