摘要
目的分析氧化锆全瓷冠修复对基牙牙周指数与炎性状态的影响,并评价其应用价值。方法将2018年1月—2019年1月期间该院接收的100例拟行全冠修复患者作为研究对象,根据单盲分组法将其分成两个组别(参照组和研究组),参照组以钴铬合金烤瓷冠修复方式对患者施以治疗,研究组以氧化锆全瓷冠修复方式对患者施以治疗,观察并对比两组患者基牙牙周指数与炎性指标的变化。结果研究组患者在修复后12个月的牙周指数,即PLI(0.89±0.19)、GI(1.01±0.27)以及PD(1.99±0.32)的各项数据,均明显优于参照组,差异有统计学意义(t=8.180、10.150、8.130,P=0.000、0.000、0.000);且研究组患者TNF-α(20.23±3.19)ng/mL、IL-1β(2.36±0.45)ng/mL以及MMP-8(900.27±52.84)ng/mL的水平均明显优于参照组,差异有统计学意义(t=9.340、8.480,8.460,P=0.000、0.000、0.000);同时,研究组患者并发症发生率为10.0%,明显低于参照组的28.0%,差异有统计学意义(χ^2=5.260,P=0.020)。结论氧化锆全瓷修复相比钴铬合金烤瓷冠修复更有利于患者基牙牙周组织的健康,能够有效降低治疗并发症发生率,临床应用价值显著,值得研究推广。
Objective To analyze the effect of zirconia all-ceramic crown restoration on periodontal index and inflammatory state of abutment,and evaluate its application value.Methods 100 patients who underwent full-crown repair in our hospital from January 2018 to January 2019 were enrolled in the study.They were divided into two groups according to the single-blind grouping method(reference group and study group).The patients were treated with cobalt-chromium alloy porcelain crown repair method.The study group treated the patients with zirconia all-ceramic crown repair method,and observed and compared the change of abutment periodontal index and inflammatory index between the two groups.Results The periodontal index of patients in the study group at 12 months after repair,ie PLI(0.89±0.19),GI(1.01±0.27)and PD(1.99±0.32),were significantly better than the reference group,the difference was statistically significant(t=8.180,8.130,10.150,P=0.000,0.000,0.000);and the study group patients TNF-α(20.23±3.19)ng/mL,IL-1β(2.36±0.45)ng/mL and MMP-8 level of(900.27±52.84)ng/mL was significantly better than that of the reference group,and the difference was statistically significant(t=9.340,8.480,8.460,P=0.000,0.000,0.000).At the same time,the complications of the study group patients was 10.0%,which was statistically significantly lower than 28.0%of the reference group,and the difference was significant(χ^2=5.260,P=0.020).Conclusion Compared with cobalt-chromium alloy porcelain crown repair,zirconia all-ceramic repair is more conducive to the health of periodontal tissues of patients with abutment,which can effectively reduce the incidence of treatment complications.The clinical application value is significant and worthy of research and promotion.
作者
于胜利
姜那
李海莹
胡兵兵
YU Sheng-li;JIANG Na;LI Hai-ying;HU Bing-bing(Department of Stomatology,Heilongjiang Academy of Traditional ChineseMedicine,Harbin,Heilongjiang Province,150036 China)
出处
《世界复合医学》
2019年第9期190-192,共3页
World Journal of Complex Medicine
关键词
氧化锆全瓷修复
钴铬合金烤瓷修复
基牙牙周
炎性指标
Zirconia all-ceramic restoration
Cobalt-chromium alloy porcelainrestoration
Abutment periodontal
Inflammatory index
