CEREC 3D全瓷嵌体修复后牙Ⅱ类洞的临床效果分析
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摘要
【目的】对CEREC 3D全瓷嵌体修复后牙Ⅱ类洞的临床效果观察。【方法】2014年12月至2016年12月,在我院口腔科门诊需要实施修复治疗的后牙Ⅱ类洞患者中,随机选取60例(60颗牙),根据患者修复方法分成两组,其中对照组患者实施复合树脂嵌体修复,观察组患者实施CEREC 3D全瓷嵌体修复,对比分析两组患者的修复效果。【结果】和对照组修复体相比,观察组修复体的颜色匹配程度、外形完整性、表面光滑度、边缘密合度差异显著(P<0.05),观察组患者修复的治疗成功率差异显著(P<0.05)。【结论】在后牙Ⅱ类洞患者两种临床修复治疗中,CEREC 3D全瓷嵌体修复效果优于复合树脂嵌体修复效果,值得推广应用。
【Objective】To observe the clinical effect of CEREC 3 D all ceramic onlay in the repair of class Ⅱ cavity of posterior teeth.【Methods】60 cases of the implementation method of posterior cavity in our hospital from December 2014 to December 2016(60 teeth)were randomly selected and divided into two groups according to the method of repairing. The control group was conducted with composite onlay implementation, while the observation group was conducted with CEREC 3 D all ceramic onlay in the implementation, and the repair effects of the two groups of patients were compared.【Results】Compared with the control group, the proportion of color matching, shape correct, smooth surface and edge of the patients in the observation group were significantly higher(P<0.05); while the success rate was significantly higher in the observation group with significantly difference(P< 0.05).【Conclusion】The clinical effect of CEREC 3 D all ceramic onlay is better than that of composite resin onlay in clinical reparation of posterior teeth with class Ⅱ cavity, and is worthy of popularization and application.
【Objective】To observe the clinical effect of CEREC 3 D all ceramic onlay in the repair of class Ⅱ cavity of posterior teeth.【Methods】60 cases of the implementation method of posterior cavity in our hospital from December 2014 to December 2016(60 teeth)were randomly selected and divided into two groups according to the method of repairing. The control group was conducted with composite onlay implementation, while the observation group was conducted with CEREC 3 D all ceramic onlay in the implementation, and the repair effects of the two groups of patients were compared.【Results】Compared with the control group, the proportion of color matching, shape correct, smooth surface and edge of the patients in the observation group were significantly higher(P<0.05); while the success rate was significantly higher in the observation group with significantly difference(P< 0.05).【Conclusion】The clinical effect of CEREC 3 D all ceramic onlay is better than that of composite resin onlay in clinical reparation of posterior teeth with class Ⅱ cavity, and is worthy of popularization and application.
引文
[1]李智,高承志,许永伟,等.铸造陶瓷高嵌体修复根管治疗后前磨牙的3年临床效果观察[J].华西口腔医学杂志,2015, 33(3):263-266.
[2]张珑,李芳萍,杨柏松,等.不同材料嵌体修复邻牙合(Ⅱ类)洞型的应力影响分析[J].实用口腔医学杂志, 2015, 31(5):627-632.
[3] Fasbinder DJ, Dennison JB, Heys D, et al. A clinical evaluation of chairside lithium disilicate CAD/CAM crowns:A two years report[J]. J Am Dent Assoc, 2010, 141(Suppl 2):10-14.
[4] Fasbinder DJ. Chairside CAD/CAM:an overview of restorative material option[J]. Compend Contin Educ Dent, 2012,33(1):50,52-58.
[5] Reich S, Brungsberg B, Teschner H, et al. The occlusal precision of laboratory versus CAD/CAM processed allceramic crowns[J]. Am J Dent, 2010, 23(1):53-56.
[6]?n Salman G, Tacír?H, et al. Influence of different cavity preparation designs on fracture resistance of onlay and overlay restorations using different CAD/CAM materials[J].AM J Dent,2017 30(3):165-170.
[7] Fennis WM, Kui js RH, Kreulen CM, et al. A survey of cusp f ractures in population of general dental practices[J]. Int J Prosthodont, 2002, 15(6):559-563.
[8]可武,翁为民,张保卫. 3种树脂水门汀对CAD/CAM全瓷-牙本质剪切强度的比较[J].上海口腔医学, 2012, 21(1):20-23.
[9]张鸣雷,王晓容,王景云,等. CEREC3D椅旁CAD/CAM操作系统制作全瓷高嵌体修复后牙严重牙体缺损的临床应用[J].吉林大学学报(医学版), 2013, 39(4):820-823.
[10]Abdullah H, Al-Rawi I. The influence of CAD/CAM ceramic and heat processed composite onlays on the fracture resistance of premolars(An in-vitro study)[J]. J Bagh College Dent, 2012, 24(4):14-18.
[11]Lin C, Chang Y, Chang C, et al. Finite element and Weibull analyses to estimate failure risks in the ceramic endocrown and classical crown for endodontically treatedmaxillary premolar[J]. Eur J Oral Sci, 2010, 118(1):87-93.
[12]Chang C, Kuo J, Lin Y, et al. Fracture resistance and failure modes of CEREC endocrowns and conventional post and core-supported CEREC crowns[J]. J Dent Sci, 2009, 4(3):110-117.
[13]Kollmuss M, Jakob F, Kirchner H, et al. Comparison of biogenerically reconstructed and waxed-up complete occlusal surfaces with respect to the original tooth morphology[J]. Clin Oral Investig, 2013, 17(3):851-857.
[14]Petra C, Guess, Vagkopoulou T, et al. Marginal and internal of heat pressed versus CAD/CAM fabricated all-ceramic onlays after exposure to thermo-mechanical fatigue[J]. J Dent,2014, 42(2):199-209.
