二氧化锆全瓷冠在上颌前牙修复中的应用效果及对美学指数和菌斑指数的影响  

Effect of Zirconia All-porcelain Crown on Maxillary Anterior Teeth Restoration and the Influence of Aesthetic Index and Dental Plaque Index

作　　者：刘宝山 王本飞 牛红 刘倩倩 LIU Baoshan;WANG Benfei;NIU Hong;LIU Qianqian(Department of Stomatology,Benq Medical Center,Nanjing 210000,Jiangsu,China)

机构地区：[1]南京明基医院口腔科,江苏南京210000

出　　处：《中国美容医学》2023年第12期123-127,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察二氧化锆全瓷冠在上颌前牙修复中的应用效果及对美学指数和菌斑指数的影响。方法:选择2020年1月-2022年1月笔者医院就诊的104例上颌前牙体缺损患者,根据随机数字表法分为两组。常规修复组:52例,给予钴铬合金烤瓷冠修复;二氧化锆修复组:52例,给予二氧化锆全瓷冠修复。修复前、修复后1个月测量患者龈沟液(Gingival crevicular fluid,GCF)量,检测患者GCF中肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、天冬氨酸转氨酶(Aspartate aminotransferase,AST)、基质金属蛋白酶-8(Matrix metalloproteinase-8,MMP-8)水平,检测两组患者咬合力。修复后1年,给予患者牙龈情况、修复体固定、边缘适合性、修复体外形、继发龋、美学指数评价。修复前、修复后1年检测患者菌斑指数、牙龈指数,给予两组患者口腔健康影响程度量表14(Oral health impact scale 14,HIP-14)评价,检测两组患者不良反应发生情况。结果:修复后1个月,二氧化锆修复组GCF、TNF-α、AST、MMP-8含量较常规修复组明显低(P<0.05);二氧化锆修复组咬合力较常规修复组高(P<0.05);修复后1年,二氧化锆修复组菌斑指数、牙龈指数较常规修复组低(P<0.05),二氧化锆修复组牙龈情况、修复体外形、美学指数评分较常规修复组低(P<0.05);二氧化锆修复组患者心理状态、口腔疼痛、独立能力、身体机能评分较常规修复组明显低(P<0.05);二氧化锆修复组牙龈缘黑线、颜色改变、牙龈炎、食物嵌塞、牙龈刺激发生率较常规修复组低(P<0.05)。结论:给予上颌前牙体缺损患者二氧化锆全瓷冠修复,可减少炎性因子及GCF、AST、MMP-8水平,改善牙齿咀嚼能力,降低菌斑指数、牙龈指数、美学指数,提升患者牙齿修复效果、生活质量,降低不良反应发生率。Objective To observe the effect of zirconia all-porcelain crown on the prosthesis of maxillary anterior teeth and its effect on aesthetic index and dental Plaque index.Methods A total of 104 patients with maxillary anterior tooth defect were selected for hospital treatment and enrolled from January 2020 to January 2022.The patients were divided according to random number table method.52 patients were in the conventional repair group and given cobalt-chromium porcelain crown repair,and 52 patients were in the zirconia repair group and given zirconia all-porcelain crown repair.Gingival crevicular fluid(GCF)level was measured before and after repair 1 month,and Tumor necrosis factor-αin GCF was detected.TNF-α,Aspartate aminotransferase(AST)and Matrix metalloproteinase-8(MMP-8)levels were detected.One year after repair,the patients were evaluated for gingival condition,implant fixation,marginal suitability,implant appearance,secondary caries,and aesthetic index.The plaque index and gingival index of the patients were detected before and 1 year after repair,and Oral Health Impact Scale 14(HIP-14)was evaluated for the occurrence of adverse reactions in the two groups.Results After 1 month,the contents of GCF,TNF-α,AST and MMP-8 in zirconia repair group were significantly lower than those in conventional repair group(P<0.05).The biting force of zirconia repair group was higher than that of conventional repair group(P<0.05).One year after restoration,the plaque index and gingival index of zirconia restoration group were lower than those of conventional restoration group(P<0.05),and the gingival condition,shape and aesthetic index scores of zirconia restoration group were lower than those of conventional restoration group(P<0.05).The scores of mental state,oral pain,independence and physical function in zirconia repair group were significantly lower than those in conventional repair group(P<0.05).The incidence of black line,color change,gingivitis,food impaction and gingival irritation in zirconia repair group were low

关 键 词：上颌前牙 牙体缺损 二氧化锆全瓷冠 炎性因子 基质金属蛋白酶-8 咀嚼能力 修复效果 不良反应 

分 类 号：R783.4[医药卫生—口腔医学]