首页|二氧化锆髓腔固位冠修复低(牙合)龈距磨牙的临床效果

二氧化锆髓腔固位冠修复低(牙合)龈距磨牙的临床效果

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目的 评估二氧化锆髓腔固位冠修复低(牙合)龈距磨牙的临床效果.方法 对2020 年1 月—2022 年 1 月就诊的46 例(50 颗)根管治疗后的低(牙合)龈距磨牙采用二氧化锆髓腔固位冠修复.分别于修复完成后 1、6、12 个月复查,对修复体完整性、邻接紧密度、边缘密合情况、基牙情况、牙周状况及修复体松动或脱落情况进行评估.结果 1个月复查,50 颗磨牙修复后各项评价指标均达到临床可接受水平.6 个月复查,6 颗患牙牙龈轻度充血,修复体及基牙牙体无异常.12 个月复查,仅2 颗患牙修复体邻接关系欠佳;2 颗患牙牙龈轻度充血,未发现修复体及基牙牙体问题.结论 对根管治疗后的低(牙合)龈距磨牙采用二氧化锆髓腔固位冠修复既可保护牙体避免折裂,又可提升黏结效果且兼具美观,临床应用效果良好.
Clinical Effect of Zirconia Pulp Cavity Retaining Crown in Repairing Mo-lar with Low Occlusal Gingival Distance
Objective To evaluate the clinical effect of zirconia pulp cavity retaining crown in repairing molar with low occlusal gingival distance.Methods From January 2020 to January 2022,46 patients(50)with low gingival space after root canal treatment were repaired by zirconia pulp cavity retaining crown.At 1,6 and 12 months after the completion of the restoration,the integrity of the repair,the closeness of the adjacency,the closeness of the edge,the condition of abutment,the periodontal condition and the loosening or detachment of the restoration were evaluated.Results At 1-month reexamina-tion,all the evaluation indexes of 50 molars were up to the clinical standard.At 6-month reexamination,the gingival conges-tion of the 6 affected teeth was slight,and there were no abnormalities in the restoration and abutment teeth.At 12-month re-examination,only 2 affected dental restorations had poor adjacency.The gingival congestion of the 2 affected teeth was mild,and no problems with the restoration or abutment were found.Conclusion Zirconia pulp cavity retaining crown can not only protect the teeth from fracture,but also improve the adhesion effect and have a good clinical effect for the molar with low oc-clusal gingival distance after root canal treatment.

ZirconiaPulp cavity retaining crownThe molar with low occlusal gingival distanceRoot canal thera-pyRepairOverall appearanceAdjacency tightness

章雯、庞敏、张海帆、杜劲英

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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)

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

二氧化锆 髓腔固位冠 低(牙合)龈距磨牙 根管治疗 修复 整体外形 邻接紧密度

江苏省科教能力提升工程-江苏省研究型医院建设单位江苏省医学创新中心

YJXYYJSDW4CXZX202227

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(2)
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