整层充填流动树脂与纳米流动树脂修复楔状缺损的临床对比研究
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摘要
目的:比较整层充填流动树脂与纳米流动树脂对楔状缺损的修复效果。方法:以2014年1月-2015年4月笔者单位口腔科收治的55例(共165颗患牙)楔状缺损患者为研究对象,按照随机数字法将分为A组(n=28,84颗牙)与B组(n=27,81颗牙),A组及B组患者分别采用SureFil SDR整层充填流动树脂与Filtek Z350纳米流动树脂修复楔状缺损进行填充固化。采用Ryge及USPHS评价标准,比较填充修复后1周、1个月、1年、3年两组患者的患牙敏感发生率及填充体脱落率。结果:修复后1周及1个月,A组的患牙敏感率分别为26.19%、13.10%,填充体脱落率分别为1.19%、2.38%;B组的患牙敏感率分别为59.26%、44.44%,填充体脱落率分别为1.23%、2.47%,A组的患牙敏感率明显低于B组(P<0.05),两组的填充体脱落率比较,差异无统计学意义(P>0.05);修复后1年、3年,A组的患牙敏感率分别为5.95%、1.19%,填充体脱落率分别为4.76%、5.95%,B组的患牙敏感率分别为8.64%、3.70%,填充体脱落率分别为19.75%、23.46%,A组的填充体脱落率明显低于B组(P<0.05),两组的患牙敏感率比较,差异无统计学意义(P>0.05)。结论:整层充填流动树脂修复楔状缺损在充填体固位力及预防患牙敏感方面均有优势,尤其在增强充填体固位方面优势明显。
Objective To compare the repair effect of bulk-fill flowable resin and nano flowable resin on dental wedge-shaped defects. Methods 55 cases(165 cases of offending teeth) of patients with dental wedge-shaped defects which was divide into group A(n=28, 84 cases of offending teeth) and group B(n=27, 81 cases of offending teeth) according to the random number method in the department of stomatology of our hospital during 2014.1-2015.4. The patients of group A and group B was filled with SureFil SDR bulk-fill flowable resin and Filtek Z350 nano flowable resin, respectively. The sensitive incidence of offending teeth and cumulative loss rate was compared by Ryge and USPHS evaluation criterion between two groups in the1 week, 1 month, 1 year and 3 years after repairing. Results In the 1 week and 1 month after repairing, the sensitive incidence of offending teeth was 26.19%, 13.10% and the cumulative loss rate was 1.19%, 2.38% in group A, the sensitive incidence of offending teeth was 59.26%, 44.44% and the cumulative loss rate was 1.23%, 2.47% in group B, the sensitive incidence of offending teeth of group A was significantly lower than that of group B(P<0.05), there was no statistical significance on cumulative loss rate between two groups(P>0.05). In the 1 year and 3 years after repairing, the sensitive incidence of offending teeth was 5.95%, 1.19% and the cumulative loss rate was 4.76%, 5.95% in group A, the sensitive incidence of offending teeth was8.64%, 3.70% and the cumulative loss rate was 19.75%, 23.46% in group B, the cumulative loss rate of group A was significantly lower than that of group B(P<0.05), there was no statistical significance on sensitive incidence of offending teeth between two groups(P>0.05). Conclusion The Bulk-fill flowable resin had advantages on retaining force of backfill and preventing tooth sensitivity in the repair of dental wedge-shaped defects, especially in strengthening the retaining force of backfill.
Objective To compare the repair effect of bulk-fill flowable resin and nano flowable resin on dental wedge-shaped defects. Methods 55 cases(165 cases of offending teeth) of patients with dental wedge-shaped defects which was divide into group A(n=28, 84 cases of offending teeth) and group B(n=27, 81 cases of offending teeth) according to the random number method in the department of stomatology of our hospital during 2014.1-2015.4. The patients of group A and group B was filled with SureFil SDR bulk-fill flowable resin and Filtek Z350 nano flowable resin, respectively. The sensitive incidence of offending teeth and cumulative loss rate was compared by Ryge and USPHS evaluation criterion between two groups in the1 week, 1 month, 1 year and 3 years after repairing. Results In the 1 week and 1 month after repairing, the sensitive incidence of offending teeth was 26.19%, 13.10% and the cumulative loss rate was 1.19%, 2.38% in group A, the sensitive incidence of offending teeth was 59.26%, 44.44% and the cumulative loss rate was 1.23%, 2.47% in group B, the sensitive incidence of offending teeth of group A was significantly lower than that of group B(P<0.05), there was no statistical significance on cumulative loss rate between two groups(P>0.05). In the 1 year and 3 years after repairing, the sensitive incidence of offending teeth was 5.95%, 1.19% and the cumulative loss rate was 4.76%, 5.95% in group A, the sensitive incidence of offending teeth was8.64%, 3.70% and the cumulative loss rate was 19.75%, 23.46% in group B, the cumulative loss rate of group A was significantly lower than that of group B(P<0.05), there was no statistical significance on sensitive incidence of offending teeth between two groups(P>0.05). Conclusion The Bulk-fill flowable resin had advantages on retaining force of backfill and preventing tooth sensitivity in the repair of dental wedge-shaped defects, especially in strengthening the retaining force of backfill.
引文
[1]马国燕,齐鲁,吴佩玲.3种树脂充填材料在牙体冠方效果的试验研究[J].新疆医科大学学报,2017(12):1540-1543.
