摘要： 目的：对上颌后牙缺失后，分别经短种植体与上颌窦底提升术修复患者的临床满意度进行比较分析。方法：对临床上颌后牙缺失患者采取不同的种植修复方式：短种植体或经上颌窦底提升术后植入常规植体。分别于术前1个月及负重后3个月、1年、2年及3年对患者进行问卷调查，通过可视化量表进行满意度定量测量。调查内容包括：进食质量、进食习惯及情绪。比较2种种植修复方法的临床疗效。结果：10名患者植入短种植体16枚（长度 6、8 mm），13名患者进行上颌窦底提升同期植入10 mm以上种植体15枚，2组患者修复负重后的满意度评分无统计学差异，但是患者自身对手术的感觉差异明显。结论：患者对两种不同方式修复上颌后牙缺失的满意度没有差异，但短种植体可以简化种植手术流程并减少术中痛苦。

关键词: 上颌后牙, 短种植体, 上颌窦底提升术, 患者满意度

Abstract: Objective: To compare the clinical satisfaction of patients which lost maxillary posterior teeth rehabilitated by short implant-supported prosthesis and maxillary sinus floor augmentation. Methods: 10 patients rehabilitated by 16 short implant-supported prothesis. 13 patients after sinus floor augmentation rehabilitated by 15 regular implant-supported prosthesis. At 1 month before and 3 months, 1- year, 2- year, and 3- year after loading of implant prosthesis, visual analog scale(VAS) was used to elicit patient responses including SAT-P(Satisfaction Profile) items: quality of eating, eating behavior, eating mood. The clinical score was analyzed by SPSS, P<0.05 were considered significant. Results: There was no significant difference between the two groups after implant-supported prosthesis. But patient's feeling of operation in 2 groups was significantly different. Conclusion: There is no difference in level of satisfaction in patients with the two different kinds  of implant-supported prosthesis in maxillary posterior teeth.

Key words: maxillary posterior teeth, short implant, maxillary sinus floor augmentation, the satisfaction of patients

中图分类号: 

• R782.13