摘要
目的比较全瓷修复体与复合树脂修复在上颌前牙牙体缺损中的应用效果。方法选择我院2014年11月～2018年7月收治的104例上颌前牙牙体缺损修复的患者作为研究对象,按照患者选择的不同修复方式,分成树脂组(n=52)和全瓷组(n=52),树脂组用复合树脂充填修复,全瓷组用全瓷冠修复,对两组修复效果,修复后并发症情况及患者对修复效果总满意度比较。结果全瓷组修复总有效率为96.15%,高于树脂组的82.69%,差异有统计学意义(P<0.05);全瓷组修复后并发症总发生率低于树脂组,差异有统计学意义(P<0.05);全瓷组对固位功能,美观性和咀嚼功能满意度评分明显高于树脂组,差异有统计学意义(P<0.05);对牙体制备评分低于树脂组,治疗费用明显高于树脂组,差异有统计学意义(P<0.05)。结论与复合树脂修复比较,对上颌前牙牙体缺损用全瓷修复可获得更好的修复效果,咀嚼功能和美观效果更佳,有利于保持牙周组织健康,劣势在于全瓷修复需磨除大量牙体组织,但总体应用价值更高,临床中可根据缺损部位和面积选择相应的修复方式。
Objective To compare the effect of all-ceramic restoration and composite resin in the restoration of maxillary anterior teeth defects.Methods 104 patients with maxillary anterior teeth defect treated in our hospital from November 2014 to July 2018 were selected and divided into resin group(n=52)and all-ceramic group(n=52)according to different restoration methods.The resin group was filled with composite resin,and the all-ceramic group was restored with all-ceramic crown.The repairing effect,complications and satisfaction of the two groups were evaluated and compared.Results The total effective rate of all-ceramic group was 96.15%higher than that of resin group(82.69%),the difference was statistically significant(P<0.05);the total complication rate of all-ceramic group was lower than that of resin group,the difference was statistically significant(P<0.05);the scores of retention function,aesthetics and masticatory function satisfaction of all-ceramic group were significantly higher than that of tree group.Lipid group,the differences were statistically significant(P<0.05).Dental preparation and treatment cost score was significantly lower than resin group,the differences were statistically significant(P<0.05).Conclusion Compared with composite resin,all-ceramic restoration of maxillary anterior teeth can obtain better restoration effect,better masticatory function and aesthetic effect,and is conducive to the maintenance of periodontal health.The disadvantage of all-ceramic restoration is that a large number of tooth tissues need to be abraded,but the overall application value is higher,which can be based on the clinical defect.Location and area to choose the appropriate way of repair.
作者
黄芬
HUANG Fen(Department of Stomatology,Siming Branch of First Affiliated Hospital of Xiamen University,Fujian Province,Xiamen 361000,China)
出处
《中国当代医药》
2019年第5期159-161,共3页
China Modern Medicine
关键词
上颌前牙牙体缺损
全瓷修复体
复合树脂修复
优劣比较
Maxillary anterior teeth defect
All-ceramic restoration
Composite resin repair
Comparison of advantages and disadvantages
