上海口腔医学

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (1): 36-39.doi: 10.19439/j.sjos.2020.01.007

• 论著 • 上一篇    下一篇

超声龈上洁治术对全瓷冠边缘微渗漏的影响

江磊1, 邱洁2, 卢雅宏2, 陈红2, 沈叶鑫3, 林志辉3, 方洁2, 张长源1   

  1. 1.福建医科大学附属口腔医院 修复科,福建省口腔生物材料工程技术研究中心,福建 福州 350002;
    2.福建医科大学 口腔医学院,3.公共卫生学院,福建 福州 350002
  • 收稿日期:2019-05-14 出版日期:2020-02-25 发布日期:2020-03-09
  • 通讯作者: 张长源,E-mail：longsource@126.com
  • 作者简介:江磊（1984-）,男,硕士,住院医师,E-mail:jiangleidentist@163.com
  • 基金资助:
    福建医科大学“大学生创新创业训练计划”（C18175）

Effect of ultrasonic scaling on micro-leakage of all-ceramic crowns

JIANG Lei1, QIU Jie2, LU Ya-hong2, CHEN Hong2, SHEN Ye-xin3, LIN Zhi-hui3, FANG Jie2, ZHANG Chang-yuan1   

  1. 1.School and Hospital of Stomatology, Fujian Medical University; Fujian Biological Materials Engineering and Technology Center of Stomatology. Fuzhou 350002;
    2.School of Stomatology, 3. School of Public Heath, Fujian Medical University. Fuzhou 350002, Fujian Province,China
  • Received:2019-05-14 Online:2020-02-25 Published:2020-03-09

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摘要： 目的：探讨超声龈上洁治术对全瓷冠边缘微渗漏的影响。方法：收集形态、大小基本一致的前磨牙48颗,全瓷冠牙体预备后随机分为2组（二氧化锆冠组和玻璃陶瓷冠组,每组24颗）,每组再随机分为2个亚组（树脂水门汀组和树脂改性玻璃水门汀组）。修复体粘接、固化、人工唾液保存24 h后,每个亚组内随机抽取3个样本进行超声龈上洁治60 s,另外3个样本为阴性对照组。将所有样本于室温下用5%品红溶液浸泡48 h,沿颊舌向切开,对样本冠边缘微渗漏情况进行双盲评分。采用SPSS 17.0软件包进行独立样本t检验,比较各组样本中修复体冠边缘微渗漏差异。结果：使用树脂加强型玻璃水门汀粘接的冠边缘微渗漏在超声龈上洁治后与阴性组有显著差异（P<0.05）,而使用树脂水门汀粘接的冠边缘微渗漏在超声龈上洁治后与阴性组无显著差异（P>0.05）。采用同种粘接剂时,无论是否接受超声龈上洁治术,二氧化锆全瓷冠与玻璃陶瓷冠之间微渗漏均有统计学差异（P<0.05）。结论：超声龈上洁治对树脂加强型玻璃水门汀粘接的二氧化锆和玻璃陶瓷冠边缘微渗漏有显著影响,而对树脂水门汀粘接的二氧化锆和玻璃陶瓷冠边缘微渗漏无显著影响。

关键词: 全瓷冠, 超声龈上洁治, 粘接剂, 边缘微渗漏

Abstract: PURPOSE: To investigate the effect of ultrasonic scaling on micro-leakage of all-ceramic crowns. METHODS: 48 first premolars of the similar shape and size were collected and prepared by one attending doctor. Two groups were randomly divided (zirconia crown group and glass ceramic crown group, with 24 in each group), and each group was randomly divided into two subgroups (resin cement group and resin modified glass cement subgroup, n=6). After the crowns were bonded and solidified for 24 h, 3 samples were randomly selected from each subgroup for ultrasonic scaling for 60 s, and the other 3 samples were used as the negative control group. After all samples were soaked in 5% fuchsin solution at room temperature for 48 h, buccal and lingual incisions were made, and double-blind scoring was performed for micro-leakage at the crown edge of each sample. SPSS 17.0 software package was used for statistical analysis. RESULTS: There were significant differences between the negative group and the ultrasonic group in micro-leakage of crowns which were cemented with resin modified glass cement(P<; 0.05), but there was no significant difference between the negative group and the ultrasonic group in micro-leakage of crowns which were cemented with resin cement(P>; 0.05). When the same adhesive was used, there was significant difference in microleakage between the zirconia crown and the glass-ceramic crown, whether ultrasonic supragingival scaling was performed or not(P<; 0.05). CONCLUSIONS: Ultrasonic scaling had significant effect on micro-leakage of crowns which were cemented with resin modified glass cement, and but had no significant effect on micro-leakage of crowns which were cemented with resin cement.

Key words: All-ceramic crown, Ultrasonic scaling, Adhesives, Micro-leakage

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