[1]陈 一,谢永林,林凡敬,等. 三种不同填充材料修复牙齿楔状缺损的疗效比较[J].中国美容医学,2020,(2):110-113.
　CHEN Yi,XIE Yong-lin,LIN Fan-jing,et al. Comparison of Three different Filling Materials in the Treatment ofWedge-shaped Defect[J].Medical Aesthetics and Beauty,2020,(2):110-113.
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 三种不同填充材料修复牙齿楔状缺损的疗效比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年2期
页码:
110-113
栏目:
出版日期:
2020-03-15

文章信息/Info

Title:
 Comparison of Three different Filling Materials in the Treatment of
Wedge-shaped Defect

文章编号:
1008-6455(2020)02-0110-04
作者:
 陈 一; 谢永林; 林凡敬; 杜胜男
Author(s):
 CHEN Yi; XIE Yong-lin; LIN Fan-jing; DU Sheng-nan
关键词:
 ; [关键词]Dyract复合材料; 光固化复合树脂; 玻璃离子水门汀; 楔状缺损牙; 修复; 牙周组织
Keywords:
 ; Key words:dyract composite material;  photocurable composite resin;  glass ionomer cement;  wedge-shaped defect;  repair; periodontal tissue
分类号:
R783.4
文献标志码:
A
摘要:
[摘要]目的：对比Dyract复合材料、光固化复合树脂与玻璃离子水门汀对楔状缺损牙体修复效果及牙周组织的影响,为临床
楔状缺损牙修复提供指导。方法：根据填充物的不同，将2014年1月-2017年1月笔者医院口腔门诊诊治的166例（467颗患
牙）楔状缺损牙患者分为三组。A组：59例（165颗患牙），采用Dyract复合材料填充；B组：53例（142颗患牙），采用光固
化复合树脂填充；C组：54例（160颗患牙），采用玻璃离子水门汀填充。所有患者随访1年，观察临床疗效以及对牙周组织
的影响。结果：166例患者均进入结果分析，与A组相比，C组在填充物固位、边缘密合、色泽协调、边缘着色、表面形态满
意度方面均较低（P ＜0.05），B组色泽协调、边缘着色满意度较低（P ＜0.05）；B组继发龋齿、敏感牙、牙髓病发生率较
高（P ＜0.05），C组牙体缺损发生率较高（P ＜0.05），B组和C组修复成功率均较低（P ＜0.05）；C组牙周龈沟液量、碱性
磷酸酶（ALP）、天冬氨酸转氨酶（AST）水平较高（P ＜0.05），B组菌斑指数、龈沟出血指数较高（P ＜0.05）；B组和C组
牙周组织30°、90°夹角应力较大（P ＜0.05）。结论：Dyract复合材料对楔状缺损牙体修复效果最好，对牙周组织影响最
小。

Abstract:
Abstract: Objective The effects of Dyract composite,photocurable composite resin and glass ionomer cement on the
restoration of wedge-shaped defect and periodontal tissue were compared,in order to provide guidance for the clinical
treatment of s wedge-shaped defect. Methods According to different fi ller,166 patients(467 diseased teeth)with wedgeshaped
defect were divided into three groups from January 2014 to January 2017 in the department of stomatology of
our hospital,group A(59 cases,165 diseased teeth)were fi lled with Dyract composite,group B(53 case,142 diseased teeth)
with photocurable composite resin,group C(54 cases,160 diseased teeth)with glass ionomer cement.All patients were
followed up for 1 year to observe the clinical effi cacy and the effect on periodontal tissue. Results The results of 166 patients
were analyzed.Compared with group A,group C had lower satisfaction with fi ller retention,edge density,color coordination,edge
coloring,and surface morphology(P ＜0.05),while group B had lower satisfaction with color coordination and edge coloring(P＜0.05).
The incidence of secondary caries,sensitive teeth and pulp diseases was higher in group B(P ＜0.05),and the incidence of dental
defects was higher in group C(P ＜0.05),the rate of repair success was lower in both group B and group C(P ＜0.05).Gum furrow
fl uid volume,and the levels of alkaline phosphatase(ALP),aspartate aminotransferase(AST)were higher in group C(P ＜0.05),and
the plaque index and gingival crevicular hemorrhage index were higher in group B(P ＜0.05).The stress between the periodontal
tissues of group B and group C was greater at 30°and 90°(P ＜0.05). Conclusion Dyract composite has the best effect on the
restoration of wedge-shaped defect and has the least effect on periodontal tissue.

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更新日期/Last Update: 2020-03-31