摘要
目的:探究聚合瓷嵌体和铸瓷嵌体在后牙牙体缺损修复治疗中的应用价值。方法:选择2017年1月-2018年1月安徽医科大学附属六安医院口腔科收治的后牙牙体缺损患者106例,以随机数字表法分为观察组(53例)和对照组(53例)。对照组予以铸瓷嵌体修复治疗,观察组予以聚合瓷嵌体修复治疗,两组修复后随访2年。观察两组2年后的修复结果,2年复查期间修复体折裂率、复查临床效果、不良反应,记录两组修复前、修复2年后的咀嚼功能及牙龈状况。结果:修复2年后,观察组修复成功率96.23%,显著高于对照组的81.13%,差异具有统计学意义(P<0.05);2年后复查,观察组修复体折裂率0.00%,低于对照组的15.09%,差异具有统计学意义(P<0.05),两组临床效果比较差异无统计学意义(P>0.05);观察组不良事件总发生率7.55%,低于对照组的26.42%,差异具有统计学意义(P<0.05);两组咀嚼效率升高,且观察组高于对照组,差异具有统计学意义(P<0.05);两组菌斑指数、牙龈指数均降低,且观察组均低于对照组,差异具有统计学意义(P<0.05)。结论:铸瓷嵌体和聚合瓷嵌体在后牙牙体缺损患者修复治疗中临床效果相当,但后者修复成功率及安全性更高,可更好地改善患者咀嚼功能及牙龈状况,进而提高美观度,值得临床推广应用。
Objective To explore the application value of polymer ceramic inlays and cast ceramic inlays in the treatment of posterior tooth defects.Methods From January 2017 to January 2018,106 patients with posterior tooth defects admitted to the Department of Stomatology of Lu'an Hospital affiliated to Anhui Medical University were selected and divided into the observation group(53 cases)and the control group(53 cases)by random number table method.The patients in the control group were treated with cast porcelain inlay restoration and the patients in the observation group were treated with polymeric porcelain inlay restoration.The two groups were followed up for 2 years after restoration.The repair results of the two groups after 2 years were observed,and the fracture rate,clinical effect and adverse reactions of the prosthesis during 2 years of reexamination were observed.The masticatory function and gingival condition before and 2 years after restoration were recorded.Results 2 years after the restoration,the success rate of repair in the observation group was 96.23%,significantly higher than 81.13%in the control group,and the difference was obviously significant(P<0.05).The fracture rate of prosthesis in the observation group was 0.00%,lower than 15.09%of that in the control group,and the difference was obviously significant(P<0.05).After 2 years of reexamination,there was no statistical difference in clinical effects between the two groups(P>0.05),but the total incidence rate of adverse events in the observation group was 7.55%,lower than 26.42%in the control group,and the difference was obviously significant(P<0.05).After 2 years of reexamination,masticatory efficiency of both groups increased,and the observation group was higher than the control group,and the difference was obviously significant(P<0.05).Plaque index and gingival index of the two groups decreased,and the observation group was lower than the control group,and the difference was obviously significant(P<0.05).Conclusion Cast porcelain inlay and polymeric porcelain inlay have the same clinical effect in the restoration of posterior tooth defect patients,but the latter has higher success rate and safety,which can better improve the masticatory function and gingival condition of patients,and further improve the aesthetic degree,and is worthy of clinical promotion.
作者
段闪闪
汤玉龙
DUAN Shan-shan;TANG Yu-long(Department of Stomatology,Lu'an Hospital Affiliated to Anhui Medical University,Lu'an 237005,Anhui,China)
出处
《中国美容医学》
CAS
2020年第12期143-146,共4页
Chinese Journal of Aesthetic Medicine
关键词
后牙牙体缺损
铸瓷嵌体
聚合瓷嵌体
咀嚼功能
牙龈状况
美观度
posterior teeth defect
cast porcelain inlay
polymeric porcelain inlay
msticatory function
gingival condition
aesthetic degree
