[1] 易明坤,张 野. IPS e.max.CAD瓷块与复合树脂高嵌体修复后牙大面积缺损疗效观察[J].中国美容医学,2020,(12):154-157.
　 YI Ming-kun,ZHANG Ye. Effects of IPS e.max.CAD Ceramic Blocks and Composite Resin Onlay in Repair ofMassive Defect of Posterior Teeth[J].Medical Aesthetics and Beauty,2020,(12):154-157.
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 IPS e.max.CAD瓷块与复合树脂高嵌体修复后牙大面积缺损疗效观察
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年12期
页码:
154-157
栏目:
出版日期:
2020-12-10

文章信息/Info

Title:
 Effects of IPS e.max.CAD Ceramic Blocks and Composite Resin Onlay in Repair of
Massive Defect of Posterior Teeth
文章编号:
1008-6455（2020）12-0154-04
作者:
 易明坤; 张 野
Author(s):
 YI Ming-kun; ZHANG Ye
关键词:
 [关键词]大面积缺损; 后牙; 高嵌体; 修复; 疗效
Keywords:
 Key words:massive defect; posterior teeth; onlay;  repair; curative effect
分类号:
R783.4
文献标志码:
A
摘要:
[摘要]目的：观察IPS e.max.CAD瓷块与复合树脂高嵌体修复大面积缺损后牙的疗效及安全性。方法：选取2018年1月-2018
年9月笔者医院口腔科诊治的82例后牙大面积缺损患者为研究对象，根据非随机临床同期对照研究及患者自愿原则分为瓷块
组（n =41）、复合树脂组（n =41），其中瓷块组接受IPS e.max.CAD瓷块高嵌体修复，而复合树脂组进行复合树脂高嵌体修
复，修复体均粘接12个月进行复诊，比较两组修复效果、患者满意度及不良反应发生情况。结果：瓷块组修复体形态、修复
体颜色、边缘颜色、边缘密合度及继发龋的分级相较于复合树脂组明显优，差异有统计学意义（P ＜0.05）；瓷块组患者满
意度明显高于复合树脂组，差异有统计学意义（P ＜0.05）；两组总不良反应发生率比较，无显著性差异（P ＞0.05），但与
复合树脂组比较，瓷块组对颌牙磨耗、牙龈炎发生率略高（P ＞0.05）。结论：与复合树脂高嵌体相比较，IPS e.max.CAD瓷
块高嵌体对大面积缺损后牙的修复效果明显优，但后者修复期间更易出现对颌牙磨损及牙龈炎，IPS e.max.CAD瓷块高嵌体
修复或许更适于对美学效果要求较高且牙周状况较好的患者。

Abstract:
Abstract: Objective To observe the effects and safety of IPS e.max.CAD ceramic blocks and composite resin onlay in repair of
massive defect of posterior teeth. Methods Eighty-two patients with massive defect of posterior teeth diagnosed and treated in
stomatology department of the hospital between January and September 2018 were selected as the subjects. They were divided
into the ceramic block group (n =41) and the composite resin group (n =41) according to the principle of non-randomized
clinical concurrent control trial and voluntariness. The ceramic block group was treated with IPS e.max.CAD ceramic block
onlay while the composite resin group was treated with composite resin onlay. The restorations were bonded for 12 months and
reexamined.The effect of repair,patients’ satisfaction and adverse reactions were compared between the two groups. Results The
morphology and color of restorations, color of the margin, margin fitness and the grade of secondary caries in the ceramic block
group were significantly better than those in the composite resin group (P ＜0.05). The satisfaction of patients in the ceramic
block group was significantly higher than that of the composite resin group (P ＜0.05). There was no significant difference in the
total incidence of adverse reactions between the two groups (P ＞0.05). However, the incidence rates of wear of paired jaw teeth
and gingivitis in the ceramic block group were slightly higher than those in the composite resin group (P ＞0.05). Conclusion
Compared with composite resin onlays, the effect of IPS e.max.CAD ceramic block onlay is obviously better in repair of
massive defect of posterior teeth. However, wear of paired jaw teeth and gingivitis are prone to occur during the latter repair.
IPS e .max.CAD ceramic block onlay restoration may be more suitable for patients having higher aesthetic requirements and
better periodontal conditions.

相似文献/References:

[1]马胤喆.陶瓷高嵌体与全冠修复无髓后牙的临床操作及疗效对比[J].中国美容医学,2019,(07):99.
　MA Yin-zhe.Comparison of Clinical Operation and Efficacy of CAD/CAM Ceramic Onlay andAll-ceramic Crown in Restoration of Endodontically Treated Posterior Teeth[J].Medical Aesthetics and Beauty,2019,(12):99.
[2]邰 叶,张为新,戴海峰.3D椅旁CAD/CAM全瓷高嵌体修复后牙大面积缺损的临床疗效研究[J].中国美容医学,2024,(3):127.
　TAI Ye,ZHANG Weixin,DAI Haifeng.Clinical Effi cacy of 3D Chairside CAD/CAM All-ceramic Onlays in Repairing Large Defect of Posterior Tooth?/html>[J].Medical Aesthetics and Beauty,2024,(12):127.
[3] 易明坤,张 野. IPS e.max.CAD瓷块与复合树脂高嵌体修复后牙大面积缺损疗效观察[J].中国美容医学,2020,(12):154.
　 YI Ming-kun,ZHANG Ye. Effects of IPS e.max.CAD Ceramic Blocks and Composite Resin Onlay in Repair ofMassive Defect of Posterior Teeth[J].Medical Aesthetics and Beauty,2020,(12):154.

更新日期/Last Update: 2021-01-05