«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2026年3期

页码:

138-142

栏目:

齿科美容

出版日期:

2026-03-10

文章信息/Info

作者:

孙霄艳; 徐 青; 丁凌云

南京明基医院口腔科

DOI:

10.15909/j.cnki.cn61-1347/r.007317

摘要:

目的：探讨三种修复材料对前牙龋损患者的修复及美学效果。方法：选取2021年12月-2023年12月笔者医院收治的105例（共105颗患牙）前牙龋损患者，随机将其分为三组（A、B、C组），每组35例（35颗患牙）。其中，A组采用流动树脂充填，B组采用光固化复合树脂充填，C组采用玻璃离子充填。比较三组修复效果、牙周相关指标[龈沟出血指数（SBI）、探诊深度（PD）和菌斑指数（PLI）]、龈沟液炎症指标[白介素-6（IL-6）、基质金属蛋白酶-8（MMP-8）、肿瘤坏死因子-α（TNF-α）]、美观效果及并发症发生情况。结果：修复后3个月，三组修复成功率比较差异有统计学意义（P＞0.05）；A组修复成功率高于C组（P＜0.05），但与B组比较，差异无统计学意义（P＞0.05）；B、C组修复成功率比较，差异无统计学意义（P＞0.05）；三组SBI、PD、PLI均降低，且三组间比较差异有统计学意义（P＜0.05）；C组SBI、PD、PLI均低于A、B组（P＜0.05）；A组SBI、PD、PLI均低于B组（P＜0.05）；三组IL-6、MMP-8、TNF-α水平均升高，且三组间比较差异有统计学意义（P＜0.05）；C组IL-6、MMP-8、TNF-α水平均低于A、B组（P＜0.05）；A、B组IL-6、MMP-8、TNF-α水平比较，差异均无统计学意义（P＞0.05）。修复后3个月，三组美观效果总评分、表面形态、磨损和折裂、继发龋、敏感情况评分比较，差异均无统计学意义（P＞0.05）；三组边缘密合性、颜色协调性比较，差异有统计学意义（P＜0.05）；A组边缘密合性、颜色协调性评分均高于B、C组（P＜0.05），但B、C组间比较，差异无统计学意义（P＞0.05）；三组并发症总发生率比较，差异无统计学意义（P＞0.05）。结论：针对前牙龋损患者，流动树脂修复效果较好，其美观效果与光固化复合树脂、玻璃离子相当，但玻璃离子修复可在一定程度上改善牙周指标，减轻龈沟炎症反应。

Abstract:

Objective To investigate the repair eff ect and aesthetic eff ect of three kinds of restoration materials on patients with anterior tooth caries. Methods A total of 105 patients (105 aff ected teeth) with anterior tooth decay admitted to the hospital from December 2021 to December 2023 were randomly divided into 3 groups (groups A, B and C), with 35 patients (35 aff ected teeth) in each group. Among them, group A was fi lled with fl ow resin, group B was fi lled with light curing composite resin, and group C was fi lled with glass ion. The repair eff ect, periodontal indicators [gingival creval bleeding index (SBI), probing depth (PD) and plaque index (PLI)], gingival creval fl uid infl ammation indicators [interleukin-6 (IL-6), matrix metalloproteinase-8 (MMP-8), tumor necrosis factor-α (TNF-α)], aesthetic eff ect and complications of the 3 groups were compared. Results After 3 months of repair,the success rate of the 3 groups was signifi cantly diff erent (P＞0.05). The success rate of repair in group A was higher than that in group C (P＜0.05), but there was no signifi cant diff erence compared with that in group B (P＞0.05). There was no signifi cant diff erence in the success rate between group B and group C (P＞0.05). SBI, PD and PLI were decreased in 3 groups, and there were signifi cant diff erences among the 3 groups (P＜0.05). SBI, PD and PLI in group C were lower than those in groups A and B (P＜0.05). SBI, PD and PLI in group A were lower than those in group B (P＜0.05). The levels of IL-6, MMP-8 and TNF-α in 3 groups were increased, and there were signifi cant diff erences among the 3 groups (P＜0.05). The levels of IL-6, MMP-8 and TNF-α in group C were lower than those in groups A and B (P＜0.05). There were no significant differences in IL-6, MMP-8 and TNF-α levels between groups A and B (P＞0.05). There were no signifi cant diff erences in the total aesthetic eff ect score, surface morphology, wear and fracture, secondary caries and sensitivity scores in 3 groups (P＞0.05). There were significant differences in edge fit and color coordination among the 3 groups (P＜0.05). The scores of edge fi t and color coordination in group A were higher than those in groups B and C (P＜0.05), but there was no signifi cant diff erence between groups B and C (P＞0.05). There was no signifi cant diff erence in the total incidence of complications among the 3 groups (P＞0.05). Conclusion For patients with anterior tooth decay, the eff ect of fl owing resin restoration is better, and its aesthetic effect is equivalent to that of light-cured composite resin and glass ion, but glass ion restoration can improve periodontal index and reduce gingival sulcus infl ammation to some extent

常用功能

更新日期/Last Update: 2026-03-11