数字化引导前牙瓷贴面修复的临床效果研究  

Clinical effects of the digital guided porcelain veneer restoration of anterior teeth

作　　者：石欣怡 陈小冬 栾秀玲 SHI Xinyi;CHEN Xiaodong;LUAN Xiuling(Dalian Stomatological Hospital,116000,China)

机构地区：[1]大连市口腔医院,116000

出　　处：《实用口腔医学杂志》2025年第2期162-167,共6页Journal of Practical Stomatology

摘　　要：目的:探讨数字化引导前牙瓷贴面修复的短期临床效果。方法:纳入2020年3月~2021年3月接诊的17例(80颗牙)数字化引导前牙瓷贴面修复患者,Bland-Altman方法评价微创组(9例,40颗牙)与有创组(8例,40颗牙)备牙导板准确度,分别比较术后1周和3、6、12个月临床效果,及术后12个月的牙周情况。结果:导板引导的微创组与有创组牙体预备误差均数为(0.089±0.029)mm,且颈部和中部误差较切端小。有创组颜色匹配评分较高(P<0.05),微创组牙龈健康和术后敏感评分较高(P<0.05)。术后12个月微创组菌斑指数0.67±0.41,有创组0.88±0.47(P=0.026)。结论:数字化引导瓷贴面修复实现牙体预备可视化,且短期临床效果良好。Objective:To explore the short-term clinical effects of digitally guided anterior teeth porcelain veneer restoration.Methods:17 patients with 80 teeth treated by digitally guided anterior teeth porcelain veneer restoration were included and divided into minimally invasive group(A,9 cases with 40 teeth)and the invasive group(B,8 cases with 40 teeth).The accuracy of tooth preparation guides was evaluated by Bland-Altman analysis,the clinical effects at 1 week and 3,6 and 12 months and the plaque index at 12 months after operation were compared between the two groups.Results:The mean error of tooth preparation by the guide plate is(0.089±0.029)mm,and the mean differences in cervical and middle were smaller than that in incisal area.There were statistically significant differences between the two groups in the follow-up clinical effect scores of color matching,gingival health and postoperative sensitivity(P<0.05).The plaque index at 12 months after surgery was 0.67±0.41 in the minimally invasive group and 0.88±0.47 in the invasive group(P=0.026).Conclusion:The digitally guided porcelain veneer restoration realizes the visualization of tooth preparation and has good short-term clinical effects.

关 键 词：瓷贴面 美学修复 数字化 3D打印 备牙导板 

分 类 号：R783.3[医药卫生—口腔医学] TP391.73[医药卫生—临床医学]