[2]马国燕,韩丽敏,汤文革玲,等.不同树脂充填材料边缘微渗漏的体外研究[J].中国美容医学, 2017,26(7):92-94.
[3]陈明,陈秀丽.不同材料充填老年楔状缺损的体外微渗漏研究[J].中华老年口腔医学杂志,2015,13(5):271-274.
[4]巩蕾,黄香,何升腾,等.流体树脂修复楔状缺损边缘微渗漏的试验研究[J].重庆医学,2016, 45(23):3280-3282.
[5]彭早霞,李宁,陈曦,等.不同充填方法修复楔状缺损边缘微渗漏情况比较[J].口腔医学研究, 2016,32(2):158-160.
[6]朱晸,朱亚琴.3种复合树脂充填V类洞的微渗漏比较研究[J].上海口腔医学,2017, 26(3):241-245.
[7]张翠美,魏美荣,白建文.SureFil SDR流动树脂修复乳磨牙牙合面洞的临床疗效分析[J].牙体牙髓牙周病学杂志,2017,27(9):529-531.
[8]冯娜,仪虹,孙英超,等.流动型树脂衬洞对可压型树脂充填Ⅰ类洞微渗漏的影响[J].口腔医学,2017,37(3):219-222.
[9]葛光华,袁鸽成,江小平,等.Grandio纳米树脂与可乐丽树脂充填治疗后牙深龋的疗效比较[J].口腔疾病防治,2015,23(5):264-267.
[10]王金竹,夏丽,常平.自粘接流动树脂、普通光固化树脂充填乳牙窝沟龋的临床效果[J].口腔颌面修复学杂志,2017,18(5):288-290.
[11]迟梦超,李倜,白建文.Dyad Flow自粘接流动树脂在乳牙龋微创治疗中的效果观察[J].实用口腔医学杂志,2015,(5):713-715.
[12]周晓玲,徐学群.3种充填材料修复楔状缺损的临床疗效分析[J].中国医药指南,2017, 15(6):143-144.
[13]赵凌,杨丽媛,刘翠玲,等.不同修复方法对深型楔状缺损牙应力分布影响的三维有限元分析[J].华西口腔医学杂志,2017,35(1):77-81.
[14]刘汉珍,雷志敏.Z350纳米树脂联合流体树脂修复老年人前磨牙深度楔状缺损的临床研究[J].中国美容医学,2017,26(2):93-97.
[15]陈诚,周晶,吴佩玲.两种不同比色方法在牙体缺损树脂修复中的应用效果研究[J].中国美容医学,2017,26(1):113-115.
[16]周贯华,吕欣欣,姜雄英.流动树脂和夹层技术修复深型楔状缺损的临床研究[J].系统医学,2018,40(4):157-159.
[2]马国燕,韩丽敏,汤文革玲,等.不同树脂充填材料边缘微渗漏的体外研究[J].中国美容医学, 2017,26(7):92-94.
[3]陈明,陈秀丽.不同材料充填老年楔状缺损的体外微渗漏研究[J].中华老年口腔医学杂志,2015,13(5):271-274.
[4]巩蕾,黄香,何升腾,等.流体树脂修复楔状缺损边缘微渗漏的试验研究[J].重庆医学,2016, 45(23):3280-3282.
[5]彭早霞,李宁,陈曦,等.不同充填方法修复楔状缺损边缘微渗漏情况比较[J].口腔医学研究, 2016,32(2):158-160.
[6]朱晸,朱亚琴.3种复合树脂充填V类洞的微渗漏比较研究[J].上海口腔医学,2017, 26(3):241-245.
[7]张翠美,魏美荣,白建文.SureFil SDR流动树脂修复乳磨牙牙合面洞的临床疗效分析[J].牙体牙髓牙周病学杂志,2017,27(9):529-531.
[8]冯娜,仪虹,孙英超,等.流动型树脂衬洞对可压型树脂充填Ⅰ类洞微渗漏的影响[J].口腔医学,2017,37(3):219-222.
[9]葛光华,袁鸽成,江小平,等.Grandio纳米树脂与可乐丽树脂充填治疗后牙深龋的疗效比较[J].口腔疾病防治,2015,23(5):264-267.
[10]王金竹,夏丽,常平.自粘接流动树脂、普通光固化树脂充填乳牙窝沟龋的临床效果[J].口腔颌面修复学杂志,2017,18(5):288-290.
[11]迟梦超,李倜,白建文.Dyad Flow自粘接流动树脂在乳牙龋微创治疗中的效果观察[J].实用口腔医学杂志,2015,(5):713-715.
[12]周晓玲,徐学群.3种充填材料修复楔状缺损的临床疗效分析[J].中国医药指南,2017, 15(6):143-144.
[13]赵凌,杨丽媛,刘翠玲,等.不同修复方法对深型楔状缺损牙应力分布影响的三维有限元分析[J].华西口腔医学杂志,2017,35(1):77-81.
[14]刘汉珍,雷志敏.Z350纳米树脂联合流体树脂修复老年人前磨牙深度楔状缺损的临床研究[J].中国美容医学,2017,26(2):93-97.
[15]陈诚,周晶,吴佩玲.两种不同比色方法在牙体缺损树脂修复中的应用效果研究[J].中国美容医学,2017,26(1):113-115.
[16]周贯华,吕欣欣,姜雄英.流动树脂和夹层技术修复深型楔状缺损的临床研究[J].系统医学,2018,40(4):157-159.