CAD/CAM全瓷贴面修复体对活髓前牙的美学修复效果及牙龈牙周的影响  

CAD/CAM All-ceramic Veneer Restorations on Cosmetic Restoration of Vital Pulped Anterior Teeth and Their Effects on Gingival Periodontal

作　　者：孙丹丹 石飒飒 吴雪 段少宇 尹伟娇 SUN Dandan;SHI Sasa;WU Xue;DUAN Shaoyu;YIN Weijiao(Department of Stomatology,Electric Power Teaching Hospital,Capital Medical University,Beijing 100073,China;Department of Stomatology,Xi'an Ordnance Industry Hygiene Research Institute,Xi'an 710065,Shaanxi,China)

机构地区：[1]首都医科大学电力教学医院口腔科,北京100073 [2]陕西西安兵器工业卫生研究所口腔科,陕西西安710065

出　　处：《中国美容医学》2023年第6期166-170,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对比光固化复合树脂修复与计算机辅助设计/计算机辅助制作(Computeraideddesign/Computeraided manufacturing,CAD/CAM)全瓷贴面修复体对活髓前牙美学修复效果及牙龈牙周的影响。方法:选择2018年4月-2021年1月笔者医院收治的84例(共153颗患牙)活髓前牙美学修复患者为研究对象,根据随机数字表法分为对照组(n=42,共78颗患牙)与试验组(n=42,共75颗患牙)。对照组采用光固化复合树脂修复,试验组采用CAD/CAM全瓷贴面修复。对比两组术后12个月的修复效果,沟龈探诊深度(Probingdepth,PD)、菌斑指数(Plaqueindex,PI)、牙龈指数(Gingival index,GI)、龈沟液量与龈沟液中白细胞介素-1α(Interleukin-1α,IL-1α)水平,对比两组术后12个月内并发症发生情况。结果:试验组与邻牙的颜色匹配度、修复体完整度、基牙敏感程度及牙髓状态、修复体边缘染色情况均优于对照组(P<0.05);两组修复牙PD比较差异无统计学意义(P>0.05),试验组修复牙PI、GI低于对照组(P<0.05),两组健康对牙合牙PD、PI、GI比较差异无统计学意义(P>0.05),试验组修复牙与健康对牙合牙PD、PI、GI比较差异无统计学意义(P>0.05),对照组修复牙PI、GI高于健康对牙合牙,差异有统计学意义(P<0.05);试验组修复牙龈沟液量、龈沟液中IL-1α水平低于对照组(P<0.05),两组健康对牙合牙龈沟液量、龈沟液中IL-1α水平比较差异无统计学意义(P>0.05),对照组修复牙龈沟液量、龈沟液中IL-1α水平高于健康对牙合牙(P<0.05),试验组修复牙与健康对牙合牙龈沟液量、龈沟液中IL-1α水平比较差异无统计学意义(P>0.05);试验组术后12个月内并发症发生率(5.33%)低于对照组(16.67%),差异有统计学意义(P<0.05)。结论:CAD/CAM全瓷贴面修复用于活髓前牙美学修复效果可靠,对牙龈及牙周组织健康有一定的优势,可改善龈沟液中炎症反应,且安全性良好。Objective To compare the efiects of light-cured composite resin restorations and computer-aided design/computeraided fabrication(CAD/CAM)all-ceramic veneer restorations on the cosmetic restoration of vital pulped anterior teeth and their efiects on gingival periodontal.Methods A total of 84 patients(153 teeth in total)who were treated in author’s hospital from April 2018 to January 2021 for cosmetic restoration of anterior teeth with vital pulp were selected as the research objects,and divided into the control group(n=42,a total of 78 teeth)according to the random number table method.teeth)and the experimental group(n=42,a total of 75 teeth).The control group was repaired with light-curing composite resin,and the experimental group was repaired with CAD/CAM all-ceramic veneer.The repair efiect,probing depth(PD),plaque index(PI),gingival index(GI),amount of gingival crevicular fluid and interleukin-1α(IL-1α)in gingival crevicular fluid were compared between the two groups at 12 months after operation.The incidence of complications within 12 months after surgery was compared between the two groups.Results The color matching between the test group and the adjacent teeth,the integrity of the restoration,the sensitivity of the abutment,the status of the pulp,and the staining of the edge of the restoration were better than those of the control group(P<0.05).There were no significant difierence in PD between the two groups of restored teeth(P>0.05).The PI and GI of the restored teeth in the experimental group were lower than those in the control group(P<0.05).There were no significant difierence in the PD,PI and GI of the healthy pair of teeth between the two groups(P>0.05).There were no significant difierence in PD,PI and GI between the repaired teeth and the healthy opposing teeth in the experimental group(P>0.05).And the PI and GI of the restored teeth in the control group were higher than those of the healthy opposing teeth(P<0.05).The amount of repaired gingival crevicular fluid and the level of IL-1αin gingiv

关 键 词：计算机辅助设计/计算机辅助制作 全瓷贴面修复体 活髓前牙 修复效果 牙龈牙周 

分 类 号：R783.4[医药卫生—口腔医学]