上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (2): 208-212.doi: 10.19439/j.sjos.2025.02.017

• 论著 • 上一篇    下一篇

Lava Ultimate贴面联合铸瓷嵌体治疗老年患者轻中度牙列磨耗的疗效评价

周建营1, 王静1, 庞淑婷1, 张彦升1, 马华婧1, 冯艳芬1, 赵世俊1, 胡鹏鲲2   

  1. 1.沧州市人民医院 口腔科,河北 沧州 061000;
    2.邯郸市口腔医院 修复科,河北 邯郸 056001
  • 收稿日期:2024-10-30 修回日期:2024-12-24 出版日期:2025-04-25 发布日期:2025-05-15
  • 通讯作者: 周建营,E-mail：17333708001@163.com
  • 作者简介:周建营（1989-）,男,硕士,主治医师
  • 基金资助:
    沧州市重点研发计划指导项目（204106017）

Evaluation of the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly patients

Zhou Jianying1, Wang Jing1, Pang Shuting1, Zhang Yansheng1, Ma Huajing1, Feng Yanfen1, Zhao Shijun1, Hu Kunpeng2   

  1. 1. Department of Stomatology, Cangzhou People's Hospital. Cangzhou 061000;
    2. Department of Prosthodontics, Handan People's Hospital. Handan 056001, Hebei Province, China
  • Received:2024-10-30 Revised:2024-12-24 Online:2025-04-25 Published:2025-05-15

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摘要： 目的：评价Lava Ultimate贴面联合铸瓷嵌体治疗老年患者轻中度牙列磨耗的疗效。方法：选择2019年7月—2023年7月收治的60例因物理因素导致的轻中度牙列磨耗老年患者,随机分为对照组（n=30）和试验组（n=30）。对照组采用全瓷冠修复,试验组采用前牙Lava Ultimate贴面与后牙铸瓷嵌体修复。比较2组修复前后的咀嚼效率、修复体效果、牙周指标[牙龈指数(gingival index, GI)、菌斑指数(plaque index, PI)]、临床疗效、美观度和舒适度。采用SPSS 19.0软件包对数据进行统计学分析。结果：修复前,2组咀嚼效能、吸光度（A）值相比无显著差异（P>0.05）;修复后,试验组咀嚼效能、A值显著高于对照组（P<0.05）。修复后1周、6个月,2组患者修复体边缘适合、磨损程度、固位、牙龈、颜色、外形、继发龋、修复体折裂、GI和PI相比无显著差异（P>0.05）,修复后12个月,试验组修复体边缘适合、固位、牙龈、GI和PI显著优于对照组（P<0.05）。试验组总有效率、美观度和舒适度显著高于对照组（P<0.05）。结论：前牙Lava Ultimate贴面与后牙铸瓷嵌体修复后,老年轻中度牙列磨耗患者咀嚼效率提高,修复体效果、牙周指标和满意度、舒适度均明显改善。

关键词: 贴面, 瓷嵌体, 牙列磨耗, 咬合重建, 全瓷冠修复

Abstract: PURPOSE: To explore the effect of Lava Ultimate veneer combined with cast porcelain inlays in the treatment of mild-moderate dentition wear in the elderly. METHODS: A total of 60 elderly patients with mild-moderate dentition wear due to physical factors who underwent treatment from July 2019 to July 2023 were selected and randomly divided into control group(n=30) and experimental group(n=30). The control group received traditional all-ceramic crown restoration treatment, while the experimental group received Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth. The chewing efficiency, prosthesis effectiveness, periodontal index [gingival index(GI), plaque index (PI)], clinical efficacy, aesthetic satisfaction and comfort were compared between the two groups before and after treatment.SPSS 19.0 software package was used for statistical analysis of the data. RESULTS: Before treatment, there was no significant difference in chewing efficiency and absorbance between the two groups(P>0.05). After treatment, masticatory efficiency and absorbance of the experimental group were significantly higher than those of the control group(P<0.05). One week and 6 months after treatment, there was no significant difference in prosthesis margin fit, wear degree, retention, gingival condition, color, shape, secondary caries, restoration fracture, GI and PI between the two groups(P>0.05). At 12 months after treatment,the prosthesis margin fit, retention, gingival condition, GI and PI of the experimental group were significantly better than those of the control group(P<0.05). The total effective rate, satisfaction and comfort of the experimental group were significantly higher than those of the control group(P<0.05). CONCLUSIONS: After treatment with Lava Ultimate veneers for anterior teeth and porcelain inlays for posterior teeth, the masticatory efficiency of the elderly patients with mild-moderate dentition wear is improved, and the prosthesis effect, periodontal index, satisfaction and comfort are significantly improved.

Key words: Veneers, Porcelain inlays, Dental wear, Occlusal reconstruction, All-ceramic crown restoration

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