上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (3): 276-279.doi: 10.19439/j.sjos.2023.03.011

• 论著 • 上一篇    下一篇

瓷贴面修复发育性前牙间隙的红白美学效果评价

邓小林, 袁爽, 朱丹婷, 施乐   

  1. 上海市静安区牙病防治所,上海 200070
  • 收稿日期:2022-12-25 修回日期:2023-02-27 出版日期:2023-06-25 发布日期:2023-06-28
  • 通讯作者: 施乐,E-mail:13003162720@163.com
  • 作者简介:邓小林（1982-）,女,硕士,主治医师,E-mail:13774260746@163.com
  • 基金资助:
    上海市卫生健康委员会科研课题资助项目（202040037）

Evaluation of red and white aesthetic effects of porcelain veneers in the restoration of developmental anterior dental gaps

DENG Xiao-lin, YUAN Shuang, ZHU Dan-ting, SHI Le   

  1. Jing'an Dental Clinic. Shanghai 200070, China
  • Received:2022-12-25 Revised:2023-02-27 Online:2023-06-25 Published:2023-06-28

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摘要： 目的：评价瓷贴面修复发育性前牙间隙的红白美学效果。方法：对发育性前牙间隙的64例患者152颗前牙采用瓷贴面修复,通过红色美学指数（PES）、白色美学指数（WES）评估修复前后美学效果,牙间龈乳头指数（PIS）评估龈乳头充盈和重建美学效果,视觉模拟评分（VAS）比较患者修复前后的满意度。采用SPSS 23.0 软件包对数据进行统计学分析。结果：152颗发育性前牙间隙患牙修复前后PES平均得分分别为9.63±2.23和13.64±0.88,WES修复前后平均得分分别为6.85±1.87和9.81±0.58,修复前后均有显著差异（P<0.01）。根据“接近”完美修复的要求（PES≥13分,WES≥9分）,修复后红白美学效果达到标准。PIS修复前后得分分别为1.86±0.67和2.97±0.18,修复后牙间龈乳头完全充盈间隙,外形理想,修复前后有显著差异（P<0.01）。患者对修复后前牙微笑曲线和形态方面的满意度较其他方面高。结论：采用瓷贴面修复发育性前牙间隙的美学效果较为理想,其中牙间龈乳头充盈状况可满足患者预期,PIS、PES/WES应用于瓷贴面修复发育性前牙间隙的美学效果评价在临床上有指导意义。

关键词: 发育性前牙间隙, 瓷贴面, 红色美学指数, 白色美学指数, 牙间龈乳头指数

Abstract: PURPOSE: To evaluate the red and white aesthetic effect of porcelain veneer in the restoration of developmental anterior interdental spaces. METHODS: A total of 152 anterior teeth in 64 patients with developmental anterior dental gaps were restored using porcelain veneers, the aesthetic effects before and after restoration were evaluated by pink aesthetic index (PES) and white aesthetic index(WES), the aesthetic effect of gingival papilla filling and reconstruction was evaluated by interdental gingival papilla index (PIS), and visual analogue score (VAS) was used to compare the satisfaction of patients before and after restoration. SPSS 203.0 software package was used for statistical analysis. RESULTS: The overall mean scores of PES before and after restoration of 152 developmental anterior interdental teeth were 9.63±2.23 and 13.64±0.88, respectively. The average scores of WES before and after restoration were 6.85±1.87 and 9.81±0.58, respectively. There were significant differences of PES and WES scores before and after restoration(P<0.01). According to the requirements of "near" perfect restoration(PES≥13 points, WES≥9 points), the red and white aesthetic effect after restoration was near the standard. The scores of PIS before and after restoration were 1.86±0.67 and 2.97±0.18, the interdental gingival papilla was completely filled with space, and the shape was ideal, there were significant statistical differences before and after restoration(P<0.01). Patients were more satisfied with the smile curve and morphology of the restored anterior teeth than other parameters. CONCLUSIONS: The aesthetic effect of using porcelain veneers to repair developmental anterior interdental gaps is ideal, among which the filling of the papillae between the teeth can meet the expectations of patients, and the aesthetic effect evaluation of PIS and PES/WES applied to porcelain veneers to repair developmental anterior interdental spaces has practical guiding significance in clinical practice.

Key words: Anterior diastemata, Porcelain veneers, Pink esthetic score, White esthetic score, Papilla index score

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