重度酸蚀性牙齿磨损患者的微创咬合重建与美学修复
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摘要
目的:探讨重度酸蚀性牙齿磨损患者微创咬合重建与美学修复的效果。方法:以2015年1月-2017年5月笔者科室收治的40例因胃食管返流导致的重度酸蚀性牙齿磨损患者为研究对象,所有患者均进行微创咬合重建与美学修复。术后随访1年,观察患者的治疗效果、满意度及不良反应发生情况,比较治疗前及随访1年后的咀嚼功能及咬合力。结果:所有患者均得到明显修复,无明显冷热敏感症状及其他不良反应,患者满意度为90.00%;随访1年后的咀嚼效率、咬合力分别为74.11±26.38、(136.50±42.80)N,均明显大于治疗前,有显著性差异,具有统计学意义(t=2.753、4.169,P=0.008、0.000)。结论:微创咬合重建与美学修复治疗重度酸蚀性牙齿磨损患者效果明显,患者满意度高,能明显改善患者的咀嚼功能及咬合力。
Objective To explore the effect of minimally invasive occlusal reconstruction and aesthetic repair in patients with severe acid-erosion dental wear. Methods 40 patients with severe acid-corroded teeth wear caused by gastroesophageal reflux which was taken as research object in the department of stomatology of our hospital from January 2015 to May 2017. All patients were carried out minimally invasive occlusal reconstruction and aesthetic repair. Patients were followed up for 1 year after operationy, the treatment effect, patients' satisfaction degree and adverse reaction was observed, The chewing function and occlusal force was compared before treatment and 1 year after following-up. Results All the patients were obviously repaired without obvious cold and heat sensitive symptoms and other adverse reactions. Patients' satisfaction degree was 90.00%. The masticatory efficiency and occlusal force was(74.11±26.38)N,(136.50±42.80)N 1 year after following-up, respectively and it was significantly greater than that before treatment(t=2.753, 4.169, P=0.008, 0.000). Conclusion Minimally invasive occlusal reconstruction and aesthetic repair was effective for patients with severe acid-erosion dental wear, with patients' satisfaction degree, it could improve the chewing function and occlusal force of patients.
Objective To explore the effect of minimally invasive occlusal reconstruction and aesthetic repair in patients with severe acid-erosion dental wear. Methods 40 patients with severe acid-corroded teeth wear caused by gastroesophageal reflux which was taken as research object in the department of stomatology of our hospital from January 2015 to May 2017. All patients were carried out minimally invasive occlusal reconstruction and aesthetic repair. Patients were followed up for 1 year after operationy, the treatment effect, patients' satisfaction degree and adverse reaction was observed, The chewing function and occlusal force was compared before treatment and 1 year after following-up. Results All the patients were obviously repaired without obvious cold and heat sensitive symptoms and other adverse reactions. Patients' satisfaction degree was 90.00%. The masticatory efficiency and occlusal force was(74.11±26.38)N,(136.50±42.80)N 1 year after following-up, respectively and it was significantly greater than that before treatment(t=2.753, 4.169, P=0.008, 0.000). Conclusion Minimally invasive occlusal reconstruction and aesthetic repair was effective for patients with severe acid-erosion dental wear, with patients' satisfaction degree, it could improve the chewing function and occlusal force of patients.
引文
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[13]许姚,万宏坤,沈海燕.自酸蚀自粘接流动树脂在乳磨牙龋治疗中的临床应用观察[J].航空航天医学杂志,2017(11):1317-1319.
[14]孙硕,梁锐英,任婧,等.抛光和上釉对氧化锆修复体与牙釉质磨损性能的影响[J].中华口腔医学杂志,2016,51(5):300-304.
[15]李玉兰,陈晓霞.牙齿重度磨耗伴牙列缺损咬合重建固定义齿修复的临床观察[J].中国美容医学,2013,22(20):2046-2048.
[2]骆小平.牙齿磨损的病因、分类及修复重建治疗进展[J].中华口腔医学杂志,2016,51(10):577-582.
[3]赵亚鹏,牛一山.牙齿磨损的病因学研究进展[J].中华老年口腔医学杂志,2015,13(5):311-314.
[4]顾豪,陶丹英,冯希平.牙齿酸蚀症的病因及流行病学调查概况[J].国际口腔医学杂志,2013,40(5):604-607.
[5]冒蕾,曹卫彬.牙齿磨耗的病因及重度磨耗的修复治疗[J].医学综述,2016,22(2):283-287.
[6]陈丽培,慈向科,欧晓艳.刷牙对酸蚀后釉质表面磨损程度的研究[J].华西口腔医学杂志,2017,35(4):379-383.
[7]钱维雯,胡赟,林居红.4种再矿化制剂对酸蚀牙釉质磨损的影响[J].重庆医科大学学报,2014,38(8):1181-1185.
[8]刘玲玲.自酸蚀粘接系统充填老年重度磨损磨牙的临床观察[J].全科口腔医学电子杂志,2016,3(4):26-27.
[9]Sasse M,Krummel A,Klosa K,et al.Influence of restoration thickness and dental bonding surface on the fracture resistance of full-coverage occlusal veneers made from lithium disilicate ceramic[J].Dent Mater,2015,31(8):907-915.
[10]Loomans B,Opdam N,Attin T,et al.Severe tooth wear:European consensus statement on management guidelines[J].J Adhes Dent,2017,19(2):111-119.
[11]Banerji S,Mehta S.Clinical management of pathological tooth wear in general dental practice[J].Br Dent J,2016,220(4):209-210.DOI:10.1038/sj.bdj.2016.139.
[12]Guess PC,Schultheis S,Wolkewitz M,et al.Influence of preparation design and ceramic thicknesses on fracture resistance and failure modes of premolar partial coverage restorations[J].J Prosthet Dent,2013,110(4):264-273.
[13]许姚,万宏坤,沈海燕.自酸蚀自粘接流动树脂在乳磨牙龋治疗中的临床应用观察[J].航空航天医学杂志,2017(11):1317-1319.
[14]孙硕,梁锐英,任婧,等.抛光和上釉对氧化锆修复体与牙釉质磨损性能的影响[J].中华口腔医学杂志,2016,51(5):300-304.
[15]李玉兰,陈晓霞.牙齿重度磨耗伴牙列缺损咬合重建固定义齿修复的临床观察[J].中国美容医学,2013,22(20):2046-2048.