上海口腔医学 ›› 2015, Vol. 24 ›› Issue (2): 215-218.

• 临床研究 • 上一篇    下一篇

纤维增强化学固化树脂关闭后牙邻间隙的疗效评价

郭凤芹,丁晓红,柳七零,耿琪   

  1. 合肥市口腔医院 牙周病科,安徽 合肥 230001
  • 收稿日期:2014-02-14 出版日期:2015-04-20 发布日期:2015-07-24
  • 通讯作者: 丁晓红,Tel:0551-62630122 ,E-mail:dxhkqyy@163.com
  • 作者简介:郭凤芹 (1972-),女,学士,副主任医师, E-mail:mdfmyy@chinaacc.com

Use of fiber-reinforced chemical curing resin to close the inter-proximate space of the posterior teeth

GUO Feng-qin,DING Xiao-hong,LIU Qi-ling,GENG Qi   

  1. Department of Periodontics, Stomatological Hospital of Hefei City. Hefei 230001, Anhui Province, China
  • Received:2014-02-14 Online:2015-04-20 Published:2015-07-24

摘要: 目的 探讨纤维增强化学固化树脂关闭后牙邻间隙、阻断食物嵌塞的临床疗效。方法选择后牙食物嵌塞患者162例,嵌塞部位170处,按照邻间隙破坏程度分为窄隙组和宽隙组,2组均采用聚乙烯纤维带增强化学固化树脂关闭邻间隙,6个月、12个月复查,最终完成二次随访154例患者、161颗修复体,应用SPSS13.0软件包对2组数据进行χ2检验,评价修复效果。结果2组修复体存留率在6个月时比较,窄隙组修复体存留率显著低于宽隙组(P<0.05),但12个月时比较则无显著差异(P>0.05)。2组修复体的完整性在6个月、12个月时比较,均无显著差异(P>0.05)。结论纤维增强化学固化树脂关闭后牙邻间隙更适合临床牙冠伸长、牙龈退缩、牙槽骨吸收、邻间隙组织量发生变化而导致的食物嵌塞病例。

关键词: 纤维带, 化学固化树脂, 食物嵌塞, 后牙邻间隙

Abstract: PURPOSE: To investigate the clinical efficacy of using fiber-reinforced chemical curing resin to close the inter-proximate space of the posterior teeth and block the food impaction. METHODS: One hundred and sixty-two patients with food impaction of posterior teeth were selected in this study. The total number of the food impaction was 170. They were divided into narrow-gap group and wide-gap group according to the damage of the inter-proximate space. Jingjin enamel adhesive reinforced polyethylene fiber ribbon was used in both group to close the inter-proximate space. The patients were reviewed at 6-month and 1-year. After the second follow-up examination, 161 restorations of 154 patients were included in this study. The differences between the 2 groups were analyzed by Chi-square test with SPSS 13.0 software package. RESULTS: Statistical differences were found in the retention rate of the restorations at 6-month between the 2 groups (P<0.05). The retention rate in the narrow-gap group was significantly lower than that in the wide-gap group. However, there was no significant difference between the 2 groups at 1-year. There was no significant difference in integrality between the 2 groups at 6-month and 1-year. CONCLUSIONS: The use of fiber-rein forced chemical curing resin to close the inter-proximate space of the posterior teeth and block the food impaction is more suitable for patients with clinical crown elongation, gingival recession, alveolar bone loss and the tissue damages in the inter-proximate space, which will cause food impaction.

Key words: Fiber ribbon, Chemical curing resin, Food impaction, Posterior teeth inter-proximate space

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