摘要
目的:评价高嵌体结合即刻牙本质封闭技术修复磨牙中重度缺损的临床疗效。方法:选择我科2017年1月~2018年10月根管治疗后1~3个轴壁缺损的126例患者,141颗磨牙,采用CAD/CAM高嵌体结合即刻牙本质封闭技术修复,术后6、12、24个月复查,对其进行临床疗效评价。结果:共118例患者,130颗磨牙高嵌体完成24个月随访,修复体在牙体完整性、高嵌体固位、边缘密合性、邻接关系、牙龈情况等方面性能良好,仅5例失败:其中2例出现食物嵌塞,2例高嵌体脱落,1例牙龈炎。结论:高嵌体结合即刻牙本质封闭技术修复磨牙中重度缺损效果稳定,可作为临床修复选择方案之一。
Objective:To evaluate the clinical effect of onlay combined with immediate dentin sealing technique in repairing moderate to severe molar defects.Methods:141 molars with 1 to 3 axial-wall defects in 126 patients were selected in our department from January 2017 to October 2018.The molar defects were repaired with CAD/CAM onlays after root canal treatment and immediate dentin sealing(IDS).6,12 and 24 months after surgery,patients were asked for re-examination and clinical curative effects evaluation were performed.Results:A total of 130 molar onlays in 118 patients completed a 24-month follow-up,which performed well in terms of tooth integrity,onlay retention,edge adhesion,adjacency,and gingival conditions.Only 5 cases failed:2 cases of food impaction,2 cases of onlay shedding,1 case of gingivitis.Conclusion:Onlay combined with immediate dentin sealing technology has a stable effect in repairing moderate to severe molar defects,which can be used as one of the clinical restoration options.
作者
徐西红
于波
张雪
于英杰
XU Xi-hong;YU Bo;ZHANG Xue;YU Ying-jie(Department of Oral Medicine,Chengde Stomatological Hospi-tal,Chengde 067000,China;Department of Prosthodontics,Chengde Stomatological Hospital,Chengde 067000,China)
出处
《口腔颌面修复学杂志》
2022年第1期32-37,共6页
Chinese Journal of Prosthodontics
关键词
即刻牙本质封闭
磨牙
高嵌体
中重度牙体缺损
immediate dentin sealing
molars
onlays
moderate to severe tooth defects
