纤维桩联合氧化锆全冠修复磨牙大面积缺损的效果  

Effect of Fiber Post Combined with Zirconia Full Crown in Repairing Large Area Defect of Molar

作　　者：张文君[1] ZHANG Wen-jun(Department of Stomatology,Tianjin the First Hospital,Tianjin 300232,China)

机构地区：[1]天津市第一医院口腔科,天津300232

出　　处：《医学信息》2020年第17期109-111,共3页Journal of Medical Information

摘　　要：目的研究纤维桩联合氧化锆全冠修复磨牙大面积缺损的效果。方法选取2018年10月~2019年10月我院诊治的104例磨牙大面积缺损患者为研究对象,采用随机数字表法分为对照组和联合组,各52例。对照组采用纤维桩修复,联合组在对照组基础上联合氧化锆全冠修复,比较两组临床临床修复优良率、临床修复指标(完整性、边缘适应性、颜色匹配、美观满意度)评分、口腔健康生活质量(生理疼痛、功能限制、食物嵌塞、咬合)评分以及并发症发生情况。结果联合组临床修复优良率为94.23%,高于对照组的84.61%,差异有统计学意义(P<0.05);联合组修复(完整性、边缘适应性、颜色匹配、美观满意度)各指标评分均高于对照组,口腔健康生活质量(生理疼痛、功能限制、食物嵌塞、咬合)各指标评分均低于对照组,差异有统计学意义(P<0.05);随访3个月,联合组并发症发生率为5.76%,低于对照组的13.46%,差异有统计学意义(P<0.05)。结论纤维桩联合氧化锆全冠修复磨牙大面积缺损临床疗效理想,修复完整性、边缘适应性、颜色匹配以及美观满意度高均较高,且可有效改善患者口腔健康生活质量,降低并发症发生率,治疗方案安全性较高。Objective To study the effect of fiber post combined with zirconia full crown in repairing large-area molar defects.Methods A total of 104 patients with large-area molar defects diagnosed and treated in our hospital from October 2018 to October 2019 were selected as the research objects.They were divided into a control group and a combined group by random number table method,with 52 cases in each group.The control group was repaired with fiber posts,and the combination group was combined with zirconia full crown repair on the basis of the control group.The clinical clinical repair excellent and good rate,clinical repair index(integrity,edge adaptability,color matching,aesthetic satisfaction)scores,Oral health quality of life(physiological pain,functional limitation,food impaction,bite)score and complications.Results The excellent and good rate of clinical repair in the combined group was 94.23%,which was higher than 84.61% in the control group,the difference was statistically significant(P<0.05);the combined group repair(integrity,edge adaptability,color matching,aesthetic satisfaction)indicators the scores were all higher than those of the control group,and the scores of various indicators of oral health quality of life(physiological pain,functional limitation,food impaction,bite)were lower than those of the control group,the difference was statistically significant(P<0.05);follow-up for 3 months,combined complication rate in the group was 5.76%,which was lower than 13.46% of the control group,the difference was statistically significant(P<0.05).Conclusion Fiber post combined with zirconia full crown had an ideal clinical effect in repairing large-area molar defects.The repair completeness,edge adaptability,color matching and high aesthetic satisfaction were all high,and it could effectively improve the patient’s oral health and quality of life and reduce complications rate,the treatment plan was safer.

关 键 词：纤维桩 氧化锆全冠 牙缺损 美观度 

分 类 号：R783[医药卫生—口腔医学]