二氧化锆全瓷冠与E-max铸瓷嵌体修复牙体缺损的疗效比较观察  

Comparative Observation of Clinical Repair Effect of Zirconium Dioxide All-ceramic Crown and E-max Ceramic inlay in the Restoration of Teeth Defect

作　　者：殷薇薇 林苇[1] 王飞[1] 陈功 YIN Weiwei;LIN Wei;WANG Fei;CHEN Gong(Department of Stomatology,the First Affi liated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院口腔科,安徽合肥230022

出　　处：《中国美容医学》2022年第12期130-133,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察比较二氧化锆全瓷冠与E-max铸瓷嵌体用于修复牙体缺损的临床效果。方法:选取2020年10月-2021年9月笔者科室收治的97例牙体缺损患者(104颗患牙)作为研究对象,根据随机数表法分为两组。A组:49例(共53颗患牙),采用二氧化锆全瓷冠修复;B组:48例(共51颗患牙),采用E-max铸瓷嵌体修复。比较两组患者修复效果(改良美国公众健康服务标准)、菌斑指数、牙周探诊深度、患者满意度和并发症。结果:A组患者牙龈状况评分低于B组,差异具有统计学意义(P<0.05)。A组患者修复体外形、修复体固位、边缘密合性及继发龋评分均低于B组,但差异无统计学意义(P>0.05);两组患者修复前后菌斑指数、牙周探诊深度比较,差异无统计学意义(P>0.05);A组患者牙体外形、牙体功能及牙体舒适度均高于B组,A组患者不良反应总发生率低于B组,差异均有统计学意义(P<0.05)。结论:二氧化锆全瓷冠与E-max铸瓷嵌体均能有效修复牙体缺损,但二氧化锆全瓷冠在安全性方面更好,患者满意度更高。Objective To observe the clinical repair ef fect of zirconium dioxide all-ceramic crown and E-max porcelain inlay in teeth defect.Methods A total of 97 patients with teeth defects(104 teeth)were enrolled as the research objects between October 2020 and September 2021.According to random number table method,they were divided into group A(49 cases,53teeth)and group B(48 cases,51 teeth).The group A was given zirconium dioxide all-ceramic crown,while group B was given e-max ceramic inlay for repair.The repair ef fect[modifi ed American public health service standard],plaque index,periodontal probing depth,satisfaction and complications were compared between the two groups.Results The gingival status score of group A was lower than that of group B,the dif ference was statistically signifi cant(P<0.05).The scores of prosthesis shape,prosthesis retention,edge tightness and secondary caries in group A were lower than those in group B,but the dif ference were not statistically signifi cant(P>0.05).There was no signifi cant dif ference in plaque index or periodontal probing depth between the two groups before and after repair(P>0.05).The tooth shape,tooth function,and tooth comfort in group A were higher than those in group B(P<0.05).The incidence of adverse reactions in group A was lower than that in group B(P<0.05).Conclusion Both zirconium dioxide all-ceramic crown and E-max ceramic inlay can ef fectively repair teeth defect.However,the former is better in terms of the safety,with higher patients satisfaction.

关 键 词：二氧化锆全瓷冠 E-max铸瓷嵌体 牙体缺损 菌斑指数 牙周探诊深度 

分 类 号：R783.4[医药卫生—口腔医学]