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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年11期

页码:

143-146

栏目:

出版日期:

2023-11-10

文章信息/Info

Title:

Aesthetic Effect of Cast Porcelain Onlay on Repairing Permanent Teeth Defects and Its Infl uence on the Adjacent Teeth Relationship Recovery and Occlusal Status

文章编号:

1008-6455（2023）11-0143-04

作者:

高建勇; 张薇薇; 李子涛

(北京京北健永口腔医院口腔科 北京 101400)

Author(s):

GAO Jianyong; ZHANG Weiwei; LI Zitao

(Department of Stomatology,Beijing Jiangbei Jianyong Dental Hospital,Beijing 101400,China)

关键词:

铸瓷高嵌体; 恒牙; 牙体缺损; 邻牙关系; 咬合功能

Keywords:

cast porcelain onlay permanent teeth teeth defects adjacent teeth relationship occlusal function

分类号:

R783.4

DOI:

10.15909/j.cnki.cn61-1347/r.005994

文献标志码:

A

摘要:

目的：探究铸瓷高嵌体修复恒牙牙体缺损的美学效果及对邻牙关系恢复、咬合情况的影响。方法：选取2020年1 月-2022年1月于笔者医院行恒牙牙体修复的110例患者为研究对象，共110颗患牙，采用简单随机法分为观察组（n=55，55颗 牙）和对照组（n=55，55颗牙）。对照组患者采用全冠修复治疗，观察组患者采用铸瓷高嵌体修复治疗。两组患者均于修复 后12个月复诊观察。比较两组患者修复前及修复后12个月牙龈反应[龈沟出血指数（Sulcus bleeding index，SBI）、 牙龈指数（Gingival index，GI）、牙周袋探诊深度（Probing depth of periodontal pocket，PD）]、邻牙关系恢 复情况[美国公众健康服务标准（US Public health service，USPHS）]、咬合功能（咬合力、最大咬合接触面积）， 比较两组患者修复后12个月的美学效果[红色美学指数评分（Pink aesthetic index，PES）]，并记录两组患者修复后 12个月内意外事件发生情况。结果：修复后12个月，两组患者SBI、GI、PD、USPHS评分均较修复前明显降低，且观察组明 显低于对照组（P＜0.05）；两组患者咬合力、最大咬合接触面积及PES各项评分均较修复前明显升高，且观察组明显高于对 照组（P＜0.05）；修复后12个月内，观察组患者总意外事件发生率（7.27%）明显低于对照组（23.64%）（P＜0.05）。结 论：铸瓷高嵌体可有效修复恒牙牙体缺损患者的缺损牙体，修复后患者邻牙关系及咬合功能均有较好的恢复效果，对牙龈影 响较小，并具有较好的美学效果。

Abstract:

Objective To explore the aesthetic eff ect of cast porcelain onlay on repairing permanent teeth defects and its infl uence on the adjacent teeth relationship recovery and occlusal status. Methods 110 patients (110 affected teeth) who underwent permanent tooth restoration in author’s hospital from January 2020 to January 2022 were selected and divided into observation group (n=55, 55 teeth) and control group (n=55, 55 teeth) by simple randomization method. The patients in the control group were treated with full crown restoration while the patients in the observation group were treated with cast porcelain onlay restoration. Return visit and observation were performed on patients in both groups after 12 months of restoration. The gingival reaction [sulcus bleeding index (SBI), gingival index (GI), probing depth of periodontal pocket (PD)], the relationship between adjacent teeth [US Public Health Service (USPHS)] and occlusal function (occlusal force, maximum occlusal contact area) were compared between the two groups before restoration and after 12 months of restoration. The aesthetic eff ect [Pink Aesthetic Index (PES)] of the two groups of patients was compared after 12 months of restoration, and the occurrence of unexpected events (occlusal elevation, food impaction, foreign body sensation) in the two groups of patients were recorded within 12 months after restoration. Results After 12 months of restoration, the SBI, GI PD and USPHS scores of the two groups were signifi cantly reduced compared with those before restoration, and the three indicators of observation group were signifi cantly lower than those of control group (P＜0.05). The occlusal force and maximum occlusal contact area and PES of both groups of patients were signifi cantly enhanced or enlarged compared to before restoration, and the indicators of observation group were signifi cantly higher or larger compared with those of control group (P ＜0.05).The total incidence rate of unexpected events within 12 months after restoration was 7.27% in observation group, which was signifi cantly lower than 23.64% in control group (P＜0.05). Conclusion Cast porcelain onlay can eff ectively restore the defective teeth of patients with permanent teeth defects, and it has a good recovery eff ect on adjacent teeth relationship and occlusal function of patients after restoration, has small impact on the gums and has a good aesthetic eff ect.

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更新日期/Last Update: 2023-12-06