摘要
目的:探讨烤瓷熔附金属修复体在前牙美容中的应用及对患者牙齿美观评分的影响。方法:选择2015年1月-2017年2月笔者科室进行前牙美容修复治疗的164例患者,根据修复体不同分为对照组(n=82例)和观察组(n=82例)。对照组采用玻璃陶瓷全瓷冠修复,观察组采用烤瓷熔附金属修复体,两组均连续进行12个月修复,修复完毕后对患者进行疗效评估。采用美国公共健康协会(USPHS)量表从固位、颜色匹配、边缘着色、继发龋、解剖形态、表面光滑度、敏感度对两组牙齿美观进行评估;记录并统计两组修复后基牙疼痛、牙过敏疼痛、牙龈炎及食物嵌塞发生率;采用咬合力测定仪测定患者治疗前、治疗后12个月咬合力;采用称重法对两组治疗前、治疗后12个月患者咀嚼效率进行评估,比较两组修复效果及对患者牙齿美观、咀嚼功能的影响。结果:观察组烤瓷熔附金属修复体修复后12个月固位、颜色匹配、边缘着色、继发龋、解剖形态、表面光滑度、敏感度评分,均高于对照组(P<0.05);观察组修复后12个月基牙疼痛、牙过敏疼痛、牙龈炎及食物嵌塞发生率与对照组比较,均低于对照组(P<0.05);治疗后,观察组咬合力与咀嚼效率与对照组比较,均高于对照组(P<0.05)。结论:将烤瓷熔附金属修复体用于前牙美容修复中有助于提高牙齿美观评分,并发症发生率较低,且未对患者咀嚼功能产生影响,值得临床推广应用。
Objective To explore the application of porcelain fused metal restorations in the treatment of anterior teeth and the effect on the aesthetic score of patients. Methods From January 2015 to February 2017, 164 patients with anterior teeth were selected and divided into control group （n=82 cases） and observation group （n=82 cases）. The control group was repaired with a glass-ceramic all-ceramic crown, and the observation group was treated with a porcelain-fused metal restoration. The two groups were continuously repaired for 12 months. After the repair, the patient＇s effect was evaluated. The US Public Health Association （USPHS） scale was used to evaluate the aesthetics of the two groups from retention, color matching, edge coloring, secondary caries, anatomy, surface smoothness, and sensitivity; Pain, tooth allergy pain, gingivitis and food impaction rate; occlusion force was measured by occlusion force tester before treatment and 12 months after treatment; patients were evaluated by weighing method before treatment and 12 months after treatment The chewing effciency was evaluated to compare the effects of the two groups and the effects on the patient＇s teeth and chewing function. Results The 12-month retention, color matching, edge coloration, secondary caries, anatomical morphology, surface smoothness and sensitivity score of the porcelain-fused metal restorations in the observation group were higher than those in the control group （P〈0.05）. The incidence of abutment pain, tooth allergy pain, tendonitis and food impaction was lower in the observation group than in the control group （P〈0.05）. The occlusal force and chewing efficiency of the observation group were higher than those in the control group （P〈0.05）. Conclusion The use of porcelain fused metal restorations for cosmetic restoration of anterior teeth can improve the aesthetic score of teeth, and the incidence of complications is low. It does not affect the chewing function of patients, and it is worthy of popularizatio
作者
宋生璋
程楚昕
汪跃峰
SONG Sheng-zhang;CHENG Chu-xin;WANG Yue-feng(Department of Orthodontic Prosthodontics,Qinghai University Affliated Hospital,Xining 810000,Qinghai,China)
出处
《中国美容医学》
CAS
2018年第10期96-99,共4页
Chinese Journal of Aesthetic Medicine
关键词
烤瓷熔附金属修复体
前牙美容
牙齿美观
咬合力
美观满意调查表
玻璃陶瓷全瓷冠
porcelain-fused-to-metal prostheses
teeth care
teeth aesthetics
occlusal force
aesthetic satisfaction scale
glass ceramic crown
