氧化锆全瓷和金属烤瓷冠修复前牙缺损的效果对比分析
|
摘要
目的比较氧化锆全瓷和金属烤瓷冠修复在前牙缺损治疗中的疗效差异。方法选择2014年4月~2017年4月在我科行前牙缺损修复治疗的134例患者为研究对象,按照随机数表法分为氧化锆全瓷修复组(治疗组)76例和金属烤瓷冠修复组(对照组)58例。比较治疗前、治疗半年后两组患者咀嚼功能(咀嚼效率、咬合力)差异,治疗半年后修复效果[美国公共卫生署标准(USPHS)评分(修复体形态、修复体颜色、边缘密合度、边缘着色)]、牙周健康指标[菌斑指数(PLI)、牙周袋深度(PD)、牙龈指数(GI)、附着丧失(AL)]及并发症(修复体断裂、牙龈炎、继发龋)发生率的差异。结果治疗半年后,两组咀嚼效率和咬合力均较治疗前明显提高,且治疗组显著高于对照组(P<0.05)。治疗半年后,两组患者USPHS各项评分差异明显,治疗组修复体形态、修复体颜色、边缘密合度、边缘着色均显著优于对照组(P<0.05);治疗组患者PLI、PD、GI、AL水平均低于对照组(P<0.05);治疗组并发症总发生率明显低于对照组(P<0.05)。结论氧化锆全瓷修复治疗前牙缺损疗效明显好于金属烤瓷冠修复,其修复治疗效果好、能显著提高患者咀嚼功能,且对牙周组织损伤较小、并发症少。
Objective To compare the efficacy of zirconia all-ceramic crowns and porcelain-fused-metal crowns in the repair of anterior teeth defects. Methods 134 cases of patients with anterior teeth defects repair in our department from April 2014 to April 2017 were selected for the study and were divided into zirconia all-ceramic crowns repair(treatment group, n=76) and porcelainfused-mental crowns repair group(control group, 58 cases) according to the random number table method. The masticatory function(masticatory efficiency, occlusal force) before treatment and after 6 months of treatment, and the repair effects [United States Public Health Service(USPHS) score(restoration morphology, restoration color, marginal discrepancy, edge coloring)], periodontal health indicators [plaque index(PLI), probing depth(PD), gingival index(GI), attachment loss(AL)] and incidence rates of complications(restoration fractures, gingivitis, secondary caries) after 6 months of treatment were compared between the two groups. Results After 6 months of treatment, the mastication efficiency and occlusal force in the two groups were significantly higher than those before treatment, and the two indexes in treatment group were significantly higher than those in control group(P < 0.05). After 6 months of treatment, the scores of items of USPHS scale were significantly different in the two groups, and the restoration morphology, restoration color, marginal discrepancy and edge coloring in treatment group were significantly better than those in control group(P< 0.05). The levels of PLI, PD, GI and AL in treatment group were lower than those in control group(P < 0.05). The total incidence rate of complications in treatment group was significantly lower than that in control group(P < 0.05). Conclusions Zirconia allceramic crowns repair has significantly better efficacy than porcelain-fused-mental crowns repair in anterior teeth defects, and it has a good repair effects, and can significantly improve masticatory function, and has less damage to periodontal tissues and has fewer complications.
Objective To compare the efficacy of zirconia all-ceramic crowns and porcelain-fused-metal crowns in the repair of anterior teeth defects. Methods 134 cases of patients with anterior teeth defects repair in our department from April 2014 to April 2017 were selected for the study and were divided into zirconia all-ceramic crowns repair(treatment group, n=76) and porcelainfused-mental crowns repair group(control group, 58 cases) according to the random number table method. The masticatory function(masticatory efficiency, occlusal force) before treatment and after 6 months of treatment, and the repair effects [United States Public Health Service(USPHS) score(restoration morphology, restoration color, marginal discrepancy, edge coloring)], periodontal health indicators [plaque index(PLI), probing depth(PD), gingival index(GI), attachment loss(AL)] and incidence rates of complications(restoration fractures, gingivitis, secondary caries) after 6 months of treatment were compared between the two groups. Results After 6 months of treatment, the mastication efficiency and occlusal force in the two groups were significantly higher than those before treatment, and the two indexes in treatment group were significantly higher than those in control group(P < 0.05). After 6 months of treatment, the scores of items of USPHS scale were significantly different in the two groups, and the restoration morphology, restoration color, marginal discrepancy and edge coloring in treatment group were significantly better than those in control group(P< 0.05). The levels of PLI, PD, GI and AL in treatment group were lower than those in control group(P < 0.05). The total incidence rate of complications in treatment group was significantly lower than that in control group(P < 0.05). Conclusions Zirconia allceramic crowns repair has significantly better efficacy than porcelain-fused-mental crowns repair in anterior teeth defects, and it has a good repair effects, and can significantly improve masticatory function, and has less damage to periodontal tissues and has fewer complications.
