数字化冠延长导板在前牙美学修复中的应用效果评价

doi:10.19439/j.sjos.2022.03.007

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (3): 260-264.doi: 10.19439/j.sjos.2022.03.007

数字化冠延长导板在前牙美学修复中的应用效果评价

王雪纯^1,2, 汪涌^1,2,3, 许晓波³, 郝新河³

1.安徽医科大学合肥口腔临床学院,安徽合肥 230001;
2.安徽医科大学第五临床医学院,安徽合肥 230001;
3.合肥市口腔医院,安徽合肥 230001

收稿日期:2021-07-08 修回日期:2021-09-01 出版日期:2022-06-25 发布日期:2022-07-07
通讯作者: 汪涌,E-mail：yllwywzy@126.com
作者简介:王雪纯（1994-）,女,在读硕士研究生,E-mail：wxc18756906324@163.com
基金资助:
安徽省重点研究与开发计划项目（201904a07020023）; 2019年合肥市自主创新政策“借转补”项目（J2019Y03）; 合肥市第六周期医学重点专科建设项目（合卫科教[2019]160号）

Evaluation of the effect of digital crown extension guide in aesthetic restoration of anterior teeth

WANG Xue-chun^1,2, WANG Yong^1,2,3, XU Xiao-bo³, HAO Xin-he³

1. Hefei School of Stomatology, Anhui Medical University. Hefei 230001;
2. Fifth Clinical Medical College, Anhui Medical University. Hefei 230001;
3. Hefei Stomatological Hospital. Hefei 230001, Anhui Province, China

Received:2021-07-08 Revised:2021-09-01 Online:2022-06-25 Published:2022-07-07

摘要/Abstract

摘要： 目的: 评价三维数字化微笑设计（three-dimensional digital smile design,3D-DSD）联合双定位冠延长导板在前牙美学修复中的临床效果。方法: 选择需行上前牙美学牙冠延长术和全冠修复的患者20例,随机分为实验组和对照组,每组10例。实验组进行3D-DSD,3D打印双定位冠延长导板,指导美学牙冠延长术,术后3个月进行全冠修复。对照组采用传统美学牙冠延长术和全冠修复。术前、术后3个月、术后6个月进行粉白美学指数（pink esthetic score/white esthetic score,PES/WES）评估,术后6个月、7个月采用视觉模拟评分法（visual analogue scales,VAS）进行2次患者满意度评价,对2次VAS结果进行可重复性评价,并对术后6个月PES/WES评分和整体满意度进行相关性分析。采用SPSS 23.0软件包对数据进行统计学分析。结果: 2组患者术后3个月、术后6个月PES/WES评分均高于术前（P<0.05）。组间比较结果显示,术后3个月PES、术后6个月PES和WES,实验组显著高于对照组（P<0.05）。满意度调查结果显示,2次VAS结果的组内相关系数为0.956（P<0.05）;实验组牙冠长宽比例、微笑曲线、个性特征、患者参与度和整体满意度均优于对照组（P<0.05）。术后6个月PES和WES评分与整体满意度均呈正相关（r_S1=0.905,P<0.001;r_S2=0.460,P=0.041）。结论: 3D数字化微笑设计联合双定位冠延长导板指导前牙美学牙冠延长术和修复治疗,可提高治疗后粉白美学效果及患者满意度。

关键词: 数字化微笑设计, 美学牙冠延长术, 前牙美学修复, 牙周导板, 粉白美学指数

Abstract: PURPOSE: To evaluate the clinical effect of three-dimensional digital smile design (3D-DSD) combined with double positioning crown extension guide in aesthetic restoration of anterior teeth. METHODS: Twenty patients who needed aesthetic crown lengthening and full crown restoration of upper anterior teeth were selected and randomly divided into the experimental group and control group, with 10 cases in each group. The experimental group carried out 3D-DSD, after confirming the plan, 3D printed double positioning crown extension guides were used to guide aesthetic crown lengthening, and full crown was completed 3 months after operation. The control group used traditional aesthetic crown lengthening and full crown restoration. PES/WES evaluation was performed before operation, three months and six months after operation. Visual analogue scales(VAS) were used to evaluate patient satisfaction 6 and 7 months after surgery, and the repeatability evaluation of VAS was conducted. The correlation between PES/WES score and overall satisfaction was analyzed 6 months after operation. SPSS 23.0 software package was used for statistical analysis. RESULTS: The PES/WES scores of the two groups of patients at 3 months and 6 months after operation were higher than those before operation(P<0.05). The two groups showed that the scores of the experimental group were significantly higher than those of the control group for PES 3 months after operation, PES and WES 6 months after operation(P<0.05).Satisfaction survey results showed that the intra-group correlation coefficient of the two VAS results was 0.956(P<0.05),and crown length-to-width ratio, smile curve, personality characteristics, patient participation and overall satisfaction in the experimental group were better than those of the control group(P<0.05).The results of Speraman correlation analysis showed that PES and WES scores at 6 months after operation were positively correlated with overall satisfaction (r_s1=0.905, P<0.001; r_s2=0.460, P=0.041). CONCLUSIONS: 3D digital smile design combined with double positioning crown extension guide guides the anterior aesthetic crown lengthening and restoration treatment, which can improve the effect of pink and white aesthetics after treatment and patient satisfaction.

