临床误诊误治2024,Vol.37Issue(18) :76-81.DOI:10.3969/j.issn.1002-3429.2024.18.013

Ceramage高嵌体修复无髓年轻恒磨牙的临床疗效分析

Clinical Efficacy Analysis of Ceramage Resin Inlays in Repairing Pulpless Immature Permanent Molars

杜劲英 章雯
临床误诊误治2024,Vol.37Issue(18) :76-81.DOI:10.3969/j.issn.1002-3429.2024.18.013

Ceramage高嵌体修复无髓年轻恒磨牙的临床疗效分析

Clinical Efficacy Analysis of Ceramage Resin Inlays in Repairing Pulpless Immature Permanent Molars

杜劲英 1章雯2
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作者信息

  • 1. 210004 南京,南京医科大学附属妇产医院南京市妇幼保健院口腔科
  • 2. 210029 南京,南京医科大学附属口腔医院第四门诊部口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学)
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摘要

目的 比较Ceramage高嵌体、树脂充填修复大面积牙体缺损的无髓年轻恒磨牙的临床疗效.方法 回顾性分析2016 年1 月至2017 年1 月收治的大面积牙体缺损的35 例40 颗无髓年轻恒磨牙,根据修复方法分为Cera-mage高嵌体组16 例(18 颗)、树脂充填组19 例(22 颗).Ceramage高嵌体组采用Ceramage聚合瓷高嵌体修复,树脂充填组采用直接树脂充填修复.修复后1、6 年按照美国公共健康协会修正标准对修复体进行评价,并比较2 组修复体脱落情况.结果 修复后1 年,2 组临床效果比较差异无统计学意义(P>0.05).修复后6 年,Ceramage高嵌体组修复体完整性、无基牙折裂效果优于树脂充填组(P<0.05).Ceramage高嵌体组修复体脱落率[5.56%(1/18)]低于树脂充填组[40.91%(9/22)],差异有统计学意义(P<0.05).结论 Ceramage高嵌体和树脂充填在修复牙体严重缺损的年轻恒磨牙时短期修复效果差别不明显,长期的修复效果Ceramage高嵌体优于树脂充填.

Abstract

Objective To compare the clinical efficacy of Ceramage resin inlay and resin filling in the repair of pulp-less immature permanent molars with large-area defect.Methods A retrospective analysis was performed on 35 patients with 40 pulpless immature permanent molars with large-area defect treated from January 2016 to January 2017.The patients were divided into Ceramage resin inlay group(16 patients,18 teeth)and resin filling group(19 patients,22 teeth)according to re-pair methods.The Ceramage resin inlay group was repaired using Ceramage polymer ceramic inlay,while the resin filling group was repaired using direct resin filling.The restorations were evaluated according to the modified the United States Public Health Service(USPHS)standard at 1 and 6 years after the restoration,and the shedding of the restorations in the two groups was compared.Results At 1 year after repair,there was no significant difference in clinical effect between the two groups(P>0.05).At 6 years after restoration,the restoration integrity and abutment fracture free effect of Ceramage resin inlay group were better than those of resin filling group(P<0.05).The rate of shedding of restoration in Ceramage resin inlay group[5.56%(1/18)]was lower than that in resin filling group[40.91%(9/22)],and the difference was statistically sig-nificant(P<0.05).Conclusion The short-term repair effect of Ceramage resin inlay and resin filling is similar in the repair of immature permanent molars with serious tooth defects;however,the long-term repair effect of Ceramage resin inlay is better than that of direct resin filling.

关键词

牙体缺损/Ceramage高嵌体/树脂充填/年轻恒磨牙/基牙折裂/修复体脱落/未成年人

Key words

Tooth defect/Ceramage resin inlay/Resin filling/Immature permanent molars/Abutment fracture/Shedding of restoration/Minors

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基金项目

江苏省科教能力提升工程-江苏省研究型医院建设单位(YJXYYJSDW4)

江苏省医学创新中心(CXZX202227)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
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