二氧化锆全瓷嵌体、钴铬合金烤瓷全冠修复、复合树脂充填修复牙列缺损对牙周指数、致病菌的影响  

Effects of Zirconia Ceramic Input,Cobalt Chrome Porcelain Crown Repair and Composite Resin Filling Repair on Periodontal Index and Pathogenic Bacteria

作　　者：王龙梅 WANG Long-mei(Department of Stomatology,The Sixth People's Hospital of Luoyang City,Luoyang 471003,Henan Province,China)

机构地区：[1]洛阳市第六人民医院口腔科,河南洛阳471003

出　　处：《罕少疾病杂志》2024年第5期36-37,47,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的比较分析二氧化锆全瓷嵌体、钴铬合金烤瓷全冠修复、复合树脂充填修复牙列缺损对牙周指数、致病菌的影响。方法选取2020年1月-2022年9月期间在河南省洛阳市第六人民医院接受修复治疗的80例牙列缺损患者。将修复治疗方案作为分组依据,其中选择复合树脂充填修复治疗为A组(n=28)、二氧化锆全瓷嵌体修复为B组(n=27)、钴铬合金烤瓷全冠修复治疗为C组(n=25)。对比不同修复方案临床效果、牙周指数、致病菌情况及患者对修复治疗效果满意度。结果B组、C组治疗有效率高于A组,差异有统计学意义(P<0.05),BC两组修复有效率组间对比差异无统计学意义(P>0.05)。治疗后,B组牙龈出血指数(BI)和牙龈炎症指数(GI)指标均低于C组、A组,而C组低于A组,差异有统计学意义(P<0.05),B组菌斑指数(PLI)指标低于A组,差异有统计学意义(P<0.05),C组与A组PLI指标对比差异无统计学意义(P>0.05)。B组、C组在齿垢密螺旋体、具核酸杆菌、卟啉单胞菌、福赛斯坦纳菌和伴放线嗜血杆菌检出率均低于A组,且B组检出率低于C组,差异有统计学意义(P<0.05),三组中间普氏菌检出率对比差异不显著(P>0.05)。结论在牙列缺损临床修复治疗时,相比复合树脂充填修复而言,选择二氧化锆全瓷嵌体、钴铬合金烤瓷全冠修复效果更为理想,尤其是二氧化锆全瓷嵌体修复能够保护牙周组织,降低龈下致病菌检出率,应用价值显著。Objective To compare and analyze the effects of zirconia ceramic input,cobalt-chromium porcelain crown repair and composite resin filling on dental defect on periodontal index and pathogenic bacteria.Methods From January 2020 to September 2022,80 patients with dentition defect who received repair treatment in the Sixth People's Hospital of Luoyang,Henan Province were selected.The repair treatment plan was selected as the basis of grouping,among which the composite resin filling repair treatment was selected as group A(n=28),the zirconia all-ceramic input repair treatment was selected as group B(n=27),and the cobalt-chromium porcelain full crown repair treatment was selected as group C(n=25).The clinical effect,periodontal index,pathogenic bacteria and patients'satisfaction with the effect of different repair schemes were compared.Results The treatment effective rate of group B and group C was higher than that of group A,the difference was statistically significant(P<0.05),and the repair effective rate of group BC was not statistically significant(P>0.05).After treatment,gingival bleeding index(BI)and gingival inflammation index(GI)indexes of group B were lower than those of group C and Group A,while group C was lower than group A,the difference was statistically significant(P<0.05),and plaque index(PLI)index of group B was lower than that of group A,the difference was statistically significant(P<0.05).There was no significant difference in PLI indexes between group C and group A(P>0.05).The detection rates of Treponemas dentidum,nucleobacterium,porphyromonas,forsestanella and Haemophilus actinomyces in groups B and C were lower than those in group A,and the detection rates of group B were lower than those in group C,with statistical significance(P<0.05),while the detection rates of Prevotella in the three groups were not significantly different(P>0.05).Conclusion Compared with composite resin filling,zirconia full porcelain inlays and cobalt chromium alloy ceramic full crowns are more effective in clinical repair

关 键 词：二氧化锆全瓷嵌体 钴铬合金烤瓷全冠 复合树脂充填 牙列缺损 牙周指数 致病菌 

分 类 号：R783.4[医药卫生—口腔医学]