引文
[1]骆小平.牙科陶瓷材料及修复体制作技术的新进展[J],口腔材料器械杂志,2016,1(25):1-4.
[2]季从容,刘红红,钱昌富,等.三种方法修复后牙牙体缺损的疗效比较[J].安徽医科大学学报,2017,5(52):774-776.
[3]田萧雨,田敏.提高氧化锆饰瓷结合性能的研究进展[J].牙体牙髓牙周病学杂志,2017,12(27):728-731.
[4]杨丽丽,金鸿莱,徐佳瑛,等.二氧化锆烤瓷牙在前牙修复患者中的应用效果[J].实用临床医药杂志,2018,1(22):127-130.
[5]Takeichi T,Katsoulis J,Blatz M B.Clinical outcome of single porcelain-fused-to girconiumdioxide crowns:asystematicnview[J].J Prosthet Dent,2013,110(6):1055-1059.
[6]Takeichi T,Miura S,Kasahara S,etal.Update zirconia restorations[J].Journal of Prosthodontic Research,2015,59(2).
[7]何玉明.全瓷冠与金属烤瓷冠在牙齿修复中的效果比较[J].临床检验杂志(电子版),2016,2(6):387-388.
[8]马玉龙,王海山,那日苏.钴铬合金烤瓷冠和全瓷冠修复对患牙牙周组织及龈沟液中炎症因子水平的影响研究[J].中国实用口腔科杂志,2017,12(9):747-750.
[9]Moore F,Nematollahi MJ,Keshavaarzi B.heavy metals fractionation in surface sediments of Gowatrbay--Iran[J].Environ Monit Assess,2015,187(1):4177.
[10]Sapna G,Gokul S,Bagri-ManjrekarK.Matrix metalloproteinases and periodontal disease[J].Oral Dis,2014,20(6):538-550.
[11]邹弘驹,李瑶.镍铬合金烤瓷冠修复对牙周组织的影响[J].海南医学,2018,6(29)868-869.
[12]郭斌,孙雷,翟晓红.氧化锆全瓷修复对龈沟液患者的临床疗效观察[J].河北医学,2017,10(23):1632--1636.
[13]ISO 6872:2015.Dentistry--ceramic materials 4rd ed.International Organization for Standardization.Geneva.2015.
[14]麦合甫孜·艾山,阿孜古丽·赛依都拉,葛菲,等.二氧化锆全瓷冠修复的远期效果研究[J].基因组学与应用生物学,2016,11(35):2795-2979.
[2]季从容,刘红红,钱昌富,等.三种方法修复后牙牙体缺损的疗效比较[J].安徽医科大学学报,2017,5(52):774-776.
[3]田萧雨,田敏.提高氧化锆饰瓷结合性能的研究进展[J].牙体牙髓牙周病学杂志,2017,12(27):728-731.
[4]杨丽丽,金鸿莱,徐佳瑛,等.二氧化锆烤瓷牙在前牙修复患者中的应用效果[J].实用临床医药杂志,2018,1(22):127-130.
[5]Takeichi T,Katsoulis J,Blatz M B.Clinical outcome of single porcelain-fused-to girconiumdioxide crowns:asystematicnview[J].J Prosthet Dent,2013,110(6):1055-1059.
[6]Takeichi T,Miura S,Kasahara S,etal.Update zirconia restorations[J].Journal of Prosthodontic Research,2015,59(2).
[7]何玉明.全瓷冠与金属烤瓷冠在牙齿修复中的效果比较[J].临床检验杂志(电子版),2016,2(6):387-388.
[8]马玉龙,王海山,那日苏.钴铬合金烤瓷冠和全瓷冠修复对患牙牙周组织及龈沟液中炎症因子水平的影响研究[J].中国实用口腔科杂志,2017,12(9):747-750.
[9]Moore F,Nematollahi MJ,Keshavaarzi B.heavy metals fractionation in surface sediments of Gowatrbay--Iran[J].Environ Monit Assess,2015,187(1):4177.
[10]Sapna G,Gokul S,Bagri-ManjrekarK.Matrix metalloproteinases and periodontal disease[J].Oral Dis,2014,20(6):538-550.
[11]邹弘驹,李瑶.镍铬合金烤瓷冠修复对牙周组织的影响[J].海南医学,2018,6(29)868-869.
[12]郭斌,孙雷,翟晓红.氧化锆全瓷修复对龈沟液患者的临床疗效观察[J].河北医学,2017,10(23):1632--1636.
[13]ISO 6872:2015.Dentistry--ceramic materials 4rd ed.International Organization for Standardization.Geneva.2015.
[14]麦合甫孜·艾山,阿孜古丽·赛依都拉,葛菲,等.二氧化锆全瓷冠修复的远期效果研究[J].基因组学与应用生物学,2016,11(35):2795-2979.