全瓷冠、高嵌体与覆盖体对大面积牙体缺损后牙修复效果及牙周组织的影响  

The Effect of All-ceramic Crowns,Onlays and Coverings on the Restoration of Large-scale Tooth Defects and the Influence of Periodontal Tissues

作　　者：符苏杰 宋冬生[2] 孙凯莹[2] 陈静[3] 张晓卫 FU Su-jie;SONG Dong-sheng;SUN Kai-ying;CHEN Jing;ZHANG Xiao-wei(Stomatology department,The Second Afiliated Hospital ofNanjing University of Chinese Medicine/Jiangsu Second Chinese Medicine Hospital,Nanjing,Jiangsu,210017,China;Stomatology department,The first Affliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210029,China;Anesthesiology department,The first Afiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210029,China)

机构地区：[1]南京中医药大学第二附属医院/江苏省第二中医院口腔科,江苏南京210017 [2]南京医科大学第一附属医院口腔科,江苏南京210029 [3]南京医科大学第一附属医院麻醉科,江苏南京210029

出　　处：《现代生物医学进展》2022年第9期1729-1733,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(82070521)。

摘　　要：目的:探讨全瓷冠、高嵌体与覆盖体对大面积牙体缺损后牙修复效果及牙周组织的影响。方法:选择2015年6月到2018年5月选择在本院诊治的大面积牙体缺损后牙患者144例作为研究对象,根据随机抽签原则将其分为全瓷冠组、高嵌体组与覆盖体组各48例。全瓷冠组给予二氧化锆全瓷冠修复治疗,高嵌体组给予高嵌体修复治疗,覆盖体组给予覆盖体修复治疗。观察随访患者的预后情况。结果:三组修复后3个月的牙龈指数(GI)与探诊出血(BOP)阳性率低于修复前,高嵌体组、覆盖体组低于全瓷冠组(P<0.05)。全瓷冠组、高嵌体组、覆盖体组修复后3年的龋齿、牙周炎症、牙体修复体折断等并发症发生率为2.1%、16.7%.8.3%,对比有差异(P<0.05)。高嵌体组、覆盖体组随访3年的修复体固位、修复体外形、修复体边缘适合性评分都高于全瓷冠组(P<0.05)。随访3年,三组修复体固位对比无差异(P>0.05),但修复体外形、修复体边缘适合性对比有差异(P<0.05)。全瓷冠组、高嵌体组、覆盖体组随访3年的满意度分别为87.5%、97.9%和100.0%,对比有差异(P<0.05)。结论:全瓷冠高嵌体与覆盖体在大面积牙体缺损后牙修复的应用均具有一-定的效果,对牙周组织也有一定的影响,在临床上要根据患者实际情况合理选择修复方法。Objective:To investigate the effects of all-ceramic crowns,onlays and overlays on the restoration of large-scale tooth defects and periodontal tissues.Methods:From June 2015 to May 2018,144 cases of patients with posterior teeth with large dental de-fects diagnosed and treated in our hospital were selected as the research objects.All the cases were equally divided into the all-ceramic crown group,onlay group and the covering group accorded to the principle of random lottery.The all-ceramic crown group were given zirconia all-ceramic crown restoration treatment,the onlay group were given onlay restoration treatment,and the covering group were given overdenture restoration treatment,observed the prognosis of the followed-up patients.Results:The gingival index(GI)and the pos-itive rate of probing bleeding(BOP)at 3 months after restoration were lower in the three groups than before restoration,the onlay group and overlay group were lower than all porcelain crown group(P<0.05).The incidence of complications such as dental caries,periodontal inflammation,and tooth and prosthesis broken in the all-ceramic crown group,onlay group,and covering group were 2.1%,16.7%and 8.3%after 3 years of restoration,and compared the difference among the three groups were statistically significant(P<0.05).After 3 years of follow-up,there was no difference in the retention of prostheses among the three groups(P>0.05),however,there were differ-ences in the shape and edge ftness of the restoration(P<0.05).The three-year followed-up satisfaction of the all-ceramic crown group,onlay group and covering group were 87.5%,97.9%and 100.0%,respectively,and the difference were statistically significant(P<0.05).Conclusion:All-ceramic crowns,onlays and overlays have certain effect in the restoration of large-area tooth defects,and also have cer-tain influence on the periodontal tissue.In clinical practice,the reasonable choice of restoration methods should be based on the actual situation of the patient.

关 键 词：全瓷冠 高嵌体 覆盖体 牙体缺损 后牙修复 牙龈指数 

分 类 号：R783.1[医药卫生—口腔医学]