氧化锆全瓷修复在牙体缺损中的修复效果临床观察  

The effect and feasibility analysis of zirconia porcelain repair in dental defects

作　　者：陈颖 武珂 魏倩倩 CHEN Ying-wu;WU Ke;WEI Qian-qian(Department of Dentistry and Pulp Medicine,Henan Provincial Stomatological Hospital,First Affiliated Hospital of Zhengzhou University,Henan Province,450000,China;Department of Stomatology,Henan Provincial Stomatological Hospital,First Affiliated Hospital of Zhengzhou University,Henan Province,450000,China)

机构地区：[1]郑州大学第一附属医院河南省口腔医院牙体牙髓科,河南郑州450000 [2]郑州大学第一附属医院河南省口腔医院口腔修复科,河南郑州450000

出　　处：《中国医疗美容》2024年第3期64-67,共4页China Medical Cosmetology

摘　　要：目的研究氧化锆全瓷修复在牙体缺损中的修复效果及可行性。方法选取2020年3月至2023年3月在本院接受牙体缺损治疗的患者90例,按治疗方式不同分为氧化锆组(n=45)和金属烤瓷组(n=45)。对比两组临床疗效,舒适度、美观度、语言功能及咀嚼力度,牙周功能指标,龈沟液炎症因子水平。结果氧化锆组优良率高于金属烤瓷组(91.11%vs 68.89%)(P<0.05)。氧化锆组舒适度、美观度、语言功能及咀嚼力度评分均高于金属烤瓷组(均P<0.05)。治疗前两组各项牙周功能指标水平对比均不明显(均P>0.05);治疗后两组各项牙周功能指标水平均低于治疗前,且氧化锆组低于金属烤瓷组(均P<0.05)。治疗前两组龈沟液各项炎症因子水平对比均不明显(均P>0.05);治疗后两组龈沟液各项炎症因子水平均高于治疗前,但氧化锆组低于金属烤瓷组(均P<0.05)。结论氧化锆全瓷修复在牙体缺损中的修复效果较佳,可明显改善牙周功能指标,减轻局部炎症反应。Objective To study the repair effect and feasibility of zirconia all ceramic restoration in dental defects.Method Ninety patients who underwent dental defect treatment in our hospital from March 2020 to March 2023 were selected and divided into zirconia group(n=45)and metal porcelain group(n=45)according to different treatment methods.Compare the clinical efficacy,comfort,aesthetics,language function and chewing strength,periodontal function indicators,and levels of inflammatory factors in gingival crevicular fluid between two groups.Results The excellent rate of the zirconia group was higher than that of the metal porcelain group(91.11%vs 68.89%)(P<0.05).The comfort,aesthetics,language function,and chewing strength scores of the zirconia group were higher than those of the metal ceramic group(P<0.05).The comparison of various periodontal function indicators between the two groups before treatment was not significant(both P>0.05);After treatment,the levels of various periodontal function indicators in both groups were lower than before treatment,and the zirconia group was lower than the metal porcelain group(both P<0.05).There was no significant difference in the levels of various inflammatory factors in the gingival crevicular fluid between the two groups before treatment(both P>0.05);After treatment,the levels of various inflammatory factors in the gingival crevicular fluid of both groups were higher than before treatment,but the zirconia group was lower than the metal porcelain group(both P<0.05).Conclusion Zirconia all ceramic restoration has a better restoration effect in dental defects,which can significantly improve periodontal functional indicators and reduce local inflammatory reactions.

关 键 词：牙体缺损 氧化锆全瓷修复 金属烤瓷修复 可行性 疗效 

分 类 号：R783.3[医药卫生—口腔医学]