成人上颌正中多生牙的临床美学修复探讨  

The Clinical Effect Evaluation of Adults with Mesiodens Treatment by All-Ceramic Restroations

作　　者：杜文治 裴丹丹[1,2] 刘洁 王珍珍[1,2] 贺敏 逯宜[1,2] DU Wen-zhi;PEI Dan-dan;LIU Jie;WANG Zhen-zhen;HE Min;LU Yi(Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research,College of Stomatology,Xi'an Jiaotong University,Xi’an 710004,Shaanxi,China;Department of Prosthodontics,Stomatology Hospital of Xi’an Jiaotong University College of Medicine,Xi’an 710004,Shaanxi,China)

机构地区：[1]陕西省颅颌面精准医学研究重点实验室,陕西西安710004 [2]西安交通大学口腔医院修复科,陕西西安710004

出　　处：《中国美容医学》2019年第10期106-109,共4页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金(编号:81870798);陕西省牙颌疾病临床医学研究中心开放课题(编号:2018YHJB07)

摘　　要：目的:针对成人正中多生牙患者,评价其非正畸美学修复方案及效果。方法:选取2015年7月-2017年12月在笔者医院全瓷修复治疗的成人正中多生牙患者16例,共19颗全瓷修复体,永久戴用1天、1周、6个月、12个月后复查,利用改良Ryge标准对全瓷修复体修复后效果进行评估,并对患者进行满意度调查。结果:在修复体初戴时发现,4例患者对修复体颜色不满,经技师现场调色满意后并粘接;术后1周内,部分患者出现暂时牙龈轻度红肿及一过性敏感症状,短期内症状缓解并消失;术后6个月,1例修复体崩瓷返工;术后1年随访发现患者的主观满意度高达100%。结论:通过全瓷修复治疗上颌正中多生牙,避免正畸治疗所带来的一些痛苦,能在一定程度上改善前牙美观,满足患者的个性化需求,可作为治疗正中多生牙的一种临床选择。Objective The aim of this study is to evaluate the clinical effects of adult patients with mesiodens treated by all-ceramic restorations.Methods The present study consisted of 19 all-ceramic restorations of 16 adults with mesiodens from July 2015 to December 2017.The clinical effects treated by all-ceramic restroations were assessed by using the modi fied Ryge criteria,and the satisfaction of patient was investigated through the questionnaire.Results At the beginning of the restoration,4 patients were dissatis fied with the color of the prosthesis.While through the adjustment by the technicians on-site,they all satisfied the color and agreed that the prosthesis to be adhered.Within 1 week after restoration,several patients presented temporary mild gingival redness and swelling and transient sensitive symptoms,which were relieved and then disappeared in a short time.After six months,1 case of ceramic restoration was reworked for the cracking of porcelain.In addition,the patient's subjective satisfaction was as high as 100%after all patients were followed up for more than one year.Conclusion Using all-ceramic restorations to repair mesiodens can improve the aesthetic of the patients and reduce the pain caused by orthodontic treatment.Therefore,all-ceramic restorations can be used as a clinical option for the treatment of mesiodens.

关 键 词：成人 全瓷修复体 美学修复 正中牙 满意度 

分 类 号：R783.4[医药卫生—口腔医学]