3M-Z350纳米复合树脂材料在活髓牙修复中修复体外观美观协调性的研究  

Study on the Aesthetic Coordination of 3M-Z350 Nanocomposite Resin Used in the Restoration of Living Pulp Teeth

作　　者：李娜 谢圣兴 杨溪[2] 李小林 许晓航 朱来宽[3] LI Na;XIE Shengxing;YANG Xi;LI Xiaolin;XU Xiaohang;ZHU Laikuan(Department of Stomatology,Hainan West Central Hospital,Danzhou 571700,Hainan,China;Department of Oral and Maxillofacial Surgery,the Ninth People's Hospital Affi liated to Shanghai Jiaotong University School of Medicine,Shanghai Jiaotong University School of Stomatology,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai 200011,China;Department of Dentistry and Endodontics,the Ninth People's Hospital Affi liated to Shanghai Jiao Tong University School of Medicine,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai 200011,China)

机构地区：[1]海南西部中心医院口腔医学中心,海南儋州571700 [2]上海交通大学医学院附属第九人民医院,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床研究中心口腔颌面外科,上海200011 [3]上海交通大学医学院附属第九人民医院,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床研究中心牙体牙髓科,上海200011

出　　处：《中国美容医学》2024年第6期124-127,共4页Chinese Journal of Aesthetic Medicine

基　　金：上海科学技术委员会项目(编号:21015800800);海南省临床医学中心资助

摘　　要：目的:探究活髓牙修复中使用3M-Z350纳米复合树脂材料对修复体完整性、边缘密合度、色泽协调性的影响。方法:选取笔者医院2018年7月-2021年7月收治的80例活髓牙修复患者,抽签随机分为对照组(n=40)和观察组(n=40)。对照组行3M-Z100复合树脂充填材料修复,观察组采用3M-Z350纳米复合树脂材料修复。分析两组修复后即刻、90d的美学效果(修复体完整性、边缘密合度、色泽协调性),对比两组修复不同时间点(修复后即刻、修复后7d、修复后30d、修复后90d)视觉模拟评分量表(Visual analogue scale,VAS)评分,比较两组不良反应发生率及修复满意度。结果:两组修复后90d的修复体完整性、边缘密合度、色泽协调性评分及美学效果总分均较修复后即刻降低(P<0.05);观察组修复后90d的修复体完整性、边缘密合度、色泽协调性评分及美学效果总分均高于对照组(P<0.05)。两组修复前VAS评分比较差异无统计学意义(P>0.05);两组修复后即刻VAS评分较修复前比较差异无统计学意义(P>0.05);两组修复后7d、修复后30d、修复后90d VAS评分均较修复前、修复后即刻降低(P<0.05),且两两比较差异有统计学意义(P<0.05);观察组修复后即刻、修复后7d、修复后30d VAS评分均低于对照组(P<0.05),修复后90d VAS评分较对照组比较差异无统计学意义(P>0.05)。观察组不良反应发生率为8.11%,低于对照组的29.73%(P<0.05)。观察组美观满意度为95.00%,高于对照组的78.38%(P<0.05)。结论:3M-Z350纳米复合树脂材料用于活髓牙修复中的疗效确切,能缓解修复后疼痛感,修复体完整性、色泽协调性较好,边缘密合度较高,可减轻不良反应,患者修复满意度高,值得推广。Objective To study the effect of 3M-Z350 nanocomposite resin material on restoration integrity,edgefit and color coordination in the restoration of vital pulp teeth.Methods A total of 80 patients with vital pulp teeth repaired in the author's hospital from July 2018 to July 2021 were selected and randomly divided into control group(n=40)and observation group(n=40)by draw.The control group was repaired with 3M-Z100 composite resinfilling material,and the observation group was repaired with 3M-Z350 nanocomposite resin material.The pain(VAS)scores of the two groups at different time points after repair(immediately after repair,7 days after repair,30 days after repair,and 90 days after repair)were compared between the two groups,and the cosmetic effects of the two groups at immediately and 90 days after repair were analyzed.Integrity,edge fit,color coordination,the incidence of adverse reactions and repair satisfaction were compared between the two groups.Results The restoration integrity,edgefit,color coordination score and total cosmetic effect score at 90 days after repair in the two groups were all lower than those at immediately after restoration(P<0.05).The edge adhesion,color coordination score and total score of cosmetic effect were all higher than those of the control group(P<0.05).There was no significant difference in VAS scores between the two groups before repair(P>0.05).There was no significant difference in VAS scores between the two groups immediately after repair compared with before repair(P>0.05).VAS scores at 7 d,30 d and 90 d after repair were lower in both groups than before and immediately after repair(P<0.05),and pairings were statistically significant(P<0.05).The VAS scores at immediately,7 days after repair,and 30 days after repair were lower than those in the control group(P<0.05),and there was no significant difference in the VAS score at 90 days after repair compared with the control group(P>0.05).The incidence of adverse reactions in the observation group was 8.11%,which was lower

关 键 词：活髓牙 3M-Z350纳米复合树脂材料 修复体完整性 边缘密合度 色泽协调性 

分 类 号：R783.3[医药卫生—口腔医学]