Filtek Z350XT流体树脂联合玻璃离子水门汀修复龈下深形牙体楔状缺损的疗效分析  

Analysis of the Therapeutic Effect of Filtek Z350XT Fluid Resin Combined with Glass Ionomer Ccement in Repairing Wedge shaped Defects of Subgingival Deep Teeth

作　　者：占育华 徐英 黄璐瑶 ZHAN Yu-hua;XU Ying;HUANG Lu-yao(Department of Stomatology,Nanchang People's Hospital(Nanchang Third Hospital),Nanchang 330009,Jiangxi Province,China;Department of Stomatology,Hongdu Traditional Chinese Medicine Hospital,Nanchang 330003,Jiangxi Province,China;Department of Stomatology,Jiangxi Integrated Traditional Chinese and Western Medicine Hospital,Nanchang 330038,Jiangxi Province,China)

机构地区：[1]南昌市人民医院(南昌市第三医院)口腔科,江西南昌330009 [2]南昌市洪都中医院口腔科,江西南昌330003 [3]江西省中西医结合医院口腔科,江西南昌330038

出　　处：《罕少疾病杂志》2024年第11期36-37,42,共3页Journal of Rare and Uncommon Diseases

基　　金：江西省卫生健康委科技计划(202140060)。

摘　　要：目的探讨Filtek Z350XT流体树脂联合玻璃离子水门汀修复龈下深形牙体楔状缺损(WSD)的疗效。方法选择2021年1月至2022年6月南昌市第三医院口腔科接诊的120例龈下深形牙体WSD患者,按随机数字表法分为实验组(n=60)和对照组(n=60)。实验组采用玻璃离子水门汀垫底Filtek^(TM)Z350XT流体树脂充填,对照组采用光固化氢氧化钙垫底Filtek^(TM)Z350XT流体树脂充填。比较两组牙龈炎性反应、充填成功率、牙齿敏感状态、牙齿功能状态、并发症。结果两组充填成功率对比,无统计学差异(P>0.05);填充后两组牙颜色及咀嚼功能满意度评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、天门冬氨酸氨基转移酶(AST)检测值均高于填充前(P<0.05),两组充填前与充填后牙颜色及咀嚼功能满意度、IL-1β、TNF-α、AST比较,无统计学差异(P>0.05);充填后两组牙敏感率均低于充填前(P<0.05),而两组充填后牙敏感率与并发症发生率对比,无统计学差异(P>0.05)。结论Filtek Z350XT流体树脂联合玻璃离子水门汀修复龈下深形牙体WSD的效果及安全性与光固化氢氧化钙相当。Objective To investigate the efficacy of Filtek Z350XT fluid resin combined with glass ionomer cement in repairing subgingival deep wedge-shaped tooth defects(WSD).Methods 120 patients with subgingival deep tooth dysplasia(WSD)admitted to the Department of Stomatology of Nanchang Third Hospital from January 2021 to June 2022 were randomly divided into an experimental group(n=60)and a control group(n=60)using a random number table.The experimental group used glass ionomer cement as the base material,Filtek^(TM)Z350XT Fluid resin filling,control group using light cured calcium hydroxide as the bottom Filtek^(TM)Z350XT Fluid resin filling.Compare the gingivitis response,filling success rate,tooth sensitivity status,tooth function status,and complications between two groups.Results There was no statistically significant difference in the success rate of filling between the two groups(P>0.05);After filling,the satisfaction scores of tooth color and chewing function,as well as the detection values of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),and aspartate aminotransferase(AST)in both groups were higher than before filling(P<0.05).There was no statistical difference in the satisfaction scores of tooth color and chewing function,IL-1β,TNF-α,and AST before and after filling between the two groups(P>0.05);The sensitivity rates of both groups of teeth after filling were lower than before filling(P<0.05),while there was no statistically significant difference in the sensitivity rate and incidence of complications between the two groups after filling(P>0.05).Conclusion The effect and safety of Filtek Z350XT fluid resin combined with glass ionomer cement in repairing deep subgingival tooth surface caries are comparable to those of light cured calcium hydroxide.

关 键 词：深形牙体楔状缺损 玻璃离子水门汀 Filtek Z350XT流体树脂 光固化氢氧化钙 

分 类 号：R783.3[医药卫生—口腔医学]