正畸直丝弓矫治技术联合烤瓷贴面治疗在前牙美学修复中的应用  

Application of Combined Treatment of Orthodontic Straight Wire Appliance Technique and Porcelain Veneer in Aesthetic Restoration of Anterior Teeth

作　　者：马海萍 丁丹丹 刘梦蕾 MA Haiping;DING Dandan;LIU Menglei(Department of Orthodontics,Xining Stomatological Hospital,Xining 810000,Qinghai,China)

机构地区：[1]西宁市口腔医院正畸科,青海西宁810000

出　　处：《中国美容医学》2025年第2期141-145,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨正畸直丝弓矫治技术和烤瓷贴面两种方式联合治疗在前牙修复中的美学效果。方法:回顾性分析2019年1月-2022年1月笔者医院收治的76例前牙美学修复患者的临床资料,采用常规烤瓷冠修复的患者纳入对照组(n=36),正畸直丝弓矫治联合烤瓷贴面修复治疗的患者纳入联合组(n=40)。比较两组治疗后的临床疗效(整体牙齿功能、颜色满意度、边缘合适性、牙周健康状况、术后敏感),美学效果[红色美学指数(Pink esthetic score,PES)和白色美学指数(White esthetic score,WES)评分],以及治疗完成6个月内两组的并发症发生情况和满意度。结果:治疗后,联合组在整体牙齿功能、边缘合适性、牙周健康状况和术后敏感的临床表现上明显优于对照组(P<0.05),两组患者在颜色满意度上差异无统计学意义(P>0.05),联合组患者的PES评分、WES评分明显高于对照组(P<0.05);治疗完成6个月内,联合组患者并发症发生率明显低于对照组,其满意度评分明显高于对照组(均P<0.05)。结论:正畸直丝弓矫治技术和烤瓷贴面两种方式联合治疗应用于前牙修复中可取得良好临床疗效和美学效果,安全性较高且患者满意,值得临床推广应用。Objective To explore the application and observation of combination treatment of orthodontic straight wire appliance technique and porcelain veneer in the cosmetic restoration of anterior teeth.Methods A retrospective analysis was performed on the clinical data of 76 patients with cosmetic restoration of anterior teeth in the hospital between January 2019 and January 2022.36 patients were given conventional porcelain crown restoration(control group),and 40 patients were treated with orthodontic straight wire appliance technique combined with porcelain veneer restoration(combined group).The clinical efficacy(overall tooth function,color satisfaction,marginal adaptation,periodontal health status,postoperative sensitivity)and aesthetic effect[pink esthetic score(PES)and white esthetic score(WES)]after restoration treatment and occurrence of complications and patient satisfaction within 6 months after treatment completion were compared between both groups of patients.Results After treatment,the clinical manifestations such as overall tooth function,marginal adaptation,periodontal health status and postoperative sensitivity of patients in combined group were significantly better than those in control group(P<0.05),but there was no significant difference in the color satisfaction between the two groups(P>0.05).The PES score and WES score were significantly higher in combined group than those in control group(P<0.05).Within 6 months after treatment completion,the incidence of complications in combined group was significantly lower while the satisfaction scores were significantly higher compared to control group(all P<0.05).Conclusion The combined treatment of orthodontic straight wire appliance technique and porcelain veneer in the cosmetic restoration of anterior teeth can achieve good clinical efficacy and aesthetic effect,with high safety and patient satisfaction.

关 键 词：前牙修复 直丝弓矫治技术 烤瓷贴面 临床疗效 美学效果 

分 类 号：R783.5[医药卫生—口腔医学]