自酸蚀与全酸蚀粘接剂修复穿髓型楔状缺损的疗效比较研究  

Comparative Study on the Effect of Self-etching and Full-etching Adhesive in Repairing Wedge-shaped Medullary Defect

作　　者：刘洁 刘振飞[1] 马黎 桂莉[1] 郝玉璋 LIU Jie;LIU Zhenfei;MA Li;GUI Li;HAO Yuzhang(Department of Stomatology,Bozhou People's Hospital,Bozhou 236800,Anhui,China)

机构地区：[1]亳州市人民医院口腔科,安徽亳州236800

出　　处：《中国美容医学》2023年第4期156-158,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨自酸蚀与全酸蚀粘接剂修复穿髓型楔状缺损的疗效,为穿髓型楔状缺损的治疗提供参考。方法:选取2018年4月-2018年10月笔者科室就诊的穿髓型楔状缺损患者60例(68颗患牙),将患者随机分为自酸蚀组30例(36颗患牙)与全酸蚀组30例(32颗患牙),两组患者均进行开髓及完备的根管治疗,自酸蚀组采取Adper Easy One自酸蚀粘接剂+纤维桩+复合树脂修复,全酸蚀组采取Prime&Bond NT全酸蚀粘接剂+纤维桩+复合树脂修复,观察治疗完成后6个月、12个月的疗效。结果:治疗后6个月,自酸蚀组治疗成功率为97.22%,全酸蚀组治疗成功率为93.75%,两组比较差异无统计学意义(P>0.05);治疗后12个月,自酸蚀组治疗成功率为94.44%,全酸蚀组治疗成功率为75.00%,两组比较差异有统计学意义(P<0.05)。结论:自酸蚀与全酸蚀粘接剂修复穿髓型楔状缺损近期疗效相当,但随着时间延长全酸蚀粘接剂修复治疗效果有所下降,主要原因为继发龋。Objective To investigate comparative study on the effect of self-etching and full-etching adhesive in repairing wedge-shaped medullary defect,it provides a reference for the treatment of wedge-shaped medullary defect.Methods The 60 cases patients(68 teeth)with wedge-shaped medullary defect from April 2018 to Octobere 2018,randomly divided into self-etching group(36 teeth)and full-etching group(32 teeth),each group of 30 cases,both groups received root canal therapy,Adopt Adper Easy One self-corrosion adhesive+fiber post+composite resin repair of self-etching group,Prime&Bond NT full-corrosion adhesive+fiber post+composite resin repair of full-etching group,the therapeutic effect was observed at 6 and 12 months after the completion of treatment.Results The success rate was 97.22%of self-etching group and 93.75%of full-etching group after 6 months,there was no statistically significant difference between the two groups(P>0.05).The success rate was 94.44%of self-etching group and 75.00%of full-etching group after 12 months,the difference between the two groups was statistically significant(P<0.05).Conclusion Short-term effcacy is equivalent on the effect of self-etching and full-etching adhesive in repairing wedge-shaped medullary defect,but with the prolongation of time,the effect of full-etching adhesive repair treatment decreased,and the main causes are secondary caries.

关 键 词：自酸蚀粘接剂 全酸蚀粘接剂 穿髓型楔状缺损 根管治疗 疗效 

分 类 号：R783.3[医药卫生—口腔医学]