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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2020年9期

页码:

114-117

栏目:

出版日期:

2020-09-10

文章信息/Info

Title:

 The Effect of Different Resin Filling Methods on Posterior Approximal Caries and Its
Effect on Patients with Periodontitis

文章编号:

1008-6455（2020）09-0114-04

作者:

 陈绍山¹; 张庚辉¹; 陈 菲¹; 柳志文²; 王彬娉³

Author(s):

 CHEN Shao-shan1; ZHANG Geng-hui1; CHEN Fei1; LIU Zhi-wen2; WANG Bin-ping3

关键词:

 [关键词]后牙邻面龋; 光固化树脂填充法; 树脂球; 牙周炎; 疗效比较

Keywords:

 Key words: posterior tooth caries; light-cured resin filling method;  resin ball;  periodontitis;  comparison of curative effect

分类号:

R783.3

文献标志码:

A

摘要:

[摘要]目的：探讨后牙邻面龋常规树脂修补法及树脂球修补法的治疗效果及对术后牙周炎发生的影响。方法：选择2018年
10月-2019年3月于笔者医院治疗的后牙邻面龋患者120例。按照随机数字表法将所有患者分为树脂球组（n =60）和常规组
（n=60），两组患者常规行龋洞清除术后使用光固化树脂法对龋洞进行填充，树脂球组在此基础上加行树脂球楔形填充法，
术后随访6个月。比较两组患者治疗后及末次随访时疗效及术处相邻牙接触情况，治疗前、治疗后及末次随访时牙周健
康相关指标，治疗后不良反应、随访期间食物嵌塞及填充物脱落的情况。 结果：树脂球组治疗后接触关系不满意占
比为31.57%，显著低于常规组的52.73%（P ＜0.05）；树脂球组患者末次随访时探诊深度及探诊出血指数显著低于常
规组（P ＜0.05）；两组患者治疗后不良反应发生率分别为7.02%和5.54%，组间比较无显著性差异（P ＞0.05）。树脂球组
患者食物嵌塞发生率为1.8%，显著低于对照组的12.7%（χ2=5.077，P =0.024）。两组患者填充物脱落发生率分别为3.5%和
10.9%，组间比较无显著性差异（χ2=2.359，P =0.125）。结论：树脂球填充法能有效改善后牙邻面龋患者龋洞及填充后邻面
接触情况，从而避免治疗部位牙周炎性反应的发生，进一步优化治疗效果。

Abstract:

Abstract: Objective To investigate the effect of conventional resin repair and resin ball repair on the posterior approximal
caries and the difference in the effect on periodontitis after surgery. Methods A total of 120 patients with posterior dental caries
treated in our hospital from October 2018 to March 2019 were selected. All patients were divided into a resin ball group (n =60)
and a conventional group (n =60) according to the random number table method. The two groups of patients were routinely
filled with caries cavity using light curing resin method after caries cavity removal. The resin ball group was added with resin
ball wedge filling method and followed up for 6 months. The efficacy of the two groups were compared after treatment and
at the last follow-up,and the contact status of adjacent teeth at the operation site was compared.The indicators of periodontal
health at the operation site were compared before, after and at the last follow-up. The adverse reactions after treatment, food
impaction and filling shedding during the follow-up were compared between the two groups of patients. Results The proportion
of unsatisfactory contact relationships in the resin ball group after treatment was 31.57%, which was significantly lower than
52.73% in the conventional group (P ＜0.05). Patients in the resin ball group had significantly lower depth of exploration and
exploratory bleeding index at the last follow-up than those in the conventional group (P ＜0.05). The incidence of adverse
reactions after treatment in the two groups was 7.02% and 5.54%, respectively, and there was no significant difference between
the groups (P ＞0.05). The incidence of food impaction in the resin ball group was 1.8%, which was significantly lower than
the control group’s 12.7% (χ2= 5.077, P =0.024). The incidence of filler shedding in the two groups was 3.5% and 10.9%,
respectively, and there was no significant difference between the groups (χ2=2.359,P =0.125). Conclusion The resin ball filling
method can effectively improve the caries cavity of patients withposterior approximal caries and the contact between adjacent
teeth after filling,thereby avoiding the occurrence of periodontal inflammatory reactions at the operation site and further
optimizing the treatment effect.

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更新日期/Last Update: 2020-09-25