大块复合树脂联合透明预成冠美学修复乳切牙的临床评价  

Clinical evaluation of bulk⁃fill composite resin combined with transparent preformed crown for aesthetic resto⁃ration of deciduous incisor

作　　者：杨曼 赵远 魏红 商英楠 安无恙 田宏伟 YANG Man;ZHAO Yuan;WEI Hong;SHANG Yingnan;AN Wuyang;TIAN Hong-wei(Children’s Stomatology Center,Jinzhou Stomatological Hospital,Jinzhou 121000,China;VIP Department,Jinzhou Stomatological Hospital,Jinzhou 121000,China;Periodontal Department,Jinzhou Stomatological Hospital,Jinzhou 121000,China;Orthodontic Department,Jinzhou Stomatological Hospital,Jinzhou 121000,China;Pediatric Endodontic Department,Jinzhou Stomatological Hospital,Jinzhou 121000,China)

机构地区：[1]锦州市口腔医院儿童口腔医学中心,辽宁锦州121000 [2]锦州市口腔医院VIP诊室,辽宁锦州121000 [3]锦州市口腔医院牙周科,辽宁锦州121000 [4]锦州市口腔医院正畸科,辽宁锦州121000 [5]锦州市口腔医院儿童牙体牙髓科,辽宁锦州121000

出　　处：《口腔疾病防治》2021年第1期34-39,共6页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：辽宁省自然科学基金重点项目(20180530071)。

摘　　要：目的探讨大块复合树脂联合透明预成冠用于患儿乳切牙美学修复的临床评价。方法预先设计临床前瞻性随机对照研究方法,选取入组患者90例(患牙123颗),随机数表法分为A、B、C三组,试验组A组为SF(SonicFill)大块复合树脂联合透明预成冠(30例,患牙41颗),对照组B组为Tetric N-Ceram Bulk Fill大块复合树脂联合透明预成冠(29例,患牙39颗)和C组为3M Z350 XT通用纳米树脂联合透明预成冠(31例,患牙43颗),采用视觉模拟评分法量表(VAS)和改良USPHS标准于术后12个月进行临床效果评价。结果术后12个月,A组的评价指标均优于2B、C组,差异均具有统计学意义,包括:边缘完整性(χ2=10.847,P=0.028),边缘台阶(χ2=7.799,P=0.020),边缘变色(χ2=10.391,P=0.034),表面状态(χ2=11.476,P=0.021);继发龋(χ2=10.447,P=0.034)。A组家长对整体轮廓(χ2=10.238,P=0.037)、形态质地(χ2=11.521,P=0.021)的满意度评价均优于B、C组,差异均具有统计学意义,3组家长对颜色满意程度评价无显著性差异(χ2=0.990,P=0.610)。结论 SonicFill大块复合树脂联合透明预成冠用于乳切牙美学修复短期效果较好,患儿家长满意度较高。Objective To explore the clinical effect of bulk-fill composite resin combined with transparent preformed crowns for aesthetic restoration of deciduous incisor of children.Methods A predesigned clinical prospective randomized controlled research method was used to select 90 patients(123 teeth).The random number table method was divided into three groups:A,B,and C.Group A was treated with a bulk-fill composite resin of SF(SonicFill) combined with a transparent preformed crown(41 teeth in 30 cases),and group B was treated with a large block of Tetric NCeram Bulk Fill Composite resin combined with transparent preformed crowns(39 teeth in 29 cases).Group C was treated with 3 M Z350 XT universal nano resin combined with transparent preformed crowns(43 teeth in 31 cases).The visual analog scale(VAS) and the modified USPHS standard were used to evaluate the completeness,marginal steps,marginal discoloration,surface condition,secondary caries and satisfaction of the parents with prostheses after 12 months.Results Twelve months after the operation,the evaluation indexes of group A were better than those of group B and group C,and the differences were statistically significant,including edge integrity(χ~2=10.847,P=0.028),edge step(χ~2=7.799,P=0.020),edge discoloration(χ~2=10.391,P=0.034),surface state(χ~2=11.476,P=0.021),and secondary caries(χ~2=10.447,P=0.034).The satisfaction of parents in group A on the overall contour(χ~2=10.238,P=0.037),shape and texture(χ~2=521,P=0.021) were better than those in group B and group C,and the differences were statistically significant.There was no significant difference in the evaluation of color satisfaction among the three groups(χ~2=0.990,P=0.610).Conclusion SonicFill bulk-fill composite resin combined with transparent preformed crown is good for short-term aesthetic restoration of deciduous incisor,and parental satisfaction is high.

关 键 词：大块复合树脂 直接修复 乳切牙 流动复合树脂 透明预成冠 牙体缺损 树脂修复治疗 美学修复 

分 类 号：R783.4[医药卫生—口腔医学]