摘要
目的探讨E-max高嵌体用于后牙大面积缺损修复的临床效果。方法回顾性纳入郑州大学第一附属医院2017年1月至2019年12月收治的后牙大面积缺损患者156例,根据根管治疗后修复方式分为全冠修复组(74例)和E-max高嵌体修复组(82例)。比较两组患者修复前后牙龈指数和龈沟出血指数、修复效果、不良反应发生情况及修复满意度。结果修复后,两组牙龈指数和龈沟出血指数与修复前比较差异未见统计学意义(P>0.05)。修复前和修复后,全冠修复组牙龈指数和龈沟出血指数与E-max高嵌体修复组比较,差异未见统计学意义(P>0.05)。E-max高嵌体修复组修复优良率(96.34%,79/82)高于全冠修复组(89.19%,55/74),但差异未见统计学意义(P>0.05)。E-max高嵌体修复组患者不良反应发生率(2.44%,2/82)低于全冠修复组(14.86%,11/74),差异有统计学意义(χ^(2)=7.862,P=0.005)。E-max高嵌体修复组修复满意度(97.56%,80/82)高于全冠修复组(89.19%,66/74),差异有统计学意义(P<0.05)。结论全冠修复和E-max高嵌体修复对后牙大面积缺损患者的修复疗效相当,但E-max高嵌体修复后患者满意度较高,不良反应发生率更低,更易被患者选择和接受。
Objective To investigate the efficacy of E-max inlay in restoration of large defect of posterior teeth.Methods A total of 156 patients with large defect of posterior teeth treated in the First Affiliated Hospital of Zhengzhou University from January 2017 to December 2019 were included retrospectively.According to restoration methods after root canal treatment,they were divided into full crown restoration group and E-max high inlay restoration group.The gingival index,gingival sulcus bleeding index,repair effect,occurrence of adverse reactions,and repair satisfaction were compared between the two groups before and after restoration.Results Compared with before restoration,there was no significant change in gingival index and gingival sulcus bleeding index of the two groups after restoration(P>0.05).There was no significant difference in gingival index and gingival sulcus bleeding index between full crown restoration group and E-max high inlay restoration group before and after restoration(P>0.05).The excellent and good rate of E-max high inlay restoration group(96.34%,79/82)was higher than that of full crown restoration group(89.19%,55/74),but the difference was not statistically significant(P>0.05).The incidence of adverse reactions in the E-max inlay restoration group(2.44%,2/82)was significantly lower than that in the crown restoration group(14.86%,11/74),and the difference was statistically significant(χ^(2)=7.862,P=0.005).The satisfaction degree of patients with E-max high inlay restoration(97.56%,80/82)was significantly higher than that of patients with full crown restoration(89.19%,66/74),P<0.05.Conclusions Full crown restoration and E-max inlay restoration have the same effect on patients with large-area defects of the posterior teeth.However,the patients with E-max inlay restoration have higher satisfaction and lower incidences of adverse reactions.And they are more easily selected and accepted by patients.
作者
龙园园
Long Yuanyuan(Department of Stomatology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国实用医刊》
2021年第17期28-30,共3页
Chinese Journal of Practical Medicine
关键词
根管治疗术
E-max高嵌体
全冠修复
后牙大面积缺损
Root canal therapy
E-max high inlay
Full crown restoration
Large area defect of posterior teeth
