铸瓷贴面与全瓷冠牙科材料用于前牙修复的临床对比研究(1)
[摘要] 目的 探讨铸瓷贴面与全瓷冠牙科材料用于前牙修复的临床效果。方法 方便选取2016年1月—2018年1月前牙修复患者90例，其中45例应用全瓷冠材料修复，将其设定为对照组，45例应用铸瓷贴面材料修复，将其设定为观察组。比较两组治疗优良率、敏感发生率、疼痛评分、美学评分以及不良反应发生率。 结果 相较于对照组，观察组治疗优良率更高(88.89% vs 66.67%)，差异有统计学意义(P<0.05); 相较于对照组，观察组整体美观[(93.60±7.31)分 vs(84.15±6.27)分]、修复体色泽[(94.67±6.91)分 vs(86.19±5.84)分]以及面容改善[(95.88±8.62)分vs(89.04±6.19)分]评分均更高，差异有统计学意义(t=6.582，6.288，4.324，P<0.05);相较于对照组，观察组治疗后2周、1个月和3个月的敏感发生率及疼痛评分均更低，差异有统计学意义(P<0.05);相较于对照组，观察组不良反应发生率更低，差异有统计学意义(P<0.05)。结论 前牙修复治疗中铸瓷贴面的应用效果优于全瓷冠，不良反应发生更少，疼痛度更低，美学效果更好。
[关键词] 前牙修复;全瓷冠;铸瓷贴面;疼痛;美观效果
[中图分类号] R783 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0108-03
[Abstract] Objective To investigate the clinical effects of cast porcelain veneer and all-ceramic crown dental materials for anterior teeth restoration. Methods Ninety patients with anterior teeth restoration from January 2016 to January 2018 were convenient selected， of which 45 were repaired with all-ceramic crown materials， which were set as control group， and 45 cases were repaired with cast porcelain veneers. Designed as an observation group. The excellent rate， sensitivity， pain score， aesthetic score， and incidence of adverse reactions were compared between the two groups. Results Compared with the control group， the observation group had a better rate of treatment (88.89% vs 66.67%)， and the difference was statistically significant (P<0.05). Compared with the control group， the observation group was overall beautiful [(93.60±7.31)points vs (84.15±6.27)points]， restoration color [(94.67±6.91)points vs (86.19±5.84)points， t=6.288] and surface improvement [(95.88±8.62)points vs (89.04 ± 6.19)points] were higher， the difference was statistically significant(t=6.582，6.288，4.324，P<0.05). Compared with the control group， the sensitivity and pain scores of the observation group were lower at 2 weeks， 1 month and 3 months after treatment. Statistically significant (P<0.05); the incidence of adverse reactions was lower in the observation group than in the control group， and the difference was statistically significant (P<0.05). Conclusion The application of cast porcelain veneer in anterior restoration is better than that of all-ceramic crown， with fewer adverse reactions， lower pain and better aesthetics.
[Key words] Anterior teeth restoration; All-ceramic crown; Cast porcelain veneer; Pain; Aesthetic effect
隨着生活质量水平的不断提高，人们对于前牙修复所取得的美观效果也有了更高的要求。因此，临床上在开展前牙修复时，所需取得效果为使牙齿排列整齐，对牙齿的颜色进行调整，使其尽可能接近正常范围，使牙体形态保持对称[1]。以往临床上在对前牙修复时所应用的材料主要为金属烤瓷冠，其价格相对较低，同时具备较高的强度，但在美学方面和耐受性上，金属烤瓷冠并不具备较好的价值[2]。随着研究的不断深入，人们发现陶瓷材料具备较好的生物相容性以及耐腐蚀性，可使菌斑附着得以减少，从而使牙龈炎的发生率得以降低，特别是该材料所具备的光学性能良好，可使牙体所具备的半透明度以及层次感增强[3]。该次研究方便选取2016年1月—2018年1月该院收治的前牙修复患者90例，探讨铸瓷贴面与全瓷冠牙科材料用于前牙修复的临床效果，报道如下。, 百拇医药(杨裕华 陈永辉)
[关键词] 前牙修复;全瓷冠;铸瓷贴面;疼痛;美观效果
[中图分类号] R783 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0108-03
[Abstract] Objective To investigate the clinical effects of cast porcelain veneer and all-ceramic crown dental materials for anterior teeth restoration. Methods Ninety patients with anterior teeth restoration from January 2016 to January 2018 were convenient selected， of which 45 were repaired with all-ceramic crown materials， which were set as control group， and 45 cases were repaired with cast porcelain veneers. Designed as an observation group. The excellent rate， sensitivity， pain score， aesthetic score， and incidence of adverse reactions were compared between the two groups. Results Compared with the control group， the observation group had a better rate of treatment (88.89% vs 66.67%)， and the difference was statistically significant (P<0.05). Compared with the control group， the observation group was overall beautiful [(93.60±7.31)points vs (84.15±6.27)points]， restoration color [(94.67±6.91)points vs (86.19±5.84)points， t=6.288] and surface improvement [(95.88±8.62)points vs (89.04 ± 6.19)points] were higher， the difference was statistically significant(t=6.582，6.288，4.324，P<0.05). Compared with the control group， the sensitivity and pain scores of the observation group were lower at 2 weeks， 1 month and 3 months after treatment. Statistically significant (P<0.05); the incidence of adverse reactions was lower in the observation group than in the control group， and the difference was statistically significant (P<0.05). Conclusion The application of cast porcelain veneer in anterior restoration is better than that of all-ceramic crown， with fewer adverse reactions， lower pain and better aesthetics.
[Key words] Anterior teeth restoration; All-ceramic crown; Cast porcelain veneer; Pain; Aesthetic effect
隨着生活质量水平的不断提高，人们对于前牙修复所取得的美观效果也有了更高的要求。因此，临床上在开展前牙修复时，所需取得效果为使牙齿排列整齐，对牙齿的颜色进行调整，使其尽可能接近正常范围，使牙体形态保持对称[1]。以往临床上在对前牙修复时所应用的材料主要为金属烤瓷冠，其价格相对较低，同时具备较高的强度，但在美学方面和耐受性上，金属烤瓷冠并不具备较好的价值[2]。随着研究的不断深入，人们发现陶瓷材料具备较好的生物相容性以及耐腐蚀性，可使菌斑附着得以减少，从而使牙龈炎的发生率得以降低，特别是该材料所具备的光学性能良好，可使牙体所具备的半透明度以及层次感增强[3]。该次研究方便选取2016年1月—2018年1月该院收治的前牙修复患者90例，探讨铸瓷贴面与全瓷冠牙科材料用于前牙修复的临床效果，报道如下。, 百拇医药(杨裕华 陈永辉)