首页|铸瓷高嵌体修复治疗老年恒牙牙体缺损的效果及对邻牙关系恢复咬合情况的影响观察

铸瓷高嵌体修复治疗老年恒牙牙体缺损的效果及对邻牙关系恢复咬合情况的影响观察

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目的:探究铸瓷高嵌体修复治疗老年恒牙牙体缺损的效果及对邻牙关系恢复、咬合情况的影响。方法:回顾性分析2020 年9 月至2022 年10 月于广安市人民医院接受治疗的116 例(116 颗患牙)恒牙牙体缺损的老年患者临床资料,根据修复材料不同分为树脂组57 例(57 颗患牙)和铸瓷高嵌体组59 例(59 颗患牙),树脂组行树脂直接填充,铸瓷高嵌体组行铸瓷高嵌体修复。修复后 6 个月,比较两组患者修复效果、美学效果,修复即刻及修复6 个月后咬合情况,修复前和修复6 个月后牙周健康[牙龈指数(GI)、菌斑指数(PLI)、龈沟出血指数]。结果:修复 6 个月后,铸瓷高嵌体组 USPHS 满意度、美学效果评分、患侧正中咬合百分比均高于树脂组(P 均<0。05);龈沟出血指数、GI、PLI 水平均低于树脂组(P 均<0。05)。结论:铸瓷高嵌体修复在老年恒牙牙体缺损治疗中效果显著,美学效果、咬合功能及牙周健康均优于树脂直接填充。
Effect and Impact on Adjacent Teeth Relationship and Occlusion of Porcelain High Inlay Restoration in the Treatment of Elderly Permanent Tooth Crown Defects
Objective:To explore the effectiveness of porcelain high inlay restoration in the treatment of crown defects in elderly permanent teeth and its impact on the restoration of adjacent teeth relationship and oc-clusion.Methods:A retrospective analysis was conducted on the clinical data of 116 elderly patients(116 af-fected teeth)with crown defects treated at the People's Hospital of Guang'an from September 2020 to October 2022.Based on different restoration materials,patients were divided into the resin group(57 cases,57 affect-ed teeth)and the porcelain high inlay group(59 cases,59 affected teeth).The resin group underwent direct resin filling,while the porcelain high inlay group underwent porcelain high inlay restoration.Six months after restoration,the restoration effects,aesthetic outcomes,occlusion conditions immediately after restoration and 6 months later,and periodontal health(gingival index[GI],plaque index[PLI],gingival bleeding index)before and after restoration were compared between the two groups.Results:Six months after restoration,the porcelain high inlay group showed higher USPHS satisfaction,aesthetic scores,and percentage of centric oc-clusion on the affected side than the resin group(P<0.05).The gingival bleeding index,GI,and PLI levels were lower than those in the resin group(P<0.05).Conclusion:Porcelain high inlay restoration has a signif-icant effect in the treatment of crown defects in elderly permanent teeth,and it is superior to direct resin filling in terms of aesthetic outcomes,occlusal function,and periodontal health.

Permanent tooth crown defectPorcelain high inlay restorationAdjacent teeth rela-tionshipOcclusal functionAesthetic outcomePeriodontal health

伍松、叶怀光

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四川大学华西广安医院 口腔科,四川 广安 638000

恒牙牙体缺损 铸瓷高嵌体修复 邻牙关系 咬合功能 美学效果 牙周健康

四川省卫生计生委重点研究项目

17ZD029

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(1)
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