超强粘接剂联合前牙美学树脂修复在重度牙周炎中的应用  

The Application of Super-Strong Binder Combined withAesthetic Restoration of Anterior Teeth with Resin inthe Treatment of Severe Periodontitis

作　　者：黄永玲[1,2] HUANG Yongling(School of Stomatology/Affiliated Stomatological Hospital,Fujian Medical University,Fuzhou 350002,China;Stomatological Key Laboratory of Fujian College and University,Fuzhou 350004,China)

机构地区：[1]福建医科大学口腔医学院/附属口腔医院,福州350002 [2]福建省高校口腔医学重点实验室,福州350004

出　　处：《福建医科大学学报》2023年第4期289-294,共6页Journal of Fujian Medical University

基　　金：福建省中青年教师教育科研项目(JAT210126)。

摘　　要：目的探究超强粘接剂联合前牙美学树脂修复在恢复重度牙周炎患牙功能和美观的可行性。方法收集2018年9月—2019年9月共20例前牙区重度牙周炎患者的患牙80颗,使用超强粘接剂联合前牙美学树脂修复的微创修复方法恢复患牙的功能和美观。随访3~4 a,收集患者的临床和影像学资料,调查患者的满意度,并采用配对t检验对数据进行分析。结果随访期间,患牙存留率为100%,患者满意度为100%,微创修复成功率为90%。牙槽骨的吸收情况与修复前相似,无加重趋势。微创修复后3~4 a,牙周探诊深度与修复前比较,差别无统计学意义(P>0.05);牙龈退缩则较修复前有所改善(P<0.05)。结论对于牙槽骨吸收根长1/2~2/3的重度牙周炎患牙,超强粘接剂联合前牙美学树脂修复不仅可保留患牙,且可获得较稳定的前牙美观和功能。Objective It is to investigate the feasibility of the treatment with super-strong binder combined with aesthetic resin restoration of anterior teeth in restoring function and aesthetics of teeth with severe periodontitis.Methods From September 2018 to September 2019,a total of 80 teeth with severe periodontitis in the anterior region of 20 patients were collected.The function and aesthetics of the affected teeth were restored by minimally invasive restoration with super-strong binder combined with aesthetic resin restoration of the anterior teeth.The patients were followed up for 3 to 4 years,clinical and imaging data as well as patient satisfaction were collected,and the data were analyzed by paired t-test.Results During the follow-up period,the retention rate of affected teeth was 100%,the patient satisfaction was 100%,and the success rate of minimally invasive restoration was 90%.The resorption of alveolar bone was similar to that before minimally invasive repair,without aggravation.3 to 4 years after minimally invasive restoration,the depth of periodontal probe was not significantly different from that before minimally invasive restoration(P>0.05),and gingival recession was improved compared with that before minimally invasive restoration(P<0.05).Conclusion For the teeth with severe periodontitis whose alveolar bone resorption is about 1/2 to 2/3 of the root length,the combination of super-strong binder and aesthetic resin restoration of anterior teeth can not only preserve the affected teeth,but also obtain a more stable appearance and function of the anterior teeth.

关 键 词：前牙美学树脂修复 超强粘接剂 松牙固定 牙周炎 微创修复 

分 类 号：R781.42[医药卫生—口腔医学]