Key words: Digital smile design, Aesthetic crown lengthening, Aesthetic restoration of anterior teeth, Periodontal guide, Pink esthetic score/white esthetic score

中图分类号:

R783.5

王雪纯, 汪涌, 许晓波, 郝新河. 数字化冠延长导板在前牙美学修复中的应用效果评价[J]. 上海口腔医学, 2022, 31(3): 260-264.

WANG Xue-chun, WANG Yong, XU Xiao-bo, HAO Xin-he. Evaluation of the effect of digital crown extension guide in aesthetic restoration of anterior teeth[J]. Shanghai Journal of Stomatology, 2022, 31(3): 260-264.

参考文献

[1] Garcia PP, da Costa RG, Calgaro M, et al. Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers[J]. J Conserv Dent, 2018, 21(4): 455-458.
[2] 陈侃沛,刘亦涵,陈建钢,等. DSD在前牙冠微笑美学修复中的临床应用[J]. 临床口腔医学杂志, 2020, 36(9): 546-548.
[3] Coachman C, Georg R, Bohner L, et al.Chairside 3D digital design and trial restoration workflow[J]. J Prosthet Dent, 2020, 124(5): 514-520.
[4] 金园园. 牙冠延长术的临床应用现状[J]. 临床口腔医学杂志, 2017, 33(8): 492-495.
[5] Chana-Rodríguez F, Mañanes RP, Rojo-Manaute J, et al.3D surgical printing and precontoured plates for acetabular fractures[J]. Injury, 2016, 47(11): 2507-2511.
[6] 孟焕新. 牙周病学[M]. 第4版. 北京: 人民卫生出版社, 2012: 11.
[7] Boon L, Mars GD, Favril C, et al.Esthetic evaluation of single implant restorations, adjacent single implant restorations, and implant-supported fixed partial dentures: a 1-year prospective study[J]. Clin Implant Dent Relat Res, 2020, 22(1): 128-137.
[8] 杨静文, 贾平一, 邱立新, 等. 视觉模拟评分法在前牙种植美学评价中应用的可行性分析[J]. 中华口腔医学杂志, 2021, 56(4): 324-328.
[9] Moldovan AM, Sarosi C, Moldovan M, et al.Preparation and characterization of natural bleaching gels used in cosmetic dentistry[J]. Materials(Basel), 2019, 12(13): 2106-2120.
[10] Gresnigt M, Cune MS, Jansen K, et al.Randomized clinical trial on indirect resin composite and ceramic laminate veneers: up to 10-year findings[J]. J Dent, 2019, 86(1): 102-109.
[11] 马楚凡. 前牙美学修复中常见的粉色美学缺陷和处理对策[J].中华口腔医学杂志, 2019, 54(6): 378-381.
[12] Nautiyal A, Gujjari S, Kumar V. Aesthetic crown lengthening using chu aesthetic gauges and evaluation of biologic width healing [J]. J Clin Diagn Res, 2016, 10(1): ZC51-55.
[13] Chu SJ, Hochman MN, Fletcher P.A biometric approach to aesthetic crown lengthening: part Ⅱ-interdental considerations[J]. Pract Proced Aesthet Dent, 2008, 20(9): 529-536.
[14] Mupparapu M.Oral and maxillofacial radiographic data: a multidisciplinary diagnostic, presurgical, and virtual tool for the twenty-first century[J]. Dent clin North Am, 2021, 65(3): 13-14.
[15] Mclaren EA, Garber DA, Figueira J. The photoshop smile design technique (part 1): digital dental photography [J]. Compend Contin Educ Dent, 2013, 34(10): 772, 774, 776.
[16] Giudice AL, Ortensi L, Farronato M, et al.The step further smile virtual planning: milled versus prototyped mock-ups for the evaluation of the designed smile characteristics[J]. BMC Oral Health, 2020, 20(1): 165-174.
[17] St Germain HA Jr, Jenkins JF. Conservative restoration of worn mandibular anterior teeth combining gingival repositioning and a template matricing technique[J]. Oper Dent, 2016, 40(5): 462-469.
[18] Kamimura E, Tanaka S, Takaba M, et al.In vivo evaluation of inter-operator reproducibility of digital dental and conventional impression techniques[J]. PloS One, 2017, 12(6):e0179188.
[19] Pozzi A, Arcuri L, Moy PK.The smiling scan technique: facially driven guided surgery and prosthetics[J]. J Prosthodont Res, 2018, 62(4): 514-517.
[20] Frese C, Staehle HJ, Wolff D.The assessment of dentofacial esthetics in restorative dentistry: a review of the literature[J]. J Am Dent Assoc, 2012, 143(5): 461-466.

数字化冠延长导板在前牙美学修复中的应用效果评价

Evaluation of the effect of digital crown extension guide in aesthetic restoration of anterior teeth

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