个性化双层树脂比色板在上前牙牙体缺损树脂美学修复中的应用效果  

The effectiveness of customized dual-layer shade guides in the aesthetic resin restorations of anterior tooth

作　　者：韦健 袁敬[4] WEI Jian;YUAN Jing(Center of Stomatology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430030,China;School of Stomatology,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430030,China;Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration,Hubei Wuhan 430022,China;Department of Geriatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430030,China.)

机构地区：[1]华中科技大学同济医学院附属同济医院口腔医学中心,湖北武汉430030 [2]华中科技大学同济医学院口腔医学院,湖北武汉430030 [3]口腔颌面发育与再生湖北省重点实验室,湖北武汉430022 [4]华中科技大学同济医学院附属同济医院综合医疗科,湖北武汉430030

出　　处：《临床口腔医学杂志》2024年第4期226-229,共4页Journal of Clinical Stomatology

摘　　要：目的:探讨个性化双层树脂比色板在上前牙III类及IV类牙体缺损树脂美学修复中的应用效果。方法:回顾收集124例树脂美学修复的上颌前牙III类或IV类前牙牙体缺损案例,其中使用VITA比色板比色完成的22例,使用单层树脂比色板完成的44例,使用个性化双层树脂比色板完成的58例。根据修复完成后4周患者复诊资料,参考改良USPHS评价标准对修复体完整性、颜色匹配性、边缘着色和牙龈健康状况进行评分,并进行统计学分析。结果:VITA比色组、单层树脂比色组和双层树脂比色组各出现2例、2例和1例失败,所有失败均表现为颜色严重不匹配。3组修复成功率分别为90.9%、95.5%和98.3%,总体修复成功率96.0%。结论:在上前牙III类及IV类牙体缺损树脂美学修复中,使用VITA比色板、单层树脂比色板和个性化双层树脂比色板比色未观察到明显临床差异。Objective:To discuss the effectiveness of customized dual-layer shade guides in the aesthetic resin restoration of Class III and IV anterior tooth defects.Methods:A retrospective collection of 124 cases with anterior tooth Class III or IV defects was reviewed.Among these,22 cases were completed with the assistance of VITA shade guides,44 cases with single-layer resin shade guides,and 58 cases with customized dual-layer shade guides.Based on the four weeks’follow-up data,the restorations were evaluated using the modified USPHS criteria for integrity,color match,marginal discoloration,and gingival health.A statistical analysis was then performed.Results:The occurrences of failure in the VITA shade group,singlelayer resin shade group,and dual-layer resin shade group were 2 cases,2 cases,and 1 case,respectively,all of which exhibited severe color mismatch.The success rates of restoration in the three groups were 90.9%,95.5%,and 98.3%,respectively,with an overall restoration success rate of 96.0%.Conclusion:No significant clinical differences were observed among the use of VITA shade guides,single-layer resin shade guides,and dual-layer resin shade guides.

关 键 词：比色板 树脂 美学 前牙 

分 类 号：R783.3[医药卫生—口腔医学]