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作 者:陈德滔 梁景章 潘海兰 CHEN Detao;LIANG Jingzhang;PAN Hailan(Department of Stomatology,Foshan Nanhai District People's Hospital,Foshan 528225,Guangdong,China;Department of Stomatology,Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Foshan 528200,Guangdong,China)
机构地区:[1]佛山市南海区人民医院口腔科,广东佛山528225 [2]广东省中西医结合医院口腔科,广东佛山528200
出 处:《中国美容医学》2025年第4期160-165,共6页Chinese Journal of Aesthetic Medicine
摘 要:目的:探究Vita Enamic高嵌体修复后牙大面积缺损的短期临床疗效。方法:选取2019年1月-2021年12月佛山市南海区人民医院收治的100例后牙大面积缺损患者作为研究对象。观察组:50例,通过计算机辅助设计与制造(Computer aided design /Computer aided manufacture,CAD/CAM)技术采用Vita Enamic高嵌体修复;对照组:50例,采用树脂高嵌体修复。参照改良美国公共健康服务(United States public health service,USPHS)标准和患者满意度对两组修复效果进行比较。结果:修复后3个月、6个月,两组修复效果比较,差异无统计学意义(P>0.05)。修复后1年,观察组边缘密合性方面优于对照组(P<0.05)。修复后2年,除了继发龋,观察组在其他方面均优于对照组(P<0.05)。术后2年满意度评价,观察组的修复体颜色、使用舒适度和整体满意度优于对照组(P<0.05)。结论:Enamic高嵌体修复后牙大面积缺损,短期疗效理想,患者总体满意度较高。Objective To investigate and analyze the short-term clinical efficacy of Vita Enamic onlays which repaired the large defect of posterior tooth.Methods 100 patients with the large defect of posterior tooth admitted to the Nanhai District People's Hospital of Foshan City between January 2019 and December 2021 were selected as study subjects.The observation group(50 cases)was restored with Vita Enamic onlays by computer aided design/computer aided manufacture(CAD/CAM)technology.The control group(50 cases)was restored with resin onlays.The results of the two groups were compared by referring to the standards of the United States Public Health Service(USPHS)and patient’s satisfaction.Results There was no statistically significant difference between the observation group and the control group at 3 months and 6 months after repair(P>0.05).At 1 year after repair,the observation group was better than the control group in terms of edge closure(P<0.05).At 2 years after restoration,the observation group was superior to the control group in all aspects except secondary caries(P<0.05).The satisfaction evaluation of 2 years after restoration showed that,the color of the restoration,comfort of use and overall satisfaction of the observation group were better than that of the control group(P<0.05).Conclusion Enamic onlays,repairing the large defect of posterior tooth,have favorable short-term efficacy and high overall satisfaction of patients.
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