摘要
目的:比较IPS e.max press热压铸造陶瓷全冠及二氧化锆全瓷冠对前牙修复患者牙龈健康、美观度的影响,为前牙美学修复的材料选择提供临床参考。方法:以2021年5月至2022年5月于我院接受前牙修复的104例患者为研究对象,以随机数字表法分为两组,分别52例。观察组、对照组分别以IPS e.max press铸瓷全冠、二氧化锆全瓷冠修复,比较两组患者的临床修复效果及修复后的牙龈指数、菌斑指数、龈沟出血指数、龈沟液炎性因子水平。结果:观察组边缘密合度、继发龋情况均优于对照组(P<0.05);修复后,观察组牙龈指数、菌斑指数等显著小于对照组,龈沟液IL-6、IL-8及TNF-α水平显著低于对照组(P<0.05);修复12个月后,观察组PES评分高于对照组(P<0.05)。结论:相比于二氧化锆全瓷冠,IPS e.max press铸瓷全冠具有良好的前牙美学修复效果,可降低龈沟液炎性因子水平,改善牙龈健康,并能提高前牙美观度。
Objective:To compare the effects of IPS e.max press heat-pressed cast porcelain full crowns and zirconia all-ceramic crowns on gingival health and aesthetics in anterior tooth restoration patients,and to provide clinical reference for the selection of materials for anterior tooth aesthetic restoration.Methods:A total of 104 patients who underwent anterior tooth restoration in our hospital from May 2021 to May 2022 were selected as the study subjects and were randomly divided into two groups of 52 patients each using a random number table.The observation group was restored with IPS e.max press cast porcelain full crowns,and the control group was restored with zirconia all-ceramic crowns.The clinical restoration effects and post-restoration gingival index,plaque index,gingival sulcus bleeding index,and gingival sulcus inflammatory factor levels of the two groups were compared.Results:The marginal adaptation and secondary caries of the observation group were superior to those of the control group(P<0.05);after restoration,the gingival index,plaque index,etc.of the observation group were significantly lower than those of the control group,and the levels of IL-6,IL-8,and TNF-αin the gingival sulcus fluid were significantly lower than those of the control group(P<0.05);12 months after restoration,the PES score of the observation group was higher than that of the control group(P<0.05).Conclusion:Compared with zirconia all-ceramic crowns,IPS e.max press cast porcelain full crowns have good anterior tooth aesthetic restoration effect,can reduce the level of inflammatory factors in the gingival sulcus,improve gingival health,and can also improve the aesthetics of anterior teeth.
作者
刘小瑜
陈西文
庄梦瑶
张美玲
刘佳佳
LIU Xiaoyu;CHEN Xiwen;ZHUANG Mengyao(The Third People's Hospital of Chengdu,Sichuan Chengdu 610031,China)
出处
《河北医学》
CAS
2024年第7期1140-1145,共6页
Hebei Medicine
基金
四川省教育厅人文社会科学重点研究基地科研项目,(编号:SCYG2022-36)
成都市卫生健康委员会科研项目,(编号:2023213)。
