玻璃离子水门汀与流动纳米树脂修复牙齿楔状缺损的疗效比较分析  

Comparative Analysis of Curative Effect of Glass Ionomer Cement and Flowing Nano-resin in Repairing Tooth Wedge-shaped Defect

作　　者：牛姗姗 杨丹 杨广通 NIU Shanshan;YANG Dan;YANG Guangtong(Department of Dentistry and Endodontics,Shenzhen Longhua District People's Hospital,Shenzhen 518100,Guangdong,China)

机构地区：[1]深圳市龙华区人民医院口腔-牙体牙髓科,广东深圳518100

出　　处：《中国美容医学》2023年第7期155-158,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨玻璃离子水门汀与流动纳米树脂修复牙齿楔状缺损的疗效。方法:选取2018年2月-2019年2月笔者医院收治的130例牙齿楔状缺损患者,根据手术方法不同分为对照组(流动纳米树脂治疗,63例)和观察组(玻璃离子水门汀治疗,67例),对比两组治疗后1年和治疗后2年的充填体状态、充填体脱落情况、牙体修复及牙周检查结果,以及治疗后不良反应发生情况。结果:治疗后1年、2年,两组USPHS各项类别比较差异均无统计学意义(P>0.05);治疗后1年、2年,观察组充填体完好率均明显高于对照组(P<0.05);治疗后2年,两组牙体修复成功率比较,差异无统计学意义(P>0.05),观察组缺损率高于对照组,失败率低于对照组(P<0.05);治疗后2年,两组龈沟液中菌斑指数、探诊深度、龈沟出血指数均高于治疗后1年,且不同时期两组龈沟液中菌斑指数、探诊深度、龈沟出血指数对比差异均有统计学意义(P<0.05);治疗后随访过程中,观察组并发症发生率明显低于对照组(P<0.05)。结论:采用玻璃离子水门汀修复牙齿楔状缺损患者,修复及美学效果良好,并发症发生率低。Objective To investigate the effect of glass ionomer cement and flowable nano-resin on wedge-shaped defect of teeth.Methods From February 2018 to February 2019,130 patients with wedge-shaped defect of teeth were selected and divided into control group(flow nano-resin treatment,63 cases)and observation group(glass ionomer cement treatment,67 cases)according to different surgical methods.One year after treatment and two years after treatment,the filling status,filling off,dental restoration results,periodontal examination results,and adverse reactions after treatment were compared between the two groups.Results There was no signifi cant diff erence in the categories of USPHS between the two groups at 1 year and 2 years after treatment(P>0.05).One year and two years after treatment,the perfect rate of obturator group was signifi cantly higher than that of control group(P<0.05).Two years after treatment,there was no significant difference in the success rate of tooth restoration between the two groups(P>0.05).The defect rate of the observation group was higher than that of the control group,and the failure rate was lower than that of the control group(P<0.05).Gingival crevicular fluid(GCF),plaque index(PLI),probing depth(PD)and sulcus bleeding index(SBI)increased in both groups 2 years after treatment compared with 1 year after treatment,and there were signifi cant diff erences in GCF,PLI and PD between the two groups at different periods(P<0.05).During the follow-up after treatment,the incidence of complications in the observation group was signifi cantly lower than that in the control group(P<0.05).Conclusion Glass ionomer cement filling in patients with wedge-shaped defect after treatment can maintain a strong bond,repair effect and aesthetic effect is good,the incidence of complications is low.

关 键 词：玻璃离子水门汀 流动纳米树脂 楔状缺损 充填体 

分 类 号：R713.6[医药卫生—妇产科学]