前牙美学区不同材料即刻修复的临床效果评价  

Clinical Observation on Immediate Restoration of different materidls in Esthetic Zone

作　　者：黄雁红[1] 苏媛[1] 卓颖[1] 陈沛[1] 卢海宾[1] 容明灯[1] 奚玫[1] 张雪洋[1] 

机构地区：[1]广东省口腔医院,广东广州510280

出　　处：《现代医院》2016年第12期1757-1760,共4页Modern Hospitals

摘　　要：目的通过医生对美学区即刻修复专业白色美学的评分，结合患者的治疗意愿情况及满意度的评价，探讨即刻修复的临床适应性及对患者治疗意愿的影响。方法选择41例上前牙区单颗牙缺失的患者，均于种植手术后1周进行即刻修复，5～8个月完成最终修复。患者按照即刻修复义齿的材料不同分成三组，分别为树脂甲冠组，CAD-CAM组和瓷聚合体组。对这些患者进行问卷调查，即刻义齿白色美学评分及VAS评分。结果41例病例中种植体无松动、脱落，种植体的存留率为100％。根据患者问卷调查，评估患者对即刻修复的要求和期望值，48．3％为“次要因素”，41．4％为“主要因素”，10．3％为“无影响”。三组白色美学评分存在统计学差异，瓷聚合体组〉CAD-CAM组〉树脂甲冠组。三组的患者的VAS评价无显著性差异，而医生的VAS评价存在统计学差异。结论即刻修复的方式对患者选择种植的意愿有一定的影响，尚不能认为患者对修复结果的评价与其实际专业效果相关。Objective To evaluate the clinical acceptance of treatment and the effect of implant immediate restora- tion on patients＇ decision, by the white esthetic score（WES） of professional doctors, the treatment desire and the satisfaction of patients. Methods 41 patients with single teeth loss in esthetic zone were enrolled in the study. Immediate restorations were fixed within 1 week after surgical. According to different material, patients were divided into 3 groups, namely resin group, CAD - CAM group and ceramic polymer group. Questionnaire survey, WES of provisional restoration and VAS scores were carried on for all the patients. Results Implant survival rate was 100%. For the questionnaire survey, immediate res- torations were the secondary factor on treatment decision for 48.3% of patients and 41.4% for main factor and 10.3% for no effects. There was significant difference among 3 groups on WES and VAS of doctors. There was no significant difference a- mong groups on VAS of patients. Conclusion Immediate restoration may have potential effect on patients＇ decisions on dent- al implant treatment. Professional evaluation will not always be the same with patients＇ satisfaction.

关 键 词：即刻修复 种植义齿 白色美学评分 VAS评分 

分 类 号：R783.4[医药卫生—口腔医学]