摘要
目的比较Ceramage高嵌体、树脂充填修复大面积牙体缺损的无髓年轻恒磨牙的临床疗效。方法回顾性分析2016年1月至2017年1月收治的大面积牙体缺损的35例40颗无髓年轻恒磨牙,根据修复方法分为Ceramage高嵌体组16例(18颗)、树脂充填组19例(22颗)。Ceramage高嵌体组采用Ceramage聚合瓷高嵌体修复,树脂充填组采用直接树脂充填修复。修复后1、6年按照美国公共健康协会修正标准对修复体进行评价,并比较2组修复体脱落情况。结果修复后1年,2组临床效果比较差异无统计学意义(P>0.05)。修复后6年,Ceramage高嵌体组修复体完整性、无基牙折裂效果优于树脂充填组(P<0.05)。Ceramage高嵌体组修复体脱落率[5.56%(1/18)]低于树脂充填组[40.91%(9/22)],差异有统计学意义(P<0.05)。结论Ceramage高嵌体和树脂充填在修复牙体严重缺损的年轻恒磨牙时短期修复效果差别不明显,长期的修复效果Ceramage高嵌体优于树脂充填。
Objective To compare the clinical efficacy of Ceramage resin inlay and resin filling in the repair of pulpless immature permanent molars with large-area defect.Methods A retrospective analysis was performed on 35 patients with 40 pulpless immature permanent molars with large-area defect treated from January 2016 to January 2017.The patients were divided into Ceramage resin inlay group(16 patients,18 teeth)and resin filling group(19 patients,22 teeth)according to repair methods.The Ceramage resin inlay group was repaired using Ceramage polymer ceramic inlay,while the resin filling group was repaired using direct resin filling.The restorations were evaluated according to the modified the United States Public Health Service(USPHS)standard at 1 and 6 years after the restoration,and the shedding of the restorations in the two groups was compared.Results At 1 year after repair,there was no significant difference in clinical effect between the two groups(P>0.05).At 6 years after restoration,the restoration integrity and abutment fracture free effect of Ceramage resin inlay group were better than those of resin filling group(P<0.05).The rate of shedding of restoration in Ceramage resin inlay group[5.56%(1/18)]was lower than that in resin filling group[40.91%(9/22)],and the difference was statistically significant(P<0.05).Conclusion The short-term repair effect of Ceramage resin inlay and resin filling is similar in the repair of immature permanent molars with serious tooth defects;however,the long-term repair effect of Ceramage resin inlay is better than that of direct resin filling.
作者
杜劲英
章雯
DU Jinying;ZHANG Wen(Women's Hospital of Nanjing Medical University,Nanjing Women and Children's Healthcare Hospital,Nanjing 210004,China;The Fourth Outpatient Department,the Affiliated Stomatological Hospital of Nanjing Medical University State Key Laboratory Cultivation Base of Research,Prevention and Treatment for Oral Diseases(Nanjing Medical University),Nanjing 210029,China)
出处
《临床误诊误治》
CAS
2024年第18期76-81,共6页
Clinical Misdiagnosis & Mistherapy
基金
江苏省科教能力提升工程-江苏省研究型医院建设单位(YJXYYJSDW4)
江苏省医学创新中心(CXZX202227)。
