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瓷睿刻数字全瓷修复系统制作全瓷高嵌体修复严重缺损磨牙的效果

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目的 探讨瓷睿刻数字全瓷修复系统制作全瓷高嵌体修复严重缺损磨牙的效果.方法 选取2019年3月至2022年9月医院收治的60例严重缺损磨牙患者作为研究对象,基于倾向性匹配法校正混杂因素影响后分为对照组和试验组,每组30例.对照组采用全冠修复治疗,试验组采用瓷睿刻数字全瓷修复系统制作全瓷高嵌体修复治疗.比较两组修复后6、12个月的效果(包括边缘合适性、修复体完整性、修复体松动/脱落、牙龈健康、修复体染色),修复前及修复后6、12个月的咀嚼功能(采用咀嚼效率评价)、生活质量[采用14项口腔健康影响程度量表(OHIP-14)评价],以及两组不良事件(食物嵌塞、牙龈红肿、牙齿松动、修复体脱落)发生率.结果 修复后6、12个月,试验组各项修复效果评分均高于对照组,差异均有统计学意义(P<0.05);两组修复后12个月各项修复效果评分均低于修复后6个月,差异均有统计学意义(P<0.05).修复前,两组咀嚼效率、OHIP-14评分比较,差异均无统计学意义(P>0.05);修复后6、12个月,两组咀嚼效率均高于同组修复前,OHIP-14评分低于同组修复前,且试验组咀嚼效率高于对照组,OHIP-14评分低于对照组,差异均有统计学意义(P<0.05).试验组不良事件发生率低于对照组,差异有统计学意义(P<0.05).结论 瓷睿刻数字全瓷修复系统制作全瓷高嵌体修复严重缺损磨牙的效果优于全冠修复,能够有效提高患者的咀嚼功能和生活质量,减少不良事件的发生.
The Effect of Using the CEREC Digital All-Porcelain Repair System to Produce All-Porcelain High Inlay for the Restoration of Severely Damaged Molars
Objective To explore the effect of using the CEREC digital all-porcelain repair system to produce all-porcelain high inlay for the restoration of severely damaged molars.Methods With the selection of sixty patients with severe damaged molars admitted to the hospital from March 2019 to September 2022 as the research subjects,after adjusting for confounding factors based on propensity matching method,patients were divided into the control group and the experimental group,with 30 cases in each group.With the control group treated with full crown restoration,while the experimental group was treated with all-porcelain high inlay restoration using the CEREC digital all-porcelain repair system,the effects of the two groups at 6 and 12 months after repair(including edge fit,prosthesis integrity,prosthesis loosening/detachment,gingival health,prosthesis staining),masticatory function(evaluated by chewing efficiency)and quality of life[evaluated by the oral health impact profile-14(OHIP-14)]before repair and 6 and 12 months after repair were compared between the two groups.In addition,the incidence of two groups of adverse events(food impaction,gum redness and swelling,loose teeth,and loss of prosthesis)was statistically analyzed.Results After 6 and 12 months of repair,the scores of various repair effects in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05);The scores of various repair effects after 12 months of repair in the two groups were lower than those after 6 months of repair,and the differences were statistically significant(P<0.05).Before repair,there were no significant differences in chewing efficiency and OHIP-14 score between the two groups(P>0.05);After 6 and 12 months of repair,the chewing efficiency of both groups was higher than before repair in the same group,and the OHIP-14 score was lower than before repair in the same group.In addition,the chewing efficiency of the experimental group was higher than that of the control group,and the OHIP-14 score was lower than that of the control group,with statistically significant differences(P<0.05).The incidence of adverse events in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The use of the the CEREC digital all-porcelain repair system to produce all-porcelain high inlay restorations for severely damaged molars was more effective than full crown restorations.It can effectively improve patients'chewing function and quality of life,and reduce the occurrence of adverse events.

CEREC digital all-porcelain repair systemAll-porcelain high inlay restorationSeverely damaged molarsChewing function

吴建明、吴颖、陈美玲

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莆田涵江医院(福建莆田 351111)

莆田市城厢区医院(福建莆田 351100)

瓷睿刻数字全瓷修复系统 全瓷高嵌体修复 严重缺损磨牙 咀嚼功能

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(17)