前牙高透氧化锆全瓷冠修复单颗前牙缺损的美学效果分析  

Infl uence of High Permeability Zirconia All-ceramic Crown of Anterior Tooth on Aesthetic Restoration Effect of Single Anterior Tooth Defect

作　　者：徐菁[1] 李敏[1] XU Jing;LI Min(Department of Stomatology,Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin 214400,Jiangsu,China)

机构地区：[1]江阴市中医院口腔科,江苏江阴214400

出　　处：《中国美容医学》2024年第6期162-165,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究高透氧化锆全瓷冠修复单颗前牙缺损的美学效果。方法:选取2018年1月-2020年10月笔者医院收治的单颗前牙缺损患者80例(共80颗患牙),按随机数表法分为观察组(高透氧化锆全瓷冠修复)和对照组(钴铬烤瓷冠修复),每组40例(40颗患牙),比较两组的修复效果,修复前、修复后1个月的牙周指标及龈沟液指标[碱性磷酸酶(Alkaline phosphatase,ALP)、白介素6(Interleukin-6,IL-6)、白介素8(Interleukin-8,IL-8)]水平,对比两组修复后1年的满意度及并发症发生情况。结果:修复后1年,两组颜色对比、边缘着色、解剖外形、边缘密合度、龋齿等修复效果评估观察组均高于对照组(P<0.05)。修复后1个月,两组牙周探诊深度、菌斑指数、出血指数均升高,但观察组低于对照组(均P<0.05);两组龈沟液ALP、IL-6、IL-8水平均降低,且观察组均低于对照组(均P<0.05)。修复后1年,观察组修复总满意度高于对照组(P<0.05);修复后1年期间,两组均未发生牙体腐蚀,疼痛、牙龈炎、根折发生率差异无统计学意义,观察组并发症总发生率低于对照组(P<0.05)。结论:采用高透氧化锆全瓷冠修复单颗前牙缺损的美学效果较好,可减轻牙周组织炎症,值得临床推广应用。Objective To explore the influence of high permeability zirconia all-ceramic crown on aesthetic restoration effect of single anterior tooth defect.Methods 80 patients(80 teeth)with single anterior tooth defect admitted to the hospital from January 2018 to October 2020 were selected and divided into observation group(high permeability zirconia all-ceramic crown restoration)and control group(cobalt chromium porcelain crown restoration)according to the random number table method,with 40 cases(40 teeth)in each group.The restoration effect,periodontal indexes and gingival crevicularfluid indexes[alkaline phosphatase(ALP),interleukin-6(IL-6),IL-8]before restoration and at 1 month after restoration and satisfaction of restoration and occurrence of complications at 1 year after restoration were compared between the two groups.Results At 1 year after restoration,there were statistically significant differences between the two groups in the evaluation of restoration effect,such as color contrast,edge coloration,anatomic appearance,edge tightness and dental caries(P<0.05).At 1 month after restoration,the periodontal probing depth(PD),plaque index(PLI)and bleeding index(BI)in both groups were increased,but the indexes in observation group were lower than those in control group(all P<0.05).At 1 month after restoration,the levels of ALP,IL-6 and IL-8 in gingival crevicularfluid in both groups were decreased,and the levels in observation group were lower compared with those in control group(all P<0.05).At 1 year after restoration,the total satisfaction of restoration in observation group was higher than that in control group(P<0.05).During 1 year of restoration,no dental corrosion occurred in both groups,and there were no statistical differences in the incidence rates of pain,gingivitis and root fracture(P>0.05).The total incidence rate of complications in observation group was lower compared to control group(P<0.05).Conclusion High permeability zirconia all-ceramic crown has a good restoration effect on the restoration of

关 键 词：前牙缺损 高透氧化锆全瓷冠 钴铬烤瓷冠 牙齿修复 美学效果 牙周指数 

分 类 号：R783.3[医药卫生—口腔医学]