二氧化锆烤瓷牙在前牙修复患者中的应用效果
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摘要
目的探讨二氧化锆烤瓷牙在前牙修复患者中的应用效果。方法选取2016年1月～2018年1月我所收治86例需行前牙修复的患者作为研究对象,根据患者就诊顺序随机分为对照组和实验组,每组各43例。对照组采取镍铬合金烤瓷冠前牙修复,实验组则采用二氧化锆烤瓷牙前牙修复。观察两组的修复体外形完整性、边缘密合度以及颜色变化情况,并分析比较两组牙龈指数及菌斑指数。结果实验组治疗后的外形完整率高于对照组,边缘不密合率低于对照组,差异均有统计学意义(P<0.05)。实验组修复体颜色变深发生率及颈缘黑色发生率均低于对照组,差异有统计学意义(P<0.05)。治疗前两组的牙龈指数、菌斑指数比较,差异无统计学意义(P>0.05),治疗后实验组的牙龈指数、菌斑指数均低于对照组,差异有统计学意义(P<0.05)。结论采用二氧化锆烤瓷牙行前牙修复具有良好的美学效果,且稳定性好,对牙龈的影响较小,值得临床上推广应用。
Objective To investigate the clinical effect of Zirconium dioxide ceramic tooth in anterior tooth restoration.Methods From January 2016 to January 2018, 86 patients with anterior tooth restoration were selected as the objects of study. According to the patient′s order, the patients were randomly divided into control group(n=43) and experimental group(n =43). The patients in the control group were treated with Ni-Cr alloy porcelain crown for anterior tooth restoration, while the experimental group were treated with Zirconium dioxide porcelain tooth to repair the anterior teeth. The shape integrity, edge tightness and color change of the two groups were observed, and the gingival index and plaque index of the two groups were analyzed and compared. Results After treatment, the complete appearance rate of the patients in the experimental group was higher than that in the control group, and the rate of marginal disassociation was lower than that in the control group(P<0.05). The incidence of color darkening and the incidence of black neck margin in the experimental group were lower than those in the control group(P<0.05). There was no significant difference in gingival index and plaque index between the two groups before treatment(P>0.05). After treatment, the gingival index and plaque index in the experimental group were lower than those in the control group(P<0.05). Conclusion The use of Zirconia roasted porcelain tooth for anterior tooth restoration has good aesthetic effect and good stability, and little influence on gingival,so it is worth popularizing in clinic.
Objective To investigate the clinical effect of Zirconium dioxide ceramic tooth in anterior tooth restoration.Methods From January 2016 to January 2018, 86 patients with anterior tooth restoration were selected as the objects of study. According to the patient′s order, the patients were randomly divided into control group(n=43) and experimental group(n =43). The patients in the control group were treated with Ni-Cr alloy porcelain crown for anterior tooth restoration, while the experimental group were treated with Zirconium dioxide porcelain tooth to repair the anterior teeth. The shape integrity, edge tightness and color change of the two groups were observed, and the gingival index and plaque index of the two groups were analyzed and compared. Results After treatment, the complete appearance rate of the patients in the experimental group was higher than that in the control group, and the rate of marginal disassociation was lower than that in the control group(P<0.05). The incidence of color darkening and the incidence of black neck margin in the experimental group were lower than those in the control group(P<0.05). There was no significant difference in gingival index and plaque index between the two groups before treatment(P>0.05). After treatment, the gingival index and plaque index in the experimental group were lower than those in the control group(P<0.05). Conclusion The use of Zirconia roasted porcelain tooth for anterior tooth restoration has good aesthetic effect and good stability, and little influence on gingival,so it is worth popularizing in clinic.
引文
[1]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,2018,30(6):139-140.
[2]史勇勇,郝洁.二氧化锆全瓷牙在前牙修复中的应用效果[J].中国当代医药,2016,23(17):99-100.
[3]王一立.不同烤瓷冠修复对牙周组织龈沟出血情况及血管内皮生长因子和肿瘤坏死因子α水平变化分析[J].中国临床医生杂志,2017,45(9):89-91.
[4]刘聪慧.玻璃纤维增强型复合树脂桩核修复基牙折断烤瓷牙的临床效果研究[J].中国医药导刊,2015,17(3):250-251.
[5]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,2018,22(1):127-130.
[6]崔彩荣,李静静,陈漫清.前牙牙体缺损在美学修复中的临床初探[J].内蒙古医科大学学报,2016,38(S1):162-163.
