金属预成冠修复法与Panavia F树脂水门汀在小儿牙体缺损中的应用对比  

Comparison of the application of metal precrown restoration and Panavia F resin cement in pediatric dental defects

作　　者：刘亚杰 宋紫竹 杨关栗 LIU Ya-jie;SONG Zi-zhu;YANG Guan-li(Department of Stomatology,Ankang Hospital of Traditional Chinese Medicine(Ankang Stomatological Hospital),Ankang Shaanxi 725000,China)

机构地区：[1]安康市中医医院(安康市口腔医院)口腔科,陕西安康725000

出　　处：《临床和实验医学杂志》2024年第19期2110-2114,共5页Journal of Clinical and Experimental Medicine

基　　金：陕西省科技计划项目(编号:2021JQ-642)。

摘　　要：目的探讨金属预成冠修复法与Panavia F树脂水门汀在小儿牙体缺损中的应用效果。方法前瞻性选取2022年11月至2023年11月安康市中医医院(安康市口腔医院)收治的92例牙体缺损患儿为研究对象,按照随机数字表法将其分为修复组(n=46)和水门汀组(n=46)。修复组采用金属预成冠修复法,水门汀组采用Panavia F树脂水门汀修复治疗。比较两组的治疗效果、咬合力、咀嚼效率、牙周健康状态(出血指数、菌斑指数、探针深度PD)、牙周组织指标[龈沟液(GCF)、碱性磷酸酶(ALP)]、并发症。结果治疗后3个月,水门汀组和修复组的临床总有效率比较,差异无统计学意义(P>0.05)。治疗后3个月,两组的咬合力、咀嚼效率均较治疗前升高,且修复组咬合力、咀嚼效率分别为(67.52±5.11)lbs、(92.69±3.11)%,均高于水门汀组[(65.33±5.08)lbs、(91.13±3.57)%],差异均有统计学意义(P<0.05)。治疗后3个月,两组的出血指数、菌斑指数、探针深度均较治疗前降低,差异均有统计学意义(P<0.05);但两组治疗后3个月的出血指数、菌斑指数、探针深度比较,差异均无统计学意义(P>0.05)。治疗后3个月,两组的GCF、ALP均治疗前较升高,差异均有统计学意义(P<0.05);但两组治疗后3个月的GCF、ALP比较,差异均无统计学意义(P>0.05)。治疗后3个月,两组修复体断裂/折断、继发龋、牙龈出血/着色并发症总发生率比较,差异均无统计学意义(P>0.05)。结论金属预成冠修复法和Panavia F树脂水门汀在小儿牙体缺损中均能达到较理想的治疗效果,但前者的咬合力、咀嚼效率恢复效果更优。两种修复治疗方式各有一定优劣势,在实际诊疗中,需根据患儿的牙体缺损情况及需求选择适宜的治疗方式。Objective To investigate the effect of metal precrown restoration and Panavia F resin cement in the treatment of dental defects in children.Methods A total of 92 children with dental defects admitted to Ankang Hospital of Traditional Chinese Medicine(Ankang Stomatological Hospital)from November 2022 to November 2023 were selected as the research objects.They were divided into the repair group(n=46)and the cement group(n=46)by random number table method.The repair group was treated with metal precrown and the cement group was treated with Panavia F resin cement.The therapeutic effect,biting force,masticatory efficiency,periodontal health status[bleeding index(BI),plaque index(PLI),probe depth(PD)],periodontal tissue indexes[gingival creval fluid(GCF),alkaline phosphatase(ALP)]and complications were compared between the two groups.Results At 3 months after treatment,there was no significant difference in the total clinical effective rate between the cement group and the repair group(P>0.05).At 3 months after treatment,the bite force and masticatory efficiency of the two groups were higher than those before treatment,and the bite force and masticatory efficiency of the repair group were(67.52±5.11)lbs and(92.69±3.11)%,respectively,which were higher than those of the cement group[(65.33±5.08)lbs,(91.13±3.57)%],the differences were statistically significant(P<0.05).At 3 months after treatment,the bleeding index,plaque index and probe depth of the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05);however,there were no significant differences in bleeding index,plaque index and probe depth between the two groups at 3 months after treatment(P>0.05).At 3 months after treatment,the GCF and ALP of the two groups were higher than those before treatment,and the differences were statistically significant(P<0.05);however,there were no significant differences in the GCF and ALP between the two groups at 3 months after treatment(P>0.05).At 3 months after treatment,ther

关 键 词：儿童 牙体缺损 金属预成冠修复法 Panavia F树脂水门汀 治疗效果 

分 类 号：R783.3[医药卫生—口腔医学]