选择性釉质酸蚀结合自酸蚀模式对楔状缺损充填效果影响的临床研究
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摘要
目的:对比研究选择性釉质酸蚀结合自酸蚀模式和传统全酸蚀模式对楔状缺损充填效果影响。方法:纳入楔状缺损患牙271颗,随机分成2组,对照组148颗患牙采用传统全酸蚀模式,试验组123颗患牙应用选择性釉质酸蚀结合自酸蚀模式。2组患牙均选用3M Filter Z350XT流体树脂进行充填。于治疗后1周、1个月和6个月随访。记录患牙的敏感度情况和充填体成功的患牙数。用SPSS 19.0软件卡方检验和确切概率方法进行统计学分析。结果:无失访病例。楔状缺损充填后1周、 1个月及6个月随访。对照组患牙牙本质过敏症均多于试验组(χ~2=49.906 8,χ~2=15.620 4,P<0.05), 6个月充填体的失败率分别是3.4%和0.8%(P>0.05)。结论:选择性酸蚀模式可以降低楔状缺损树脂充填后的牙本质过敏症。
Objective: To compare the effects of filling therapy for wedged shape defect(WSD) between selectively etching enamel combined with self-etching and traditional total-etching mode. Methods: 271 teeth with WSD were included and divided into 2 groups randomly. The teeth in control group(n=148) were subjected to total-etching mode, those in the trial group received the selectively etching enamel combined with self-etching mode. All the teeth were filled with 3 M 350 XT flowable resin. The hypersensitivity and successful rate of filling were recorded 7 days,1 month and 6 months after treatment. The data were analyzed by chi-square test and exact fisher test with SPSS 19.0 soft ware. Results: During the follow-up period, the treated teeth with hypersensitivity in the control group were more than those in trial group(χ~2=49.9068, χ~2=15.620 4, P<0.05), the failure rate in the control group and the trial group were 3.4% and 0.8% respectively(P>0.05). Conclusion: The selectively etching enamel combined with self-etching mode may reduce the hypersensitivity of the teeth with WSD after filling.
Objective: To compare the effects of filling therapy for wedged shape defect(WSD) between selectively etching enamel combined with self-etching and traditional total-etching mode. Methods: 271 teeth with WSD were included and divided into 2 groups randomly. The teeth in control group(n=148) were subjected to total-etching mode, those in the trial group received the selectively etching enamel combined with self-etching mode. All the teeth were filled with 3 M 350 XT flowable resin. The hypersensitivity and successful rate of filling were recorded 7 days,1 month and 6 months after treatment. The data were analyzed by chi-square test and exact fisher test with SPSS 19.0 soft ware. Results: During the follow-up period, the treated teeth with hypersensitivity in the control group were more than those in trial group(χ~2=49.9068, χ~2=15.620 4, P<0.05), the failure rate in the control group and the trial group were 3.4% and 0.8% respectively(P>0.05). Conclusion: The selectively etching enamel combined with self-etching mode may reduce the hypersensitivity of the teeth with WSD after filling.
引文
[1] 李智, 许永伟, 高承志. 整层充填流动树脂充填深楔状缺损的随机对照临床研究[J]. 实用口腔医学杂志, 2015, 31(6): 801-805.
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[3] 彭早霞, 李宁, 陈曦, 等. 不同充填方法修复楔状缺损边缘微滲漏情况比较[J]. 口腔医学研究, 2016, 32(2): 158-160.
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[6] 雷爱萍, 黄莉. 不同充填材料治疗老年人根面龋的临床观察[J]. 中华口腔医学研究杂志(电子版), 2012, 6(3): 55-57.
[7] 李文静, 陈惠珍, 牛家慧, 等. 不同材料修复楔状缺损后粘接力的对比研究[J]. 实用口腔医学杂志, 2013, 29(3): 344-347.
[8] 韦曦, 何庆银, 凌均棨, 等. 自酸蚀粘接剂 Adper Easy One 的临床研究[J]. 中华口腔医学研究杂志:电子版, 2012, 6(4): 27-30.
