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作 者:吴欣汝 WU Xinru(Department of Stomatology,Suzhou Kowloon Hospital,Shanghai Jiaotong University School of Medicine,Suzhou,Jiangsu Province,215000China)
机构地区:[1]上海交通大学医学院附属苏州九龙医院口腔科,江苏苏州215000
出 处:《中外医疗》2021年第27期56-59,共4页China & Foreign Medical Treatment
摘 要:目的研究牙体牙髓治疗后两种牙体缺损修复的疗效。方法随机选取该院2019年10月—2020年10月收治的100例牙体缺损患者,共100颗牙体缺损,将患者分为对照组(50例)和观察组(50例),分别采取铸造钴铬桩治疗和石英纤维桩治疗,对比两组临床治疗后的数据。结果观察组不良反应率为4.00%,低于对照组18.00%,差异有统计学意义(χ^(2)=5.005,P=0.025);观察组的修复满意度94.00%高于对照组的72.00%,差异有统计学意义(χ^(2)=8.575,P=0.003);观察组的咀嚼效率和咬[牙合]力均优于对照组,差异有统计学意义(P<0.05);观察组修复体完整度98.00%高于对照组的82.00%,差异有统计学意义(χ^(2)=7.111,P=0.008);观察组颜色匹配程度为98.00%高于对照组,差异有统计学意义(χ^(2)=7.111,P=0.008);观察组的边缘适合性98.00%高于对照组的82.00%,差异有统计学意义(χ^(2)=7.111,P=0.008);观察组患者治疗后相较于对照组,GCF和ALP数值较低,差异有统计学意义(P<0.05)。结论石英纤维桩修复牙体缺损,提高修复体完整度、颜色匹配度和边缘的合适性,进而提高患者的修复满意度和降低不良反应,减少对牙周组织的影响,值得临床推广应用。Objective To study the curative effect of two kinds of dental defects after dental pulp treatment.Methods 100 patients with dental defects were randomly selected from October 2019 to October 2020 in the hospital,with a total of 100 dental defects.All the patients were divided into control group(50 cases)and observation group(50 cases)were treated with cast cobalt-chromium post treatment and quartz fiber post treatment,and the data after clinical treatment were compared between the two groups.Results The adverse reaction rate of the observation group was 4.00%,lower than 18.00%of the control group,the difference was statistically significant(χ^(2)=5.005,P=0.025).The repair satisfaction of the observation group was 94.00%,which was higher than 72.00%of the control group,the difference was statistically significant(χ^(2)=8.575,P=0.003).The masticatory efficiency and bite force of the observation group were better than those of the control group,the difference was statistically significant(P<0.05).The integrity of the restoration in the observation group was 98.00%,which was higher than 82.00%in the control group,the difference was statistically significant(χ^(2)=7.111,P=0.008).The degree of color matching in the observation group was 98.00%,which was higher than the control group,the difference was statistically significant(χ^(2)=7.111,P=0.008).The marginal fitness of the observation group was 98.00%,higher than 82.00%of the control group,the difference was statistically significant(χ^(2)=7.111,P=0.008).After treatment,the values of GCF and ALP in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion Quartz fiber posts repair tooth defects,improve the integrity of the restoration,color matching and the suitability of the edges,thereby improving the satisfaction of the patient's restoration,reducing the adverse reactions,and reducing the impact on the periodontal tissue.It is worthy of clinical application.
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