[15]Da Costa JB, Pelogia F, Hagedorn B, et al. Evaluation of different methods of optical impression making on the marginal gap of onlays created with CEREC 3D[J]. Oper Dent, 2010,35(3):324-329.
[16]张鸣雷,王晓容,王景云,等. CEREC3D椅旁CAD/CAM操作系统制作全瓷高嵌体修复后牙严重牙体缺损的临床应用[J].吉林大学学报(医学版), 2013, 39(4):820-823.
[17]McDonald A. Preparation guidelines for full and partial coverage ceramic restorations[J]. Dent Update, 2001, 28(2):84-90.
[18]Blatz MB, Ripps A, Sadan A, et al. Adhesive cementation of chair CAD/CAM inlays and onlays[J]. Dent Today, 2006, 25(1):60, 62.
[19]张丽霞,洪凌斐,蒋丽萍.两种粘接剂对Cerec 3D全瓷冠抗折强度的实验研究[J].临床口腔医学杂志, 2012, 28(2):106-109.
[20]Magne P, Paranhos MP, Schlichting LH. Influence of material selection on the risk of onlay fracture during pre-cementation functional occlusal tapping[J]. Dent Mater, 2011, 27(2):109-113.
[21]赵堂明,王莹,夏璐,等. CEREC 3D系统制作全瓷修复体的临床研究[J].西北国防医学杂志, 2013, 34(1):33-35.
[2]张珑,李芳萍,杨柏松,等.不同材料嵌体修复邻牙合(Ⅱ类)洞型的应力影响分析[J].实用口腔医学杂志, 2015, 31(5):627-632.
[3] Fasbinder DJ, Dennison JB, Heys D, et al. A clinical evaluation of chairside lithium disilicate CAD/CAM crowns:A two years report[J]. J Am Dent Assoc, 2010, 141(Suppl 2):10-14.
[4] Fasbinder DJ. Chairside CAD/CAM:an overview of restorative material option[J]. Compend Contin Educ Dent, 2012,33(1):50,52-58.
[5] Reich S, Brungsberg B, Teschner H, et al. The occlusal precision of laboratory versus CAD/CAM processed allceramic crowns[J]. Am J Dent, 2010, 23(1):53-56.
[6]?n Salman G, Tacír?H, et al. Influence of different cavity preparation designs on fracture resistance of onlay and overlay restorations using different CAD/CAM materials[J].AM J Dent,2017 30(3):165-170.
[7] Fennis WM, Kui js RH, Kreulen CM, et al. A survey of cusp f ractures in population of general dental practices[J]. Int J Prosthodont, 2002, 15(6):559-563.
[8]可武,翁为民,张保卫. 3种树脂水门汀对CAD/CAM全瓷-牙本质剪切强度的比较[J].上海口腔医学, 2012, 21(1):20-23.
[9]张鸣雷,王晓容,王景云,等. CEREC3D椅旁CAD/CAM操作系统制作全瓷高嵌体修复后牙严重牙体缺损的临床应用[J].吉林大学学报(医学版), 2013, 39(4):820-823.
[10]Abdullah H, Al-Rawi I. The influence of CAD/CAM ceramic and heat processed composite onlays on the fracture resistance of premolars(An in-vitro study)[J]. J Bagh College Dent, 2012, 24(4):14-18.
[11]Lin C, Chang Y, Chang C, et al. Finite element and Weibull analyses to estimate failure risks in the ceramic endocrown and classical crown for endodontically treatedmaxillary premolar[J]. Eur J Oral Sci, 2010, 118(1):87-93.
[12]Chang C, Kuo J, Lin Y, et al. Fracture resistance and failure modes of CEREC endocrowns and conventional post and core-supported CEREC crowns[J]. J Dent Sci, 2009, 4(3):110-117.
[13]Kollmuss M, Jakob F, Kirchner H, et al. Comparison of biogenerically reconstructed and waxed-up complete occlusal surfaces with respect to the original tooth morphology[J]. Clin Oral Investig, 2013, 17(3):851-857.
[14]Petra C, Guess, Vagkopoulou T, et al. Marginal and internal of heat pressed versus CAD/CAM fabricated all-ceramic onlays after exposure to thermo-mechanical fatigue[J]. J Dent,2014, 42(2):199-209.
[15]Da Costa JB, Pelogia F, Hagedorn B, et al. Evaluation of different methods of optical impression making on the marginal gap of onlays created with CEREC 3D[J]. Oper Dent, 2010,35(3):324-329.
[16]张鸣雷,王晓容,王景云,等. CEREC3D椅旁CAD/CAM操作系统制作全瓷高嵌体修复后牙严重牙体缺损的临床应用[J].吉林大学学报(医学版), 2013, 39(4):820-823.
[17]McDonald A. Preparation guidelines for full and partial coverage ceramic restorations[J]. Dent Update, 2001, 28(2):84-90.
[18]Blatz MB, Ripps A, Sadan A, et al. Adhesive cementation of chair CAD/CAM inlays and onlays[J]. Dent Today, 2006, 25(1):60, 62.
[19]张丽霞,洪凌斐,蒋丽萍.两种粘接剂对Cerec 3D全瓷冠抗折强度的实验研究[J].临床口腔医学杂志, 2012, 28(2):106-109.
[20]Magne P, Paranhos MP, Schlichting LH. Influence of material selection on the risk of onlay fracture during pre-cementation functional occlusal tapping[J]. Dent Mater, 2011, 27(2):109-113.
[21]赵堂明,王莹,夏璐,等. CEREC 3D系统制作全瓷修复体的临床研究[J].西北国防医学杂志, 2013, 34(1):33-35.