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作 者:赵文 金松 刘亮 许亮 Zhao Wen;Jin Song;Liu Liang;Xu Liang(Department of Stomatology,Second People’s Hospital of Wuhu City,Wuhu 241000,China;Department of Stomatology,The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China;Department of Stomatology,Wannan Medical College,First Affiliated Hospital,Yijishan Hospital,Wuhu 241000,China)
机构地区:[1]芜湖市第二人民医院口腔科,芜湖241000 [2]蚌埠医学院附属第一医院口腔科,蚌埠233000 [3]皖南医学院第一附属医院弋矶山医院口腔科,芜湖241000
出 处:《湖南师范大学学报(医学版)》2021年第3期196-199,共4页Journal of Hunan Normal University(Medical Sciences)
摘 要:目的:研究分析在邻面龋修复中采用玻璃离子水门汀、光敏复合树脂、光固化Ⅱ型玻璃离子水门汀治疗后对牙周微生态和牙龈沟液IL-6、TNF-α的影响。方法:选取2018年1月~2019年12月在本院诊治的邻面龋120例设为研究对象,随机分组为A组(n=40,选用富士Ⅱ玻璃离子水门汀材料填充龋洞)、B组(n=40,选用Z350光敏复合树脂材料填充龋洞)和C组(n=40,选用富士光固化Ⅱ型玻璃离子水门汀材料填充龋洞)。对比三组治疗后1个月和6个月时的牙周微生态及牙龈沟液IL-6、TNF-α情况。结果:A组与B组治疗后1个月及6个月节点各临床牙周指标PLI、GI、PD、BOP不存在统计学差异,B组患者除BOP之外PLI、GI、PD指标治疗后6个月均显著优于治疗后1个月。治疗后1个月三组患者的IL-6、TNF-α均不存在组间显著差异,治疗后6个月三组患者的IL-6、TNF-α均与治疗后1个月无显著差异。结论:临床上采用3M Z350光敏复合树脂材料用于邻面龋修复对牙周微生态和牙龈沟液IL-6、TNF-α的影响较小,具有较高的推广价值。Objective The study analyzes the effects of glass ionomer cement,photosensitive composite resin,and light-curing typeⅡglass ionomer cement in the restoration of proximal caries on periodontal microecology and gingival crevicular fluid IL-6 and TNF-α.Methods In the stratified sampling method,120 cases of adjacent caries treated in our hospital from January 2018 to December 2019 were selected as the research objects,and were grouped into group A according to the number random method(n=40,FujiⅡglass ionomer cement was used to fill the caries Cavity),group B(n=40,use 3M Z350 photosensitive composite resin material to fill the cavities)and group C(n=40,use Fuji light-curing typeⅡglass ionomer cement to fill the cavities).The conditions of periodontal microecology and gingival crevicular fluid IL-6 and TNF-αwere compared between 1 month and 6 months after treatment in the three groups.Results There were no significant differences in the clinical periodontal indexes PLI,GI,PD,and BOP at 1 month and 6 months after treatment between group A and group B.Patients in group B except BOP had PLI,GI,PD The indicators 6 months after early treatment were significantly better than 1 month after treatment.There were no significant differences in IL-6 and TNF-αamong the three groups at 1 month after treatment,and the IL-6 and TNF-αlevels in the three groups at 6 months after treatment were the same as those after treatment.There was no significant difference in months.Conclusions Clinically,the use of 3M Z350 photosensitive composite resin material for the restoration of adjacent surface caries has little effect on periodontal microecology and gingival crevicular fluid IL-6 and TNF-α,which has high promotion value.
关 键 词:玻璃离子水门汀 光敏复合树脂 光固化Ⅱ型玻璃离子水门汀 邻面龋
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