聚合瓷高嵌体与全瓷冠在下颌第一磨牙缺损修复中的应用及对咀嚼功能和美学效果的影响  

Application of Polymer-ceramic Onlay and All-ceramic Crown in the Repair of Mandibular First Molar Defect and Influence on Function and Aesthetic Effect

作　　者：黄河[1] 王拓 孙晶晶[1] 刘晶[1] 乔宁 齐艳云[1] HUANG He;WANG Tuo;SUN Jingjing;LIU Jing;QIAO Ning;QI Yanyun(Department of Stomatology,the First Hospital of Qinhuangdao,Qinhuangdao 066000,Hebei,China;Department of Stomatology,Qinhuangdao Haigang Hospital,Qinhuangdao 066000,Hebei,China;Department of Stomatology,Qinhuangdao Qiaoning Dental Clinic,Qinhuangdao 066000,Hebei,China)

机构地区：[1]秦皇岛市第一医院口腔科,河北秦皇岛066000 [2]秦皇岛市海港医院口腔科,河北秦皇岛066000 [3]秦皇岛市乔宁口腔门诊口腔科,河北秦皇岛066000

出　　处：《中国美容医学》2024年第10期171-174,共4页Chinese Journal of Aesthetic Medicine

基　　金：秦皇岛市重点研发计划科技项目(编号:202101A115)。

摘　　要：目的:探讨聚合瓷高嵌体与全瓷冠在下颌第一磨牙缺损修复中的应用及对咀嚼功能和美学效果的影响。方法:选取笔者医院2020年1月-2021年12月收治的120例第一磨牙缺损患者作为研究对象,按照随机数字表法分为对照组(60例,采用全瓷冠修复)和观察组(60例,采用聚合瓷高嵌体修复)。观察两组患者的修复效果、牙周健康指标、咀嚼功能、美学效果及不良事件发生情况。结果:治疗后12个月,观察组修复总有效率高于对照组(P<0.05);观察组牙周健康指标评分均低于对照组(P<0.05);观察组咀嚼功能显著高于对照组(P<0.05);观察组患者的表面光滑、边缘密合性、固定良好及颜色匹配评分高于对照组(P<0.05);观察组继发龋、牙冠折裂、牙龈红肿、咬合痛不良事件发生率低于对照组(P<0.05);观察组患者修复成功率及存活率高于对照组(P<0.05)。结论:与全瓷冠治疗比较,应用聚合瓷高嵌体修复下颌第一磨牙缺损能够提高患者远期修复效果,改善牙周健康状况,提升咀嚼功能及美学效果。Objective To investigate the application of polymer-ceramic onlay and all-ceramic crown in the repair of mandibular first molar defect and the influence on function and aesthetic effect.Methods A total of 120 patients with first molar defect admitted to the author’s hospital from January 2020 to December 2021 were selected as research subjects,and were divided into control group(60 cases,all-ceramic crown repair)and observation group(60 cases,polymer-ceramic onlay repair)according to the random number table method.Repair effect,periodontal health indexes,masticatory function,aesthetic effect and occurrence of adverse events were observed in both groups.Results The total effective rate of repair in observation group was higher at 12 months after treatment(P<0.05).The scores of periodontal health indexes were lower in observation group(P<0.05).The masticatory function in observation group was significantly higher compared to control group(P<0.05).The scores of smooth surface,marginal adaption,good fixation and color matching in observation group were higher compared with those in control group(P<0.05).The incidence rates of adverse events such as secondary caries,crown fracture,gingival swelling and occlusal pain were lower than those in control group(P<0.05).The repair success rate and survival rate in observation group were higher than those in control group(P<0.05).Conclusion Compared with all-ceramic crown treatment,the application of polymer-ceramic onlay in the repair of mandibular first molar defect can better enhance the long-term repair effect,improve the periodontal health status,and enhance the masticatory function and aesthetic effect.

关 键 词：聚合瓷高嵌体 全瓷冠 下颌第一磨牙 牙体缺损 修复 咀嚼功能 美学效果 

分 类 号：R783.4[医药卫生—口腔医学]