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高强度流动树脂修复后牙邻面洞的临床疗效观察 被引量:12

Clinical evaluation of high-intensity flowable composite in restoration of posterior Class Ⅱ cavity
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摘要 目的:观察高强度流动树脂修复后牙邻面洞的临床疗效。方法:选择106例患者的132个深龋邻面洞为研究对象,并按就诊顺序将其随机分为实验组(n=68)和对照组(n=64);实验组以流动树脂衬洞再用高强度流动树脂充填;对照组以玻璃离子水门汀垫底,再用复合树脂充填的"三明治"技术进行修复;修复后1年采用改良的USPHS/Ryge临床修复体质量评估系统分别评价其修复效果,并对数据进行统计学分析。结果:实验组和对照组1年复诊牙数分别为65(95.6%)和59(92.2%)修复1年后实验组在修复体边缘着色和术后敏感方面的成功率分别为98.5%和100%,均高于对照组的89.8%和91.5%,差异均有统计学意义(P<0.05);而在修复体完整性和继发龋方面,两组的成功率均无统计学差异(P>0.05)。结论:采用流动树脂垫衬加高强度流动树脂充填后牙邻面洞可取得理想的临床修复效果。 AIM: To observe the clinical effect of high-intensity flowable composite in the restoration of posterior Class II cavity. METHODS: 132 teeth with posterior Class II deep cavity from 106 patients were included. The teeth were randomly divided into experiment group ( n = 68 ) and control group ( n = 64). The teeth in experiment group were restored with high-intenSity flowable composite after lined with flowable composite, those in control group with glass ionomer/hybrid composite sandwich technique. The modified USPHS/Ryge criteria were used to evaluate the treatment effects after 1 year. SPSS 12.0 software package was used for statistical analysis. RESULTS: 65 teeth (95.6%) in experiment group and 59 (92.2%)in control group were followed - up for 1 year. The success rate of marginal discoloration in experimental and control groups was 98.5% and 89.8% resoectively (P 〈 0.05 ). No postopera- tive sensitivity case was found in experiment group, while 5 teeth in control group showed postoperative sensitivity (P 〈 0.05 ). Integrity of the restorations in experiment and control groups was 98.5% and 96.6% ( P 〉 0.05 ), and noneseeondary caries occurrence 100% and 98.3% ( P 〉 0.05 ), respectively. CONCLUSION: High-intensity flowable composite is more effective for restoration of posterior Class II cavities than glass ionomer/hybrid composite.
出处 《牙体牙髓牙周病学杂志》 CAS 北大核心 2014年第3期169-171,186,共4页 Chinese Journal of Conservative Dentistry
关键词 高强度流动树脂 “三明治”技术 微渗漏 high-intensity flowable composites sandwich technique microleakage
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