光固化玻璃离子、复合树脂和流动性树脂垫底充填修复楔状缺损的随访研究  

Follow-up study of light-cured glass ionomer,composite resin and flowable resin bottom filling in the cosmetic repair of wedge-shaped defects

作　　者：姚海昉 段松海 朱奇美 YAO Haifang;DUAN Songhai;ZHU Qimei(Department of Stomatology,Haining People s Hospital,Jiaxing 314400,China;Department of Stomatology,Haizhou Street Health Center,Jiaxing 314400,China)

机构地区：[1]海宁市人民医院口腔科,浙江嘉兴314400 [2]海洲街道卫生院口腔科,浙江嘉兴314400

出　　处：《健康研究》2024年第6期711-715,共5页Health Research

摘　　要：目的比较光固化玻璃离子、复合树脂和流动性树脂垫底充填修复楔状缺损的远期效果,为临床选择提供依据。方法完成楔状缺损充填修复的113例患者,按照充填修复方式的不同分为玻璃离子组34例(患牙数62颗)、复合树脂组38例(患牙数73颗)、树脂联合组41例(患牙数86颗)。随访12个月,比较3组的修复效果、牙敏感和微渗漏情况、修复满意率。结果修复后12个月时,树脂联合组的充填总成功率(93.02%)高于玻璃离子组(80.65%)、复合树脂组(82.19%),差异有统计学意义(χ^(2)=5.167、4.403,均P<0.05);3组牙敏感总发生率(4.84%、6.85%、3.49%)差异无统计学意义(χ^(2)=0.947,P=0.623);复合树脂组和树脂联合组的微渗漏≤Ⅰ级率(68.49%、76.74%)及修复总满意率(89.04%、96.51%)均高于玻璃离子组(40.32%、72.58%),差异均有统计学意义(P<0.05)。结论相较于单纯玻璃离子或复合树脂修复,流动树脂联合复合树脂修复牙楔状缺损的成功率更高,且微渗漏程度较轻,患者满意度高。Objective To compare the long-term efficacy of using light-cured glass ionomer,composite resin,and flowable resin as base materials for the restoration of wedge-shaped defects,providing a basis for clinical selection.Methods one hundred and thirteen patients who completed wedge-shaped defect filling repair were divided into glass ionomer group(34 cases,62 affected teeth),composite resin group(38 cases,73 affected teeth)and resin combination group(41 cases,86 affected teeth)according to the different filling repair methods.The repair effect,tooth sensitivity,microleakage status and repair satisfaction rate were compared among the three groups at 12 months of follow-up.Results The total success rate of filling in resin combination group(93.02%)at 12 months after repair was higher than that in glass ionomer group(80.65%)and composite resin group(82.19%),with statistically significant differences(χ^(2)=5.167,4.403,both P<0.05).No statistical difference was shown in total incidence rate of tooth sensitivity among the three groups(4.84%vs.6.85%vs.3.49%)(χ^(2)=0.947,P=0.623).The rate of microleakage≤grade I and total satisfaction rate of repair in composite resin group(68.49%,76.74%)and resin combination group(89.04%,96.51%)were higher than those in glass ionomer group(40.32%,72.58%)(P<0.05).Conclusions Compared with simple glass ionomer or composite resin repair,flowable resin combined with composite resin repair for wedge-shaped defects has higher repair success rate,milder microleakage degree and higher patient satisfaction.

关 键 词：光固化玻璃离子 复合树脂 流动性树脂 楔状缺损 充填修复 

分 类 号：R783.3[医药卫生—口腔医学]