自体牙断冠再接术治疗年轻恒牙外伤的临床疗效及满意度调查  

Clinical Effect and Patient Satisfaction of Reattachment of Permanent Anterior Teeth with Crown Fracture

作　　者：张丹丹 方林仙[1] 余锦锦[1] 陈瑶[1] 

机构地区：[1]浙江大学医学院附属口腔医院儿童口腔科,浙江杭州310000

出　　处：《中国美容医学》2017年第11期100-103,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较自体牙断冠再接术和复合树脂重建术治疗年轻恒牙外伤的临床疗效和患者满意度。方法:选择148例患儿的180颗简单冠折牙,其中82颗断冠完整寻回者作为实验组,使用断冠再接术进行修复;98颗离体断冠丢失者作为对照组,使用纳米复合树脂进行牙冠外形修复。术后1、6、12、24个月复查,进行疗效评价和满意度调查。结果:术后24个月实验组成功率64.86%,对照组成功率54.54%,两者之间有显著性差异(P<0.05)。术后24个月满意度调查显示,实验组满意度评分(8.65±1.31)分,对照组满意度评分(6.98±1.45)分,两者之间有显著性差异(P<0.05)。结论:自体牙断冠再接术的临床疗效及患者满意度均优于复合树脂外形重建技术,是一种良好的过渡性修复方法。Objective To compare the clinical effect and patient satisfaction between reattachment of permanent anterior teeth using dual-cured resin and esthetic light-cured resin in crown fracture permanent anterior teeth. Methods 180 crown fracture permanent anterior teeth of 148 patients were divided into two groups. In experimental group, 82 permanent anterior teeth, which had intact incisal edge segments, were reattached by dual-cured resin. In control group, 98 permanent anterior teeth, which segment were lost, were restored with esthetic light-cured resin. Cases were assessed clinically by two year’s followed up. Results The success rate was 64.86% in experimental group and 54.54% in control group after two year’s follow up（P〈0.05） .The patient satisfaction was 8.65±1.31 in experimental group and 6.98±1.45 in control group after two year’s follow up（P〈0.05）. Conclusion The clinical effect of reattachment with dual-cured resin to treat anterior crown fracture is superior to restore with esthetic light-cured resin.

关 键 词：年轻恒牙 简单冠折 断冠再接 外形修复 满意度 

分 类 号：R783.4[医药卫生—口腔医学]