摘要
目的探究铸瓷贴面与全瓷冠修复前牙的美学效果及适应症。方法回顾性分析2016年7月-2018年1月我院收治的80例(230颗)需修复前牙患者,根据不同修复方式分为铸瓷贴面组42例(120颗)与全瓷冠组38例(110颗)。比较两组修复12个月后美学效果和不适状况。结果两组VAS评分和医师评价比较,差异无统计学意义(P <0.05);两组不适状况发生率比较,差异无统计学意义(P <0.05)。结论铸瓷贴面与全瓷冠修复前牙均存在一定优势,应根据患者综合情况合理选择修复方式,以达到满意效果。
Objective To explore the aesthetic effect and indication of cast-ceramic veneer and all-ceramic crown for anterior teeth restoration. Methods A retrospective analysis was made on 80 cases(230 teeth) of anterior teeth in our hospital from July 2016 to January 2018. According to different restoration methods, 42 cases(120 teeth) were divided into cast-ceramic veneer group and 38 cases(110 teeth) were divided into all-ceramic crowns group. The aesthetic effects and discomfort of the two groups after 12 months of repair were compared. Results There was no significant difference in VAS score and doctor's evaluation between the two groups(P < 0.05); there was no significant difference in the incidence of discomfort between the two groups(P < 0.05). Conclusion Cast-ceramic veneer and all-ceramic crown have certain advantages in repairing anterior teeth. The method of restoration should be reasonably selected according to the comprehensive situation of patients to achieve satisfactory results.
引文
[1]闫晓拥,武啸,董丽敏.瓷贴面在前牙美学修复中的临床应用[J].山西医药杂志,2017,46(8):913-914.DOI:10.3969/j.issn.0253-9926.2017.08.019.
[2]谷克晓,刘党利.牙龈生物型对上前牙全瓷冠美学修复效果的影响[J].实用口腔医学杂志,2017(2):268-270.
[3].王建国,罗晓晋.前牙不备牙瓷贴面的临床效果观察[J].中国药物与临床,2016,16(1):79-81.DOI:10.11655/zgywylc2016.01.033.
[4]刘遵望.全瓷贴面在氟斑牙患者前牙美学修复中的应用分析[J].中国美容医学,2018,27(10):110-113.
[5]包凡,郭慧,董菲,等.铸瓷贴面修复伴牙本质暴露的前牙牙体缺损疗效观察[J].中国美容医学,2018,27(05):95-97.
[6]范立红,闫瑾,范淑霞,等.上前牙邻面龋树脂充填后全瓷贴面修复临床观察[J].中国美容医学,2017,26(10):93-95.
[7]陈丽娟,孟庆飞,万延俊.不同设计类型的IPS Empress铸瓷贴面前牙美学修复的疗效观察[J].国际口腔医学杂志,2016,43(5):511-514.DOI:10.7518/gjkq.2016.05.005.
[8]Chu S J,Mieleszko A J.Ceramic Veneers With GingivaShaded Porcelain to Replace Lost Interdental Papillae:A Case Report.[J].Compendium of Continuing Education in Dentistry,2017,38(7):474-480.
[9]Kohal R J,Kilian J,Stampf S,et al.All-Ceramic Single Crown Restauration of Zirconia Oral Implants and Its Influence on Fracture Resistance:An Investigation in the Artificial Mouth[J].Materials,2015,8(4):1577-1589.DOI:10.3390/ma8041577.
[10]Monaco C,Rosentritt M,Llukacej A,et al.Marginal Adaptation,Gap Width,and Fracture Strength of Teeth Restored With Different All-Ceramic Vs Metal Ceramic Crown Systems:An in Vitro Study.[J].European Journal of Prosthodontics&Restorative Dentistry,2016,24(3):130-137.DOI:10.1922/EJPRD_01550Monaco08.
[11]聂廷洪,孙迎春,郑琳,等.瓷贴面和全瓷冠牙科材料修复前牙的效果比较[J].中国组织工程研究,2015,19(8):1239-1244.DOI:10.3969/j.issn.2095-4344.
[12]Liu T,Geng H,Rong Q,et al.[Three-dimensional finite element analysis on half of the structure defect with post core and all-ceramic crown restoration of mandibular first molar][J].Zhonghua kou qiang yi xue za zhi=Zhonghua kouqiang yixue zazhi=Chinese journal of stomatology,2015,50(9):561-564.
[13]Kelly M C,Caplan D J,Bern-Klug M,et al.Preventive dental care among Medicaid-enrolled senior adults:from community to nursing facility residence[J].Journal of Public Health Dentistry,2018,78(1):86-92.DOI:10.1111/jphd.12247.
[14]El-Feky G S,Abdulmaguid R F,Zayed G M,et al.Mucosal co-delivery of ketorolac and lidocaine using polymeric wafers for dental application[J].D r u g D e l i v e r y,2 0 1 8,2 5(1):3 5-4 2.D O I:10.1080/10717544.2017.1413445.
[15]王敏,何惠宇.前牙全冠修复的临床效果[J].中华医学美学美容杂志,2018,24(1):50-53.DOI:10.3760/cma.j.issn.1671-0290.2018.01.015.
