全瓷高嵌体在活髓隐裂牙早期修复中的应用效果  

Application effect of all ceramic high inlay in the early restoration of vital pulp cracked teeth

作　　者：徐娟娟 张俊峰 闫胜男 郑永红 赵曼 刘惠莉 Xu Juanjuan;Zhang Junfeng;Yan Shengnan;Zheng Yonghong;Zhao Man;Liu Huili(Department of Somatology,Zhengzhou Central Hospital Zhengzhou University,Henan450000,China)

机构地区：[1]郑州大学附属郑州中心医院口腔科,450000

出　　处：《山西医药杂志》2023年第16期1221-1224,共4页Shanxi Medical Journal

摘　　要：目的探讨全瓷高嵌体在活髓隐裂牙早期修复中的应用效果。方法选取2021年3月至2022年12月郑州大学附属郑州中心医院牙科门诊收治的早期隐裂牙患者74例(74颗患牙),按照患者治疗方式选择将患者分为2组,各37例,对照组予以复合树脂充填修复,研究组行全瓷高嵌体治疗修复,评估2组修复后临床效果、疼痛程度、咀嚼功能,并随访不良反应发生情况。结果术后12个月,对照组和研究组修复总有效率依次为94.6%、100%,组间比较差异无统计学意义(χ^(2)=2.06,P=0.152);研究组术后1 d、3 d、5 d、7 d视觉模拟评分(VAS)均显著低于对照组[(3.21±0.62)和(4.12±0.76)分、(2.80±0.51)和(3.75±0.68)分、(2.31±0.42)和(3.26±0.51)分、(1.56±0.35)和(2.74±0.36)分)](t=2.39、3.43、4.06、5.03,P=0.037、0.029、0.014、<0.001),2组VAS评分组间、时点间及交互比较,差异均有统计学意义(F_(时点间)=4.58,P_(时点间)=0.016;F_(组间)=6.84,P_(组间)=0.024;F_(交互)=5.03,P_(交互)=0.035);研究组术后6个月咀嚼功能[(0.81±0.10)%]明显优于对照组[(0.65±0.09)%],差异有统计学意义(t=5.25,P=0.015);对照组术后出现牙髓炎1例、牙折1例,总发生率8.11%(3/37),研究组术后出现牙髓炎、根尖周炎各1例,总发生率5.4%(2/37),均未出现牙折病例,2组不良反应发生情况比较差异无统计学意义(χ^(2)=0.24,P=0.643)。结论全瓷高嵌体治疗早期活髓隐裂牙能在减轻患者术后疼痛程度,促进咀嚼功能恢复,并能在一定程度上提升修复效果,值得进一步推广使用。Objective To explore the application effect of all ceramic high inlay in the early restoration of vital pulp cracked teeth.Methods From March 2021 to December 2022,74 patients(74 teeth)with early cracked teeth were selected from the dental clinic of Zhengzhou Central Hospital Affiliated to Zhengzhou University.According to the choice of treatment methods,the patients were divided into 2 groups,37 cases in each group.The control group was repaired with composite resin filling,and the study group was repaired with all-ceramic onlay treatment.The clinical effect,pain degree and chewing function of the two groups after repair were evaluated,and the occurrence of adverse reactions was followed up.Results At 12 months after surgery,the total effective rates of repair in the control group and the study group were 94.6%and 100%,respectively.There was no statistically significant difference between the groups(χ^(2)=2.06,P=0.152).The visual analogue scale(VAS)scores of the study group were significantly lower than those of the control group at 1 day,3 days,5 days,and 7 days after surgery[(3.21±0.62)vs(4.12±0.76),(2.80±0.51)vs(3.75±0.68),(2.31±0.42)vs(3.26±0.51),(1.56±0.35)vs(2.74±0.36)](t=2.39,3.43,4.06,5.03,P=0.037,0.029,0.014,<0.001).The VAS scores of the two groups were compared at different time points and interactions,and the differences were statistically significant(F=4.58 and P=0.016,F=6.84 and P=0.024,F=5.03 and P=0.035).At 6 months after surgery,the chewing function of the study group[(0.81±0.10)%]was significantly better than that of the control group[(0.65±0.09)%],with a statistically significant difference(t=5.25,P=0.015).The control group experienced 1 case of pulpitis and 1 case of tooth fracture after surgery,with a total incidence of 8.1%(3/37).The study group experienced 1 case of pulpitis and 1 case of periapical periodontitis after surgery,with a total incidence of 5.4%(2/37).There were no cases of tooth fracture,and there was no statistically significant difference in the incidence of advers

关 键 词：金属烤瓷合金 牙痛 咀嚼 全瓷高嵌体 隐裂牙 活髓 

分 类 号：R783.3[医药卫生—口腔医学]