摘要
目的:探究前牙美容修复患者牙周健康状况与复合树脂修复效果的相关性。方法:选取2020年1月—2022年2月许昌市中心医院进行前牙美容修复的102例患者作为研究对象,根据所选修复方式分为对照组及观察组,其中对照组(50例)采用3M唯美树脂进行前牙美容修复,观察组(52例)采用Z350纳米复合树脂进行前牙美容修复。观察并比较两组患者敏感发生率、疼痛情况、牙周健康指标、修复效果、美观满意度及并发症发生情况,同时采用Spearman法对患者牙周健康状况与修复效果进行相关性分析。结果:治疗3个月后,观察组患者牙髓敏感发生率明显低于对照组,差异有统计学意义(χ^(2)=4.258,P<0.05);两组患者视觉模拟量表(VAS)评分均随时间发展而逐渐降低,并且观察组患者在治疗1周、治疗1个月及治疗3个月后VAS评分均低于对照组,差异有统计学意义(t=8.977、11.47、12.381,P<0.05);治疗3个月后,两组患者菌斑指数(PLI)、牙龈指数(GI)及出血指数(SBI)评分均低于治疗前,且观察组低于对照组,差异有统计学意义(t=4.936、2.931、6.111,P<0.05);观察组患者修复有效率高于对照组,差异有统计学意义(χ^(2)=4.642,P<0.05);两组患者PLI、GI及SBI评分均与修复效果呈负相关,其中观察组相关系数rPLI=-0.491,rGI=-0.472,rSBI=-0.426,对照组相关系数rPLI=-0.444,rGI=-0.456,rSBI=-0.377;治疗后,观察组患者牙齿形态完好、颜色保持及美观满意度均高于对照组,差异有统计学意义(χ^(2)=4.258、4.642、5.126,P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(χ^(2)=6.408,P<0.05)。结论:两种复合树脂均具有较好修复效果,但Z350纳米复合树脂相较于3M唯美树脂,其美容修复效果更好,且有利于保持患者牙周健康状况,可提高美容修复率,具备较好的应用效果。
Objective:To explore the correlation between periodontal health status and composite resin repair effect in patients with anterior teeth cosmetic repair.Methods:A total of 102 patients in the hospital for cosmetic restoration of anterior teeth from January 2020 to Febuary 2022 were selected and divided into control group and observation group according to the selected restoration method.Among them,the control group used 3M aesthetic resin for cosmetic restoration of anterior teeth(50 cases),and the observation group used Z350 nanocomposite resin for anterior teeth cosmetic restoration(52 cases).The incidence of sensitivity,pain,periodontal health indicators,restoration effect,aesthetic satisfaction and complications were observed and compared between the two groups.At the same time,the Spearman method was used to analyze the correlation between the periodontal health and restoration effect.Results:After 3 months of treatment,the incidence of pulp sensitivity in the observation group was lower than that in the control group,with statistically significant difference(χ^(2)=4.258,P<0.05).The VAS scores of the two groups were lower than those of the control group after 1 week,1 month and 3 months treatment(t=8.977,11.47,12.381;P<0.05).3 months after treatment,PLI,GI and SBI scores of the patients in the group were lower than those before treatment,but the observation group was lower than the control group(t=4.936,2.931,6.111;P<0.05).The repair efficiency of the observation group was higher than that of the control group(χ^(2)=4.642,P<0.05).The scores were all negatively correlated with the repair effect,among which the correlation coefficients rPLI=-0.491,rGI=-0.472,rSBI=-0.426 in the observation group,and rPLI=-0.444,rGI=-0.456,rSBI=-0.377 in the control group.After treatment,the number of teeth with intact shape,color retention and aesthetic satisfaction in the observation group were higher than those in the control group(χ^(2)=4.258,4.642,5.126;P<0.05).The incidence of complications in the observation group was lower than that in the control group(χ^(2)=6.408,P<0.05).Conclusion:Both composite resins have better restoration effects,but Z350 nano-composite resin has better cosmetic restoration effect than 3M aesthetic resin,and it is beneficial to maintain the patient’s periodontal health,which can improve the cosmetic restoration rate. It has a better cosmetic restoration effect.
作者
杜琼
周清
李伟
Du Qiong;Zhou Qing;Li Wei(Department of Stomatology,Xuchang Central Hospital,Xuchang,Henan,461000,China)
出处
《黑龙江医学》
2024年第13期1548-1551,共4页
Heilongjiang Medical Journal
基金
许昌市科技计划项目(20230213084)。
关键词
复合树脂
前牙
美容修复
牙周健康
修复效果
Composite resin
Anterior teeth
Cosmetic restoration
Periodontal health
Restoration effect
