摘要
目的观察光固化流体树脂加复合树脂充填在后牙缺损修复中的应用效果。方法选择2017年7月—2019年6月在该院接受治疗的66例(共计146颗)后牙缺损患者,根据随机数字表法分组。对照组单纯使用光固化复合树脂充填,观察组采用光固化流体树脂加复合树脂充填。对比两组修复成功率,患者对修复体使用感、边缘密合性、色泽协调性等情况的评价,随访半年,观察两组继发龋发病情况。结果两组均完成修复,观察组在修复后1个月、3个月复查发现修复成功率100.00%、97.37%均明显高于对照组91.43%、87.14%(χ^2=4.793、5.469,P<0.05);修复半年后复查发现,观察组修复成功率96.05%与对照组88.57%比较(χ^2=2.927,P>0.05)。观察组患者对修复体使用感(92.45±5.16)分、边缘密合性(95.10±3.28)分、色泽协调性(93.88±4.20)分等情况的评价均优于对照组(90.14±4.48)分、(92.18±3.14)分、(90.95±3.87)分(t=2.877、5.484、4.372,P<0.05)。随访半年,观察组继发龋发生率2.63%少于对照组12.86%(χ^2=5.469,P<0.05)。结论光固化流体树脂加复合树脂充填治疗后牙缺损疗效确切,在使用感、外观等方面患者满意度高,且激发龋齿的情况少。
Objective To observe the application effect of light-curing fluid resin and composite resin filling in the restoration of posterior teeth defects. Methods Sixty-six patients(146 in total) with posterior tooth defect who were treated in the hospital from July 2017 to June 2019 were selected and grouped according to the random number table method. The control group was filled with light-curing composite resin only, and the observation group was filled with light-curing fluid resin plus composite resin. The repair success rates of the two groups were compared, and the patient’s evaluation of the use of the restoration, edge adhesion, color coordination, etc., followed up for six months to observe the incidence of secondary caries in the two groups. Results Both groups completed the repair. The observation group’s 1 month and 3 months reexamination found that the repair success rate of 100.00% and 97.37% were significantly higher than the control group’s 91.43% and 87.14%(χ^2=4.793,4.469, P<0.05);Re-examination after half a year of repair found that the repair success rate of the observation group was 96.05% compared with 88.57% of the control group(χ^2=2.927, P>0.05). The observation group’s evaluation of the use of the restoration(92.45±5.16) points,edge adhesion(95.10±3.28) points, and color coordination(93.88±4.20) points were better than those of the control group(90.14±4.48) points,(92.18±3.14) points,(90.95±3.87) points(t=2.877, 5.484, 4.372, P<0.05). Follow-up for half a year, the incidence of secondary caries in the observation group was 2.63% less than 12.86% in the control group(χ^2=5.469, P<0.05). Conclusion The light-curing fluid resin and composite resin filling have a definite effect in the treatment of posterior tooth defects. The patient satisfaction is high in terms of feeling of use and appearance, and there are few cases of inducing dental caries, which is worthy of promotion.
作者
陈晓香
宋硕斌
CHEN Xiao-xiang;SONG Shuo-bin(Department of Stomatology,Second Branch of Huai'an First People's Hospital,Huaian,Jiangsu Province,223001 China;Department of Stomatology,Huai'an First People's Hospital,Huaian,Jiangsu Province,223300 China)
出处
《系统医学》
2020年第18期129-131,共3页
Systems Medicine
关键词
流体树脂
复合树脂
后牙缺损
继发龋
Fluid resin
Composite resin
Posterior tooth defect
Secondary caries