树脂充填结合多牙位冠向复位瓣技术治疗非龋性牙颈部病变合并牙龈退缩的临床疗效观察  

Clinical efficacy of resin filling combined with multiple coronally advanced flap technique in the treatment of non-carious cervical lesions complicated with gingival recession

作　　者：黄华 HUANG Hua(Department of Stomatology,Hulunbuir People's Hospital,Hulunbuir 021008,China)

机构地区：[1]呼伦贝尔市人民医院口腔内科,021008

出　　处：《中国实用医药》2024年第10期77-80,共4页China Practical Medicine

摘　　要：目的 分析树脂充填结合多牙位冠向复位瓣技术治疗非龋性牙颈部病变合并牙龈退缩的临床疗效。方法 62例非龋性牙颈部病变合并牙龈退缩患者,随机分为参照组与实验组,每组31例。参照组仅单纯使用树脂充填治疗,实验组则实施树脂充填结合多牙位冠向复位瓣技术治疗。观察比较两组治疗前后牙周参数、牙齿美观程度以及并发症发生情况。结果 治疗后,两组牙周探诊深度(PD)、牙龈出血指数(BI)、菌斑指数(PLI)、牙龈退缩高度(GRH)、牙龈退缩宽度(GRW)、临床附着水平(CAL)均较治疗前显著改善,且实验组PD(1.35±0.45)mm、BI(0.49±0.51)分、PLI(0.41±0.08)分、GRH(0.40±0.05)mm、GRW(1.02±1.08)mm、CAL(0.62±1.07)mm均显著低于参照组的(1.56±0.35)mm、(1.26±0.07)分、(1.35±0.08)分、(0.72±0.07)mm、(1.67±1.09)mm、(1.42±1.03)mm(P<0.05)。治疗后,两组龈缘位置、牙龈形态、龈缘形态、牙龈颜色以及膜龈联合位置美观程度评分均较治疗前改善,且实验组龈缘位置、牙龈形态、龈缘形态、牙龈颜色以及膜龈联合位置美观程度评分分别为(8.09±1.25)、(9.70±1.84)、(9.13±1.41)、(9.89±1.08)、(8.17±1.48)分,均高于参照组的(6.12±1.14)、(6.82±1.63)、(7.03±1.31)、(6.74±1.42)、(6.58±1.31)分(P<0.05)。实验组并发症发生率6.45%低于参照组的25.81%(P<0.05)。结论 在非龋性牙颈部病变合并牙龈退缩治疗中,树脂充填结合多牙位冠向复位瓣技术治疗更有利于改善牙周参数,恢复牙齿美学,且并发症发生率更低,更利于提高患者生活质量,值得推广。Objective To analyze the clinical efficacy of resin filling combined with multiple coronally advanced flap technique in the treatment of non-carious cervical lesions complicated with gingival recession.Methods 62 patients with non-carious cervical lesions combined with gingival recession were randomly divided into a reference group and an experimental group,with 31 cases in each group.The reference group was treated with resin filling alone,while the experimental group was treated with resin filling combined with multiple coronally advanced flap technique.The periodontal parameters and degree of dental esthetics before and after treatment,and complications of the two groups were observed and compared.Results After treatment,the periodontal depth(PD),gingival bleeding index(BI),plaque index(PLI),gingival recession height(GRH),gingival recession width(GRW)and clinical attachment level(CAL)in both groups were significantly improved compared with those before treatment;the experimental group had PD of(1.35±0.45)mm,BI of(0.49±0.51)min,PLI of(0.41±0.08)min,GRH of(0.40±0.05)mm,GRW of(1.02±1.08)mm and CAL of(0.62±1.07)mm,which were significantly lower than(1.56±0.35)mm,(1.26±0.07)min,(1.35±0.08)min,(0.72±0.07)mm,(1.67±1.09)mm and(1.42±1.03)mm in the reference group(P<0.05).After treatment,the scores of aesthetics of gingival margin position,gingival margin morphology,gingival color,and membrane-gingival joint position in both groups were improved compared with those before treatment;the scores of aesthetics of gingival margin position,gingival margin morphology,gingival color,and membrane-gingival joint position in the experimental group were(8.09±1.25),(9.70±1.84),(9.13±1.41),(9.89±1.08)and(8.17±1.48)points,which were higher than(6.12±1.14),(6.82±1.63),(7.03±1.31),(6.74±1.42)and(6.58±1.31)points in the reference group(P<0.05).The complication rate of the experimental group was 6.45%,which was lower than 25.81%of the reference group(P<0.05).Conclusion In the treatment of non-carious cervical lesions

关 键 词：树脂充填 多牙位冠向复位瓣技术 非龋性牙颈部病变 牙龈退缩 疗效 

分 类 号：R783[医药卫生—口腔医学]