首页|数字化椅旁制作髓腔固位冠修复根管治疗后第二磨牙的短期临床评价

数字化椅旁制作髓腔固位冠修复根管治疗后第二磨牙的短期临床评价

Short-term Clinical Evaluation of Endocrown Make by the Digital Chairside for the Restoration of the Second Molar After Root Canal Treatment

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目的 评价应用数字化椅旁技术制作全瓷髓腔固位冠修复根管治疗后第二磨牙的临床效果,并与传统纤维桩核冠修复进行对比.方法 选择89颗经完善根管治疗后的第二恒磨牙,随机分为两组,应用CEREC椅旁数字化技术制作全瓷修复体:实验组42例46颗,行髓腔固位冠修复(玻璃陶瓷材料);对照组43例43颗,行桩核冠修复(玻璃纤维桩+玻璃陶瓷全冠).采用改良USPHS标准分别于修复完成后第3、6、12个月对两组修复体的完整性、固位、边缘密合性、邻接关系、牙龈情况、牙体完整性等指标进行临床修复效果评价,并由患者填写满意度调查问卷.结果 符合本研究纳入标准的患者共92例,患牙96颗,其中7例7颗患牙失访,最终共纳入患者85例(年龄20~69岁),患牙89颗(上领42颗、下领47颗),其中实验组42例,患牙46颗;对照组43例,患牙43颗.根据改良USPHS标准对修复体进行临床修复效果评价,评价为A代表临床优秀水平.研究显示修复1年后髓腔固位冠优秀率为97.7%,桩核冠为92.6%,其中两组修复体的完整性、固位、边缘密合性、邻接关系以及牙体完整性在1年观察期内差异无统计学意义,在牙周健康状况方面差异有统计学意义.结论 应用数字化椅旁技术制作全瓷髓腔固位冠修复根管治疗后第二磨牙的短期临床效果与桩核冠相近,可作为第二磨牙修复的一种理想选择.
Objective To evaluate the clinical effect of using digital chairside technology to make all-ce-ramic endocrown repair for second molar after root canal treatment,and compare it with traditional fiber post core crown repair.Methods 89 second permanent molars after complete root canal treatment were randomly di-vided into 2 groups using CEREC chairside digital technology to make all-ceramic prosthesis:46 of 42 patients in the experimental group were repaired with endocrown(glass ceramic material);The control group of 43 pa-tients underwent post-core crown restoration(glass fiber post+glass ceramic full crown).The improved USPHS standard was used to evaluate the clinical repair effect of the two groups on the integrity,retention,edge closeness,adjacency,gingival status,dental integrity and other indicators at 3,6 and 12 months after the comple-tion of the restoration,respectively,and the patients filled in the satisfaction questionnaire.Results 92 patients met the inclusion criteria of this study,including 96 patients with dental problems,including 7 patients with den-tal loss.A total of 85 patients(43 males and 49 females,aged 20-69 years)and 89 patients with dental problems(42 maxillary cases,47 mandibular cases)were included,including 42 patients with dental problems in the exper-imental group,46 patients with dental problems,and 43 patients in the control group,43 patients with dental problems.According to the improved USPHS standard,the clinical repair effect of the prosthesis was evaluated,and the evaluation was A,representing the clinical excellent level.The study showed that the excellence rate of the endocrown was 97.7%and that of the post-core crown was 92.6%.There were no significant differences in the integrity,retention,edge cohesion,adjacency,secondary caries and dental integrity between the two groups during the 1-year observation period(P>0.05),but there were significant differences in periodontal health status between the two groups(P<0.05).Conclusion The short-term clinical effect of using digital chairside technology to make an all-ceramic endocrown for repairing the second molar after root canal treatment is similar to that of post-core crown,which can be used as an ideal choice for second molar restoration.

endocrownthe second molarminimally invasiveadhesive repairCAD/CAM

骆树怡、高翔

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内蒙古医科大学包头临床医学院,内蒙古包头 014010

髓腔固位冠 第二磨牙 微创 粘接性修复 CAD/CAM

2024

内蒙古医学杂志
内蒙古自治区医学会

内蒙古医学杂志

影响因子:0.537
ISSN:1004-0951
年,卷(期):2024.56(1)
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