树脂分层修复与全瓷修复体在前牙缺损修复中的应用比较  

Comparison of Resin Layered Anterior Tooth Restoration and All-ceramic Restoration in Aesthetic Restoration of Anterior Tooth Defects

作　　者：郭晶 李迎楼 安佰利 GUO Jing;LI Yinglou;AN Baili(Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research,College of Stomatology,Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China;Department of General Dentistry,College of Stomatology,Xi’an Jiaotong University,Xi'an 710004,Shaanxi,China;Department of Cariology and Endodontics,College of Stomatology,Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China;Department of Stomatology,Xi'an No.3 Hospital,the Affiliated Hospital of Northwest University,Xi'an 710016,Shaanxi,China)

机构地区：[1]西安交通大学口腔医院、陕西省颅颌面精准医学研究重点实验室,陕西西安710004 [2]西安交通大学口腔医院口腔综合科,陕西西安710004 [3]西安交通大学口腔医院牙体牙髓病科,陕西西安710004 [4]西北大学附属医院·西安市第三医院口腔科,陕西西安710016

出　　处：《中国美容医学》2024年第12期168-171,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨复合树脂分层前牙修复与全瓷修复体在前牙缺损修复中的效果及美学价值。方法:采用病例对照研究,选取2021年3月-2023年3月西安交通大学口腔医院口腔综合科收治的120例前牙牙体缺损患者作为研究对象,随机将其分为A组和B组,每组60例。A组患者采用复合树脂分层修复前牙,B组患者采用全瓷修复体修复前牙缺损,对比两组患者修复后6个月、12个月的美学效果,牙龈出血指数、牙周探诊深度及龈下菌斑标本病原菌检出率的差异。结果:治疗后6个月、12个月,B组患者的边缘适合性、颜色匹配效果、修复体固位效果、修复体边缘染色、牙龈健康程度按照USPHS评分标准为A级的患者占比显著高于A组(P<0.05);治疗后6个月、12个月,B组患者的牙龈出血指数及牙周探诊深度均低于A组(P<0.05);治疗后12个月,B组患者的龈下菌斑中的中间普菌、福赛坦菌检出率与A组患者比较,差异无统计学意义(P>0.05);B组的牙龈卟啉单胞菌、具核梭形杆菌、伴放线放线杆菌检出率均低于A组,差异均有统计学意义(P<0.05);治疗后12个月,B组患者治疗效果总体优于A组(P<0.05)。结论:复合树脂分层修复与全瓷修复体在前牙缺损修复后均能取得较好的效果,但是全瓷修复体更有利于提升修复的美学效果,降低修复后的牙周损害,总体效果更好。Objective Exploring the effects and aesthetic value of composite resin layered anterior tooth restoration and all ceramic restoration after anterior tooth defect repair.Methods Using a case-control study,120 patients with anterior tooth defects admitted to the dental outpatient department of Hospital of Stomatology,Xi'an Jiaotong University from March 2021 to March 2023 were selected as the study subjects.They were randomly divided into Group A and Group B,with 60 patients in each group.Group A patients received composite resin layered anterior tooth restoration,while Group B received all ceramic restoration for anterior tooth defects.The aesthetic effects of the two groups of patients at 6 and 12 months after restoration were compared Differences in gingival bleeding index,periodontal probing depth,and pathogen detection rate in subgingival plaque specimens.Results After 6 and 12 months of treatment,the proportion of patients in Group B with marginal fitness,color matching effect,restoration fixation effect,restoration edge staining,and gingival health grade A according to the USPHS scoring standard was significantly higher than that in Group A,and the difference was statistically significant(P<0.05).After 6 and 12 months of treatment,the gingival bleeding index and periodontal probing depth of Group B patients were lower than those of Group A patients,and the differences were statistically significant(P<0.05).After 12 months of treatment,the detection rates of prevotella intermedia and Forsythiaceae in the subgingival plaque of Group B patients were not statistically significant compared to Group A patients(P>0.05).The detection rates of Porphyromonas gingivalis,Fusobacterium nucleatum,and Actinobacterium actinomycetes in Group B were lower than those in Group A,and the differences were statistically significant(P<0.05).After 12 months of treatment,the overall effect of Group B was better than Group A(P<0.05).Conclusion Both composite resin layered anterior tooth restoration and all ceramic restoration can achi

关 键 词：复合树脂 分层修复 全瓷修复体 前牙缺损 美学价值 

分 类 号：R783.4[医药卫生—口腔医学]