[1]裴会青,刘丽霞,杨丽华.氧化锆陶瓷与复合树脂用于根管治疗后牙体缺损修复的效果比较[J].中国美容医学,2023,(10):135-138.[doi:10.15909/j.cnki.cn61-1347/r.005955]
　PEI Huiqing,LIU Lixia,YANG Lihua.Comparison of the Effect of Zirconia Ceramics and Composite Resins in Tooth Defects Repair after Root Canal Therapy[J].Medical Aesthetics and Beauty,2023,(10):135-138.[doi:10.15909/j.cnki.cn61-1347/r.005955]
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氧化锆陶瓷与复合树脂用于根管治疗后牙体缺损修复的效果比较()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年10期
页码:
135-138
栏目:
出版日期:
2023-10-10

文章信息/Info

Title:
Comparison of the Effect of Zirconia Ceramics and Composite Resins in Tooth Defects Repair after Root Canal Therapy
文章编号:
1008-6455（2023）10-0135-04
作者:
裴会青; 刘丽霞; 杨丽华
(山西省晋城市晋城大医院口腔科 山西 晋城 048000 )
Author(s):
PEI Huiqing; LIU Lixia; YANG Lihua
(Department of Stomatology,Jincheng Hospital,Jincheng,Shanxi Province,Jincheng 048000,Shanxi,China)
关键词:
根管治疗; 牙体缺损修复; 氧化锆陶瓷; 复合树脂; 美观度
Keywords:
root canal therapy;  tooth defect repair;  zirconia ceramic;  composite resin;  aesthetic degree
分类号:
R783.4
DOI:
10.15909/j.cnki.cn61-1347/r.005955
文献标志码:
A
摘要:
目的：比较氧化锆陶瓷与复合树脂用于根管治疗后牙体缺损修复的临床效果。方法：选取2018年1月-2021年5月在笔 者医院完成根管治疗后牙体缺损修复的64例患者，根据患者主观选择的修复方式分为氧化锆陶瓷组（使用氧化锆陶瓷进行牙 体缺损修复）33例（35颗患牙）和复合树脂组（使用复合树脂进行牙体缺损修复）31例（34颗患牙）。对比分析两组患者的 修复效果、牙周健康[牙龈指数（Gingival index，GI）、菌斑指数（Plaque index，PLI）、牙周探诊深度（Probing depth， PD ）]情况、龈沟液炎症指标[白介素-1β（Interleukin-1β，IL-1β）、肿瘤坏死因子-α（Tumor necrosis factor-α， TNF-α ）]变化和口腔相关生活质量。结果：治疗后，两组修复成功率比较差异无统计学意义（P＞0.05）。修复1年后，氧化 锆陶瓷组牙体在边缘密合性、颜色匹配方面较复合树脂组好（P＜0.05），但两组牙体在表面光滑、固定良好两个方面比较差 异无统计学意义（P＞0.05）。修复1年后，两组患者GI、PLI、SBI、IL-1β、TNF-α指标均显著低于治疗前（P＜0.05），且 氧化锆陶瓷组各指标均低于复合树脂组（P＜0.05）。修复后，两组患者OHIP-14评分均低于治疗前（P＜0.05），修 复3个月后评分比较差异无统计学意义（P＞0.05），但氧化锆陶瓷组修复半年、1年后各时间点评分均低于复合树脂组 （P＜0.05）。结论：氧化锆陶瓷和复合树脂用于根管治疗后牙体缺损修复均有良好效果，可改善牙体美观度，对患者牙齿 口腔卫生影响较小，但与复合树脂比较，氧化锆陶瓷后期对牙周健康影响更小，可保证患者对牙体美观度的需求。
Abstract:
Objective To compare the clinical eff ect of zirconia ceramics and composite resins in tooth defects repair after root canal therapy. Methods A total of 64 patients undergoing tooth defects repair after root canal therapy in the authour’s hospital were enrolled between January 2018 and May 2021. According to subjective choice to repair methods, they were divided into zirconia ceramic group (tooth defects repair with zirconia ceramics, 33 cases, 35 off ending teeth) and composite resin group (tooth defects repair with composite resins, 31 cases, 34 off ending teeth). The repair eff ect, periodontal health [gingival index (GI), plaque index (PLI), probing depth (PD)], inflammation indexes [interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α)] in gingival crevicular fluid and oral-related quality of life were compared between the two groups. Results There was no significant diff erence in success rate of repair between the two groups (P ＞0.05). At 1 year after repair, dental edge sealing and color matching in zirconia ceramic group were better than those in composite resin group (P＜0.05), but there was no signifi cant diff erence in surface smoothness or good fi xation (P ＞0.05). At 1 year after repair, GI, PLI, SBI, IL-1β and TNF-α were signifi cantly lower than those before treatment in both groups (P ＜0.05), which were lower in zirconia ceramic group than composite resin group (P＜0.05). After repair, scores of oral health impactprofi le-14 (OHIP-14) were lower than those before treatment in both groups (P ＜0.05), but there was no signifi cant diff erence between the two groups at 3 months after repair (P ＞0.05). At half a year and 1 year after repair, OHIP-14 scores in zirconia ceramic group were lower than those in composite resin group (P＜0.05). Conclusion The application eff ect of zirconia ceramics and composite resins is good in tooth defects repair after root canal therapy, which can improve teeth aesthetics, with little impact on oral hygiene. Compared with composite resins, impact of zirconia ceramics are less on periodontal health in the later stage, which can ensure patients’ demands for dental aesthetics.

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更新日期/Last Update: 2023-11-13