微创超薄贴面与全瓷贴面修复前牙间隙的美学效果比较  

Comparison of Aesthetic Effect between Minimally Invasive Ultra-thin Veneer and All-porcelain Veneer in Repairing Anterior Tooth Space

作　　者：王晓波 崔海亮 韩旭 邬礼政 WANG Xiaobo;CUI Hailiang;HAN Xu;WU Lizheng(Department of Oral and Maxillofacial Surgery,Armed Police Characteristic Medical Center,Tianjin 300162,China)

机构地区：[1]武警特色医学中心口腔颌面科,天津300162

出　　处：《中国美容医学》2024年第5期122-125,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对比微创超薄贴面与全瓷贴面修复前牙间隙的美学价值。方法:回顾性分析2018年5月-2022年4月笔者医院收治的修复前牙间隙患者的病例资料,按照贴面方式不同分为观察组(34例,共58颗患牙,采用微创超薄贴面)和对照组(36例,共62颗患牙,采用全瓷贴面)。比较两组修复1年后的修复效果及两组修复前和修复1个月后的牙周指标[贴面菌斑指数(Plaque index,PI)、牙龈指数(Gingival index,GI)]和龈沟液炎症指标[基质金属蛋白酶-2(Matrix metalloproteinase-2,MMP-2)、白细胞介素-1β(Interleukin-1β,IL-1β)],比较两组并发症发生情况和修复1年后牙体美观度评分。结果:两组间牙面颜色、修复体完整性、牙面边缘自然和半透明度达标比例差异无统计学意义(P>0.05);修复1个月后,两组GI和PI均降低(P<0.05),两组MMP-2和IL-1β均升高(P<0.05),但组间差异无统计学意义(均P>0.05)。观察组并发症发生率显著低于对照组(P<0.05);观察组牙体美观度评分(质地、颜色、唇侧龈缘水平、软组织形态、牙槽外形、远及近中龈乳头)均高于对照组(P<0.05)。结论:微创超薄贴面与全瓷贴面均为修复前牙间隙的有效手段,但微创超薄贴面并发症少,且具有较高美学效果。Objective To compare the aesthetic value of minimally invasive ultra-thin veneer and all-porcelain veneer in the repair of anterior tooth space.Methods The data of patients with anterior tooth space repair admitted to the hospital from May 2018 to April 2022 were retrospectively analyzed,and the patients were divided into 34 cases in observation group(58 teeth,minimally invasive ultra-thin veneer)and 36 cases in control group(62 teeth,all-porcelain veneer)according to different veneer methods.The repair effect after 1 year of repair,periodontal indicators[veneer plaque index(PI),gingival index(GI)]and gingival crevicular fluid inflammatory indicators[matrix metalloproteinase-2(MMP-2),interleukin-1β(IL-1β)]before repair and after 1 month of repair,occurrence of complications and dental aesthetics scores after 1 year of repair were compared between the two groups.Results There were no statistically significant differences in the compliance proportions of tooth surface color,restoration integrity,natural tooth surface edge and translucency between the two groups(P>0.05).After 1 month of repair,the GI and PI were decreased in both groups(P<0.05),but there were no statistical differences between the two groups(P>0.05).The levels of MMP-2 and IL-1βin both groups were increased after 1 month of repair(P<0.05),but there were no statistically significant differences between the two groups(all P>0.05).The incidence rates of complications in observation group were significantly lower compared with those in control group(P<0.05).The dental aesthetics scores(texture,color,labial gingival margin level,soft tissue morphology,alveolar shape,distal and mesial gingival papillae)in observation group were higher than those in control group(P<0.05).Conclusion Minimally invasive ultra-thin veneer and all-porcelain veneer are both effective methods in repairing anterior tooth space,but minimally invasive ultra-thin veneer has fewer complications and higher aesthetic value.

关 键 词：微创超薄贴面 全瓷贴面 前牙间隙 美学效果 

分 类 号：R783.4[医药卫生—口腔医学]