[7]曹园,唐旭炎.非贵金属材料钴铬合金烤瓷联冠及烤瓷桥修复后基牙咬合力与牙周组织的变化[J].中国组织工程研究,2017,21(18):2834-2838.
[8]王圣娣,彭泽昇,熊莉.烤瓷牙周夹板固定对老年前牙扇形移位患者的治疗效果分析[J].山西医药杂志,2017,46(7):800-802.
[9]方絮,靳赢,高科北,等.烤瓷牙修复对龈沟液内IL-23表达水平的影响[J.上海口腔医学,2016,25(1):58-62.
[10]叶莲妹,林萍,孟玉坤.176例纤维桩与金属铸造桩桩核冠修复病例的短期临床效果比较研究[J].重庆医学,2015,44(32):4512-4513.
[11]王晓环.影响老年人烤瓷牙修复失败的主要因素及临床处理分析[J].重庆医学,2017,46(A1):277-278.
[12]周国平,赵永兴,王涛.双侧后牙游离缺失实施栓体栓道式精密附着体义齿修复的效果评价[J].海南医学,2016,27(4):653-655.
[13]徐晓霞,李立峰.不同金属烤瓷冠修复对牙周组织及龈沟周围细胞因子的影响[J].中国医药导报,2014,11(4):52-54.
[14]冷勇,张旭,胡艳秋.二氧化锆全瓷冠与金属烤瓷冠在前牙修复中的应用观察[J].中国疗养医学,2016,25(4):406-408.
[15]谢姝敏.二氧化锆全瓷冠在前牙修复中的应用效果观察[J].内蒙古医学杂志,2017,49(4):403-405.
[16]马慧.二氧化锆全瓷冠与铸造全瓷冠在前牙美容修复中的效果比较[J].当代医学2016,23(4):95-97.
[2]史勇勇,郝洁.二氧化锆全瓷牙在前牙修复中的应用效果[J].中国当代医药,2016,23(17):99-100.
[3]王一立.不同烤瓷冠修复对牙周组织龈沟出血情况及血管内皮生长因子和肿瘤坏死因子α水平变化分析[J].中国临床医生杂志,2017,45(9):89-91.
[4]刘聪慧.玻璃纤维增强型复合树脂桩核修复基牙折断烤瓷牙的临床效果研究[J].中国医药导刊,2015,17(3):250-251.
[5]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,2018,22(1):127-130.
[6]崔彩荣,李静静,陈漫清.前牙牙体缺损在美学修复中的临床初探[J].内蒙古医科大学学报,2016,38(S1):162-163.
[7]曹园,唐旭炎.非贵金属材料钴铬合金烤瓷联冠及烤瓷桥修复后基牙咬合力与牙周组织的变化[J].中国组织工程研究,2017,21(18):2834-2838.
[8]王圣娣,彭泽昇,熊莉.烤瓷牙周夹板固定对老年前牙扇形移位患者的治疗效果分析[J].山西医药杂志,2017,46(7):800-802.
[9]方絮,靳赢,高科北,等.烤瓷牙修复对龈沟液内IL-23表达水平的影响[J.上海口腔医学,2016,25(1):58-62.
[10]叶莲妹,林萍,孟玉坤.176例纤维桩与金属铸造桩桩核冠修复病例的短期临床效果比较研究[J].重庆医学,2015,44(32):4512-4513.
[11]王晓环.影响老年人烤瓷牙修复失败的主要因素及临床处理分析[J].重庆医学,2017,46(A1):277-278.
[12]周国平,赵永兴,王涛.双侧后牙游离缺失实施栓体栓道式精密附着体义齿修复的效果评价[J].海南医学,2016,27(4):653-655.
[13]徐晓霞,李立峰.不同金属烤瓷冠修复对牙周组织及龈沟周围细胞因子的影响[J].中国医药导报,2014,11(4):52-54.
[14]冷勇,张旭,胡艳秋.二氧化锆全瓷冠与金属烤瓷冠在前牙修复中的应用观察[J].中国疗养医学,2016,25(4):406-408.
[15]谢姝敏.二氧化锆全瓷冠在前牙修复中的应用效果观察[J].内蒙古医学杂志,2017,49(4):403-405.
[16]马慧.二氧化锆全瓷冠与铸造全瓷冠在前牙美容修复中的效果比较[J].当代医学2016,23(4):95-97.