摘要
背景:树脂被广泛应用于牙组织缺失治疗,但目前国内关于树脂在后牙邻面龋齿中的应用鲜有报道。目的:探讨树脂球填充修复后牙邻面龋齿的疗效及对牙周健康状况的影响。方法:纳入100例(100颗牙)后牙相邻邻面龋患者,其中男57例,女43例,年龄18-60岁,将100例患者随机分为2组,研究组(n=50)进行树脂球填充修复,对照组(n=50)进行树脂传统填充修复。修复后6个月,检测两组牙周探诊深度、牙周探诊出血指数、菌斑指数及邻面接触松紧度,了解食物嵌塞情况,统计填充成功率。结果与结论:(1)研究组与对照组的填充成功率比较差异无显著性意义(93.0%,90.0%,P=0.447);(2)邻面接触松紧度分析结果显示,研究组的临床满意率高于对照组(94.0%,46.0%,P<0.001);(3)研究组的食物嵌塞率低于对照组(4.0%,16.0%,P=0.024);(4)修复6个月后,两组牙周探诊深度、牙周探诊出血指数、菌斑指数均较治疗前明显升高(P<0.05),但两组间比较差异无显著性意义;(5)结果表明,与传统树脂填充方法比较,树脂球填充后牙相邻邻面龋齿,更有助于获得良好的邻面接触关系,但两种填充方式对牙周健康状况的影响无明显差异。
BACKGROUND： Resin has been widely used in the treatment of missing tooth tissue, but there are few reports about the application of resin in the repair of posterior approximal caries. OBJECTIVE： To investigate the therapeutic effect of resin ball filling on posterior approximal caries and its influence on periodontal health. METHODS： A patient population scheduled for the restorative treatment of posterior approximal caries consisted of 100 patients, 57 males and 43 females, 18-60 years of age. All the patients were randomized into a study group receiving resin ball filling and a control group given traditional filling. Periodontal probing depth, periodontal probing bleeding index, plaque index, proximal contact tightness and food impaction were detected at 6 months after restoration, and then the success rate of filling repair was statistically calculated. RESULTS AND CONCLUSION：（1） There was no significant difference in the success rate of filling between the study group and the control group（93.0% vs. 90.0%, P=0.447）.（2） The clinical satisfaction rate of the study group was higher than that of the control group（94.0% vs. 46.0%, P〈0.001）.（3） The rate of food impaction was lower in the study group than the control group（4.0% vs. 16.0%, P=0.024）.（4） After 6 months of repair, the periodontal probing depth, periodontal probing bleeding index and plaque index of the two groups were significantly lowered（P〈0.05）, but there was no significant difference between the two groups. In conclusion, compared with the traditional resin filling method, the resin ball filling for posterior approximal caries gets a better contact between the proximal surfaces, but no significant difference between the effects of the two filling methods on periodontal health.
作者
梁非照
韩越
周燕平
梁剑梅
黎钢
Liang Fei-zhao;Han Yue;Zhou Yan-ping;Liang Jian-mei;Li Gang(Department of Stomatology,Liuzhou General Hospital,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China;Department of Ultrasound,Liuzhou Worker＇s Hospital,Liuzhou 545005,Guangxi Zhuang Autonomous Region,China)
出处
《中国组织工程研究》
CAS
北大核心
2018年第22期3480-3484,共5页
Chinese Journal of Tissue Engineering Research
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2015162)~~
