首页|高嵌体修复根管与全冠修复根管治疗后牙牙体缺损的效果比较

高嵌体修复根管与全冠修复根管治疗后牙牙体缺损的效果比较

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目的 比较高嵌体修复根管与全冠修复根管治疗后牙牙体缺损的效果。方法 选取我院收治的80 例后牙牙体缺损患者,按照随机数字表法将其分为观察组和对照组,各40例。观察组采取高嵌体修复根管治疗,对照组采取全冠修复根管治疗。比较两组的修复效果。结果 两组的治疗优良率、满意度比较,差异无统计学意义(P>0。05)。观察组修复体完整性、边缘密合性、牙龈健康状况、继发龋及食物嵌塞的A级占比均高于对照组(P<0。05)。修复后,两组的牙龈指数(GI)均显著降低,且观察组低于对照组(P<0。05)。修复后,观察组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)、C反应蛋白(CRP)水平低于对照组(P<0。05)。结论 在后牙牙体缺损的治疗中,高嵌体和全冠修复根管治疗方法均有着良好的应用优势,但是前者的预后效果更佳,尤其是在完整性、边缘密合性、牙龈健康状况、继发龋及食物嵌塞方面的改善作用更为明显,具有较高的推广价值。
Comparison of the effects of onlay restoration of root canal and full crown restoration of root canal in the treatment of posterior teeth defects
Objective To compare the effects of onlay restoration of root canal and full crown restoration of root canal in the treatment of posterior teeth defects.Methods A total of 80 patients with posterior teeth defects admitted in our hospital were selected and divided into observation group and control group according to the random number table method,with 40 cases in each group.The observation group was treated with onlay restoration of root canal,and the control group was treated with full crown restoration of root canal.The repair effects of the two groups were compared.Results There were no significant differences in the excellent and good rate of treatment and satisfaction between the two groups(P>0.05).The proportion of grade A of restoration integrity,edge tightness,gingival health status,secondary caries and food impaction in the observation group were higher than those in the control group(P<0.05).After repair,the gingival index(GI)of the two groups decreased significantly,and that of the observation group was lower than the control group(P<0.05).After repair,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleukin-8(IL-8)and C-reactive protein(CRP)in the observation group were lower than those in the control group(P<0.05).Conclusion In the treatment of posterior teeth defects,both onlay and full crown restoration root canal treatment methods have good application advantages,but the former has a better prognosis,especially in terms of integrity,edge tightness,gingival health status,secondary caries and food impaction,which has high promotion value.

onlay restoration of root canalfull crown restoration of root canaltooth defect

张钰涓、张雪晶、解碧晶

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榆林市中医医院,陕西 榆林,719000

高嵌体修复根管 全冠修复根管 牙体缺损

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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