你是怎么理解牙齿与牙槽骨相互依存的?

2025-03-16 22:40:51
推荐回答(1个)
回答1:

牙齿与牙槽骨之间存在相互依存的关系。牙槽骨随着牙齿的萌出、生长而发育,依牙齿的健康和功能而得以保存。医学|教育|网搜集整理一旦牙齿由于某种原因被拔除,则牙槽骨的高度和宽度随即发生变化,逐渐萎缩,直至牙槽骨丧失殆尽。虽然影响牙槽骨吸收的因素很多,但是以牙齿的影响为最大。目前已知的预防牙槽骨丧失的唯一可靠方法就是防止牙齿丧失。

牙齿缺失后即使是配戴了义齿,牙槽骨仍呈进行性吸收,时间愈长,牙槽骨丧失愈多。Tallgren(1967,1969)对配戴全口义齿病人进行了追踪观察。他发现戴义齿的前半年,下颌前部牙槽骨高度吸收为上颌的2倍。7年后,下颌前部牙槽骨高度吸收为上颌的4倍,而且下颌牙槽骨的吸收远较上颌为甚。这主要是由于全口牙齿拔出后,牙齿的感受性丧失,全部殆力由牙齿转移至粘骨膜上,从而引起牙槽骨进行性吸收。又可能由于下颌骨的体积和形态的关系,使下颌牙槽骨对义齿传导的各种功能性和非功能性力量的反应较上颌敏感。

Crum等(1978)对戴全口义齿与戴全口覆盖义齿病人的骨吸收进行了比较,追踪5年的研究结果发现:保留尖牙的覆盖义齿可保存牙槽骨。他们采用头颅X线片及研究模型,对上、下颌前部牙槽嵴垂直向骨吸收进行测量,发现戴下颌总义齿的病人骨吸收(5.2mm)较戴覆盖义齿者(0.6mm)多8倍。这充分说明戴覆盖义齿可大大延缓牙槽骨的吸收。

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