首页|全瓷高嵌体与复合树脂填充对根管治疗后牙牙体缺损修复效果的临床比较

全瓷高嵌体与复合树脂填充对根管治疗后牙牙体缺损修复效果的临床比较

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目的:比较全瓷高嵌体与复合树脂填充对根管治疗后牙牙体缺损修复的临床效果.方法:选取2019年12 月至 2021 年 12 月医院收治的 60 例后牙牙体缺损患者作为研究对象,所有患者根据随机数字表法分为对照组和观察组,各30例.两组患者进行根管治疗后,对照组以复合树脂填充治疗,观察组以全瓷高嵌体治疗,共随访6 m.比较两组患者治疗前、治疗后6 m的牙龈指数及出血指数,以及两组治疗后6 m的修复效果(边缘适合性、外形、表面质地及颜色匹配)、修复成功率及满意度.结果:治疗后6 m,两组牙龈指数、出血指数均降低,且观察组低于对照组(P<0.05);观察组边缘适合性、外形、表面质地及颜色匹配A级占比均高于对照组(P<0.05);观察组修复成功率明显高于对照组(P<0.05);观察组总满意度明显高于对照组(P<0.05).结论:与复合树脂填充比较,全瓷高嵌体对根管治疗后牙牙体缺损较复合树脂填充修复效果更好,可降低患者牙龈指数和出血指数,且修复成功率及满意度更高.
Clinical comparison of all-ceramic high inlay and composite resin filling in the restoration of posterior tooth defects after root canal therapy
Objective:To compare the clinical effects of all-ceramic high inlay and composite resin filling on the restoration of posterior teeth defects after root canal therapy.Methods:A total of 60 patients with posterior tooth defects,who were admitted to the hospital from December 2019 to December 2021,was selected.They were randomly divided into the control group and the observation group with 30 patients in each group.After root canal therapy,the two groups were treated with composite resin filling in the control group and all-ceramic high inlay in the observation group,with a total follow-up of 6 months.The gingival index and bleeding index of the two groups were compared before treatment and 6 months after treatment,and the repair effect(edge suitability,shape,surface texture and color matching),repair success rate and satisfaction of the two groups were compared 6 months after treatment.Results:Six months after treatment,the gingival index and bleeding index of the two groups decreased,and the observation group was lower than the control group(P<0.05).The proportion of A-grade edge fit,shape,surface texture and color matching in the observation group was higher than that in the control group(P<0.05).The success rate of repair in the observation group was significantly higher than that in the control group(P<0.05).The total satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:Compared with composite resin filling,all-ceramic high inlay is more effective in repairing tooth defects after root canal therapy than composite resin filling.It can reduce the gingival index and bleeding index of patients,and has higher success rate and satisfaction.

Tooth defectPosterior teethRoot canal therapyAll-ceramic high inlayComposite resin filling

张小燕

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信阳市人民医院口腔科,河南 信阳 464000

牙体缺损 后牙 根管治疗 全瓷高嵌体 复合树脂填充

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(1)
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