[9] 杨春侠, 霍炳鑫, 张雷, 等. 选择性釉质酸蚀结合自酸蚀粘接系统处理后牙釉质表面和粘接界面的扫描电镜观察[J]. 现代口腔医学杂志, 2016, 30(3): 156-159.
[10] De Munck J, Van Landuyt K, et al. A critical review of the durability of adhesion to tooth tissue: Methods and results[J]. J Dent Res, 2005, 84(2): 118-132.
[11] 杨湲波, 董青, 谷建琦, 等. 三种一步法自酸蚀粘接剂对复合树脂粘接修复后微滲漏的影响[J]. 牙体牙髓牙周病学杂志, 2013, 23(7): 432-435.
[12] Onal B, Pamir T. The two-year clinical performance of esthetic restorative materials in noncarious cervical lesions[J]. J Am Dent Assoc, 2005, 136(11): 1547-1555.
[13] 张清, 王嘉德, 李萍. 楔状缺损患牙调治疗效果初探[J]. 中华口腔医学牙杂志, 2004, 39(1): 48.
[14] 迟惠熔, 陈力, 刘静, 等. 两种光固化树脂材料机械性能的对比研究[J]. 口腔医学研究, 2011, 27(1): 26-28.
[2] Feng D, Qi D, Lin X, et al. Effects of different tooth preparations on the fracture behavior of teeth with severe wedge-shaped defect restored with post and core crowns[J]. West Chin J Stomatol, 2014, 32(2): 157-161.
[3] 彭早霞, 李宁, 陈曦, 等. 不同充填方法修复楔状缺损边缘微滲漏情况比较[J]. 口腔医学研究, 2016, 32(2): 158-160.
[4] Pradelle-Plasse N, Nechad S, Tavernier B, et al. Effect of dentin adhesives on the enamel-dentin/composite interfacial microleakage[J]. Am J Dent, 2001, 14(6): 344-348.
[5] 张力心, 唐旭炎. 两种脱敏剂对活髓牙预备后牙本质过敏的治疗效果观察[J]. 安徽医科大学学报, 2014, 49(4): 543-545.
[6] 雷爱萍, 黄莉. 不同充填材料治疗老年人根面龋的临床观察[J]. 中华口腔医学研究杂志(电子版), 2012, 6(3): 55-57.
[7] 李文静, 陈惠珍, 牛家慧, 等. 不同材料修复楔状缺损后粘接力的对比研究[J]. 实用口腔医学杂志, 2013, 29(3): 344-347.
[8] 韦曦, 何庆银, 凌均棨, 等. 自酸蚀粘接剂 Adper Easy One 的临床研究[J]. 中华口腔医学研究杂志:电子版, 2012, 6(4): 27-30.
[9] 杨春侠, 霍炳鑫, 张雷, 等. 选择性釉质酸蚀结合自酸蚀粘接系统处理后牙釉质表面和粘接界面的扫描电镜观察[J]. 现代口腔医学杂志, 2016, 30(3): 156-159.
[10] De Munck J, Van Landuyt K, et al. A critical review of the durability of adhesion to tooth tissue: Methods and results[J]. J Dent Res, 2005, 84(2): 118-132.
[11] 杨湲波, 董青, 谷建琦, 等. 三种一步法自酸蚀粘接剂对复合树脂粘接修复后微滲漏的影响[J]. 牙体牙髓牙周病学杂志, 2013, 23(7): 432-435.
[12] Onal B, Pamir T. The two-year clinical performance of esthetic restorative materials in noncarious cervical lesions[J]. J Am Dent Assoc, 2005, 136(11): 1547-1555.
[13] 张清, 王嘉德, 李萍. 楔状缺损患牙调治疗效果初探[J]. 中华口腔医学牙杂志, 2004, 39(1): 48.
[14] 迟惠熔, 陈力, 刘静, 等. 两种光固化树脂材料机械性能的对比研究[J]. 口腔医学研究, 2011, 27(1): 26-28.