两种嵌体修复在牙体缺损中的应用效果及对咀嚼功能、牙周健康指标的影响  

Application effect of two inlays in the restoration of tooth defects and its influence on chewing function and periodontal health index

作　　者：张志刚 郑睿 HANG Zhigang;ZHENG Rui(Department of Stomatology,Dazu District People's Hospital,Chongqing 402360,China)

机构地区：[1]重庆市大足区人民医院口腔科,重庆市402360

出　　处：《中南医学科学杂志》2022年第3期409-412,共4页Medical Science Journal of Central South China

基　　金：重庆市科技计划项目(2016MSXM152)。

摘　　要：目的探讨Dialog vario嵌体修复与e-max嵌体修复在牙邻面牙体缺损治疗后对患者咀嚼功能及牙周健康指标的影响。方法选取拟实施牙邻面牙体缺损治疗的患者100例,随机分为观察组和对照组各50例,观察组采用Dialog vario嵌体修复治疗,对照组采用e-max嵌体修复治疗,比较两组咀嚼功能和牙周健康指标。结果修复治疗6个月后,观察组患者的咬合力、咀嚼效率均优于对照组(P<0.05);观察组患者的牙周探诊深度(PD)、改良菌斑指数(mPLI)、牙龈乳头指数(mSBI)、龈沟液中白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)值均低于对照组(P<0.05);修复治疗12个月后,两组修复体完整性、边缘密合度、继发龋效果无统计学意义(P>0.05),观察组的颜色匹配效果优于对照组(P<0.05)。结论Dialog vario嵌体修复与e-max嵌体修复在牙邻面牙体缺损治疗中均具有较好的效果,使用Dialog vario嵌体的患者治疗后咀嚼功能的恢复和牙周健康相关指标更佳。Aim To investigate the effects of Dialog vario inlay and e-max inlay on masticatory function and periodontal health after the treatment of adjacent tooth defects.Methods A total of 100 patients who intend to undergo dental defect treatment on the adjacent tooth surface were divided into observation group and control group with 50 cases in each group using a random number table.The observation group was treated with Dialog vario inlay restoration and the control group was treated with e-max inlay.Masticatory function and periodontal health indexes were compared between the two groups.Results After 6 months of prosthetic treatment,the bite force and mastication efficiency of the observation group were better than those of the control group(P<0.05);the observation group’s periodontal probing depth(PD),modified plaque index(mPLI),and gingival papillary index(mSBI),interleukin-6(IL-6)in the gingival crevicular fluid,interleukin-8(IL-8),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)measured values were lower than those of the control group(P<0.05);After 12 months of restoration treatment,there was no statistically significant effects on restoration integrity,edge fit,and secondary caries in the two groups(P>0.05).The color matching effect of the observation group was better than that of the control group(P<0.05).Conclusion Both Dialog vario inlay and e-max inlay have good effects in the treatment of adjacent tooth defects.The patients with Dialog vario inlay have better recovery of masticatory function and periodontal health after treatment.

关 键 词：Dialog vario嵌体修复 e-max嵌体修复 牙邻面 牙体缺损 

分 类 号：R78[医药卫生—口腔医学]