高嵌体与全瓷冠修复牙体缺损的美学效果及远期疗效对比  

Comparison of Aesthetic Effect and Long-term Curative Effect between High Inlays and All-ceramic Crown in the Restoration of Dental Cavity Defects

作　　者：贾妮 梁晓芳 马广周 JIA Ni;LIANG Xiaofang;MA Guangzhou(Department of Stomatology,Affi liated Hospital of Changzhi Institute of Traditional Chinese Medicine,Changzhi 046000,Shanxi,China)

机构地区：[1]长治市中医研究所附属医院口腔科,山西长治046000

出　　处：《中国美容医学》2024年第6期144-148,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对比高嵌体与全冠在修复牙体缺损中的美学效果及预后。方法:选取2020年6月-2022年1月笔者医院收治的牙体缺损患者120例(共229颗患牙),采用随机数字法分为对照组(60例,113颗患牙)和观察组(60例,116颗患牙),对照组采用常规全瓷冠修复治疗,观察组采用CAD/CAM全瓷高嵌体修复治疗,观察两组的修复时间(备牙时间、取模时间和总体操作时间),治疗后第6个月、12个月及18个月的修复效果,以及治疗前、治疗后第3个月牙周指标及龈沟液生化指标[C反应蛋白(C-reactive protein,CRP)、人CXC趋化因子配体16(CXC chemokine ligand 16,CXCL16)、白细胞介素1β(Interleukin-1β,IL-1β)]变化,对比两组牙齿美观满意度。结果:观察组备牙时间、取模时间和总体操作时间均显著低于对照组(P<0.05);观察组、对照组治疗后第6个月、12个月、18个月修复优良率分别为100% vs 100%、97.41% vs 85.84%、96.55% vs 83.19%,两组治疗后12、18个月比较差异有统计学意义(P<0.05);治疗后第3个月,两组出血指数(Bleeding index,BI)、菌斑指数(Plaque index,PLI)、牙龈指数(Gingival index,GI)及龈沟液CRP、CXCL16、IL-1β水平均显著降低(P<0.05),且观察组显著低于对照组(P<0.05),两组咀嚼能力显著升高,且观察组显著高于对照组(均P<0.05);观察组患者对修复体满意度(98.34%)显著高于对照组(81.67%)(P<0.05)。结论:CAD/CAM全瓷高嵌体技术应用于修复牙体缺损临床效果显著,可明显改善牙周情况及炎症反应,远期修复效果好,美观度高,患者满意度高,值得临床推广应用。Objective A comparative study of the aesthetic outcomes and prognosis between high inlays and all-ceramic crown in the restoration of dental cavity defects.Methods 120 patients with dental defects(229 teeth)admitted from June 2020 to January 2022 were selected and divided into control group(60 cases,113 teeth)and observation group(60 cases,116 teeth)by the random number table method.The control group was treated with conventional all-ceramic crown repair,and the observation group was given CAD/CAM all-ceramic onlay repair.The restoration time(dental preparation time,impression time and overall procedural time),repair effect on the 6th month,12th month and 18th month after treatment and changes in periodontal indicators and gingival creval fluid biochemical indicators[C-reactive protein(CRP),human CXC chemokine ligand 16(CXCL16),interleukin-1β(IL-1β)]before treatment and on the 3rd month after treatment were compared between the two groups,and the dental aesthetic satisfaction was compared.Results The dental preparation time,impression time and overall procedural time in observation group were significantly shorter than those in control group(P<0.05).The excellent and good repair rates in observation group and control group on the 6th month,12th month and 18th month after treatment were 100%and 100%,97.41%and 85.84%,and 96.55%and 83.19%respectively,and there was a statistical significance between the two groups on the 12th month and 18th month after treatment(P<0.05).At the 3rd month after treatment,the bleeding index(BI),plaque index(PLI),gingival index(GI)and levels of CRP,CXCL16 and IL-1βin gingival crevicularfluid were significantly decreased in both groups(P<0.05),and the above indexes and levels in observation group were significantly lower than those in control group(P<0.05),and the masticatory ability in both groups was significantly risen(P<0.05),and the masticatory ability in observation group was significantly higher than that in control group(allP<0.05).The satisfaction of prosthesis in observa

关 键 词：高嵌体修复 全瓷冠修复 牙体缺损 美观度 远期疗效 

分 类 号：R783.4[医药卫生—口腔医学]