不同材料修复对老年根面龋患者疗效及微渗漏的影响分析  

Effect of Different Materials on Curative Effect and Microleakage of Elderly Patients with Root Caries

作　　者：兰静[1] 罗加农 李伟[2] 邹玲[2] LAN Jing;LUO Jianong;LI Wei;ZOU Ling(Department of Stomatology, First People's Hospital of Neijiang, Neijiang 641000, China;State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China)

机构地区：[1]内江市第一人民医院口腔科,四川内江641000 [2]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院牙体牙髓病科,四川成都610041

出　　处：《口腔医学研究》2021年第9期800-804,共5页Journal of Oral Science Research

基　　金：四川省科技厅重点研发项目(编号:2020YFSY0019)。

摘　　要：目的:比较不同材料修复对老年根面龋患者疗效及微渗漏的影响。方法:选择2018年1月~2020年1月在我院就诊的114例老年根面龋患者进行研究。采用随机数字表法将患者分为2组,各57例。对照组采用光固化复合树脂修复,观察组玻璃离子水门汀修复。比较两组患者临床疗效、微渗漏、牙周指标及龈沟液中炎症因子水平。结果:对照组治疗成功率为91.22%,与观察组的94.74%差异无统计学意义(P>0.05),观察组微渗漏率为3.51%,低于对照组的8.94%(P<0.05)。修复前两组患者龈沟液量及龈沟探针深度差异均无统计学意义(P>0.05),治疗后两组龈沟液量、龈沟探针深度均高于治疗前且对照组龈沟液量、龈沟探针深度均高于观察组(P<0.05)。修补前两组患者龈沟液中白细胞介素-1β、白细胞介素-6、基质金属蛋白酶-2水平差异均无统计学意义(P>0.05),修补后两组白细胞介素-1β、白细胞介素-6、基质金属蛋白酶-2水平均明显升高且对照组白细胞介素-1β、白细胞介素-6、基质金属蛋白酶-2水平高于观察组(P<0.05)。结论:玻璃离子水门汀修复与光固化复合树脂修复对老年根面龋患者治疗成功率相当,但玻璃离子水门汀修复微渗漏率更低且对患者的牙周指标及龈沟炎症因子影响更小。Objective:To compare the effects of different repair materials on the curative effect and microleakage of elderly patients with root caries.Methods:One hundred and fourteen elderly patients with root caries who were treated in our hospital from January 2018 to January 2020 were selected.The patients were randomly divided into 2 groups with 57 cases each.The control group was repaired with light-curing composite resin,and the observation group was repaired with glass ionomer cement.The clinical efficacy,microleakage,periodontal indicators,and inflammatory factor levels in gingival crevicular fluid were compared.Results:The treatment success rate of the control group was 91.22%,which was not statistically different from the observation group's 94.74%(P>0.05).The observation group's microleakage rate was 3.51%,which was lower than the control group's 8.94%(P<0.05).There was no significant difference in GCF volume and GCF probe depth between two groups before repair(P>0.05).After treatment,the GCF volume and GCF probe depth of two groups were higher than those before treatment,and the GCF volume and GCF probe depth of control group were higher than those of observation group(P<0.05).There was no significant difference in the levels of IL-1β,IL-6,and MMP-2 in gingival crevicular fluid between two groups before repair(P>0.05).After repair,the levels of IL-1β,IL-6,and MMP-2 in the two groups were significantly increased,and the levels of IL-1β,IL-6,and MMP-2 in the control group were higher than those in the observation group(P<0.05).Conclusion:Glass ionomer cement repair and light-curing composite resin repair have the same success rate in the treatment of elderly patients with root caries,but the glass ionomer cement repair has a lower rate of microleakage and has a smaller effect on the periodontal indicators and gingival sulcus inflammatory factors.

关 键 词：修复材料 根面龋 微渗漏 

分 类 号：R78[医药卫生—口腔医学]