2种瓷贴面修复的临床疗效比较  

Comparison of the clinical efficacy between two kinds of ceramic veneer restoration

作　　者：陈润[1] 江磊[1] 于皓[1] 郑明[1] 程辉[1] 

机构地区：[1]福建医科大学附属口腔医院.福建医科大学口腔生物力学及美学研究中心,福州350002

出　　处：《实用口腔医学杂志》2016年第4期542-546,共5页Journal of Practical Stomatology

基　　金：福建省医药卫生科技创新项目(编号:2014-CXB-19)

摘　　要：目的:评价有预备瓷贴面和无预备瓷贴面修复的临床效果。方法:44例患者制作97个有预备瓷贴面,23例患者制作57个无预备瓷贴面,评估2组患者术前心理紧张度、术后敏感度和满意度、贴面存留率、术前和术后3年龈沟出血指数,采用改良加利福尼亚牙科协会-瑞格标准对修复3年后2组贴面的各项临床指标作比较分析。结果:有预备组和无预备组的贴面存留率分别为96.91%和96.49%(P>0.05),患者满意度分别为95.45%和95.65%(P>0.05);有预备组术前心理紧张度要显著高于无预备组(P<0.05);术后敏感度有预备组较高(P<0.05);2组术前术后龈沟出血指数的比较无统计学意义(P>0.05);2组贴面在颜色匹配、瓷表面质地及边缘着色等方面的比较无统计学意义(P>0.05),边缘适合性有预备组较优(P<0.05)。结论:无预备瓷贴面修复与有预备瓷贴面修复均可获得良好临床效果。Objective： To evaluate the clinical efficacy between preparation porcelain veneer（ PPV） and no-preparation porcelain veneer（ NPPV）. Methods： 44 patients with 97 PPVs and 23 patients with 57 NPPVs were followed up for 3 years. Mental tension,postoperative dentin sensitivity and satisfaction of the patients,survival rate of the veneers,sulcus bleeding index（ SBI） of preoperative and postoperative 3 years were evaluated. A comparative analysis was taken to examine the clinical indicators of 2 groups according to the modified CDA / Ryge criteria. Results： Survival rates of PPVs and NPPVs were 96. 91% and 96. 49%（ P〈0. 05）,satisfaction rates of the 2 group patients were 95. 45% and 95. 65%（ P〈0. 05）,respectively. Mental tension and the postoperative dentin sensitivity of patients in PPV group was higher than those in NPPV group. Preoperative and postoperative SBI were not statistically different between the 2 groups（ P〉0. 05）. Marginal adaptation in PPV group was better than that in NPPV group. Color matching,Porcelain surface and Marginal stain were not statistically different between 2 groups. Conclusion： Preparation porcelain veneers and no-preparation porcelain veneers both are effective in clinical application.

关 键 词：无预备 瓷贴面 临床疗效 

分 类 号：R783.3[医药卫生—口腔医学]