自酸蚀粘接剂对活髓基牙的保护治疗  

Protection treatment of the self-eching adhesive to vital pulp abutment tooth

作　　者：靳晓晨[1] 张桂荣[1] 俞红[1] 

机构地区：[1]北京大学口腔医院门诊部修复科,100034

出　　处：《现代口腔医学杂志》2013年第4期223-226,共4页Journal of Modern Stomatology

摘　　要：目的临床上观察在活髓基牙备牙后即刻使用自酸蚀粘接剂作保护治疗,是否有效地减轻了基牙的牙本质敏感症状。方法选择临床上作金属烤瓷固定桥修复的患者28例,随机分成A、B两组。实验组(A)用自酸蚀粘接剂3M ESPE AdperTMPromptTM在备牙后立即作保护治疗,对照组(B)不作保护治疗。在基线、粘冠前、粘冠后、粘冠后四周,分别使用冷空气吹喷检测法检查,并采用可视分级评价法(VAS)作评价指标。结果粘冠后的VAS均值显著地小于粘冠前的VAS均值;对于同一时期的同一牙位,实验组的VAS均值与对照组的并无显著性差别。结论本文条件下,使用自酸蚀粘接剂作保护治疗,并不能有效地减轻活髓基牙术后的牙本质敏感症状。边缘密合、高质量的修复体可以明显地降低基牙的术后敏感症状。Objective This study aimed to observe the effect that the protective treatment using a self-etching adhesive immediately after teeth being prepared could relieve the dentin hypersensitivity symptoms of the vital abutment teeth.Methods 28 patients which were cured with metal ceramic fixed bridge restoration were randomly divided into two groups-A and B.Group A was immediately deal with protection treatment useing the self-etching bonding agent 3M ESPE AdperTM PromptTM after teeth being prepared.Group B was not deal with protection treatment.On the baseline,before bonding crown,after bonding,after bonding four weeks,the method of cold air blow spray testing was applied to check the abutment teeth,and Visual Analgoue scales（VAS） was used for evaluation.Results The VAS means after bonding crown were significantly less than the VAS means before bonding crown.For the teeth in the same position,the VAS means of Group A and Group B had no significant difference at the same time.Conclusion In this condition,the protection treatment of the self-etching adhesive could not relieve the postoperative hypersensitivity symptoms of the vital abutment teeth effectively.Edge sealing,high quality restorations could relieve the symptoms significantly.

关 键 词：自酸蚀粘接剂 活髓基牙 保护治疗 

分 类 号：R783.3[医药卫生—口腔医学]