上海口腔医学 ›› 2020, Vol. 29 ›› Issue (3): 312-315.doi: 10.19439/j.sjos.2020.03.016

• 论著 • 上一篇    下一篇

全瓷微贴面与微创超薄贴面修复畸形前牙美学效果比较

杨楠, 拜合提亚尔·马合苏提, 刘毅, 汪振华, 杨泽辉   

  1. 乌鲁木齐市口腔医院 修复科,新疆 乌鲁木齐 830002
  • 收稿日期:2019-08-19 修回日期:2019-11-11 出版日期:2020-06-25 发布日期:2020-07-29
  • 通讯作者: 杨楠,E-mail:119300761@qq.com
  • 作者简介:杨楠(1985-),女,硕士,医师

Clinical comparative study on aesthetic effect of all-ceramic micro-veneer and minimally invasive ultra-thin veneer in repairing deformed anterior teeth

YANG Nan, BAIHETIYAER·Mahesuti, LIU Yi, WANG Zhen-hua, YANG Ze-hui   

  1. Department of Prosthodontics, Urumqi Stomatological Hospital. Urumqi 830002, Xinjiang Uygur Autonomous Region, China
  • Received:2019-08-19 Revised:2019-11-11 Online:2020-06-25 Published:2020-07-29

摘要: 目的 比较全瓷微贴面与微创超薄贴面修复畸形前牙的美学效果。方法 选择120例畸形前牙拟行美学修复患者,根据个人情况选择合适的修复方案,实验组(60例)采用全瓷微贴面修复,对照组(60例)采用微创超薄贴面修复。比较2组修复后6、12、24个月改良美国公共卫生署评价标准(USPHS)评分。采用SPSS 25.0软件包对实验数据进行统计学分析。结果 术后24个月,2组USPHS评分中修复体完整性、颜色、边缘密合性、半透明性达标率和边缘着色达标率无统计学差异(P>0.05),实验组患者对修复体美观度满意率显著低于对照组(71.60% ∶ 93.83%,P<0.05),随访期间修复体破损、脱落、继发龋齿等并发症发生率显著低于对照组(1.23% ∶ 11.11%,P<0.05)。结论 2种修复方法成功率无显著差异,全瓷微贴面技术并发症少,易崩瓷,唇侧边缘易着色,但牙体预备量小,后期修复体破损、脱落、继发龋齿发生率低。微创超薄贴面技术美观度高,临床上应根据患者需求,选择合适的美学修复手段。

关键词: 全瓷微贴面, 微创超薄贴面, 畸形前牙, 美学效果

Abstract: PURPOSE: To compare the aesthetic effects of all-ceramic micro-veneer and minimally invasive ultra-thin veneer in repairing deformed anterior teeth. METHODS: One hundred and twenty patients with deformed anterior teeth were selected for aesthetic restoration. According to the patient's personal condition, a suitable repair protocol was selected. Patients in the experimental group (60 cases) were repaired with all-ceramic micro-adhesive surface, while patients in the control group (60 cases) were treated with minimally invasive ultra-thin veneer. The US Public Health Administration's Evaluation Criteria (USPHS) scores were recorded and compared 6 months, 12 months, and 24 months after restoration. Statistical analysis was performed using SPSS 25.0 software package. RESULTS: There was no significant difference in the integrity, color, marginal closeness, translucency and marginal staining of the restorations between the two groups 24 months after operation (P>0.05). The satisfaction rate of the aesthetics of the experimental group was significantly lower than that of the control group (71.60% vs 93.83%, P<0.05). The incidence of complications such as broken, detached and secondary caries during the follow-up period was significantly lower in the experimental group than in the control group (1.23% vs 11.11%, P<0.05). CONCLUSIONS: The results showed that there is no significant difference in the success rate between the two methods. All-ceramic micro-veneer technique has good long-term effect, fewer complications, easy to collapse and stain the lip margin, but it has a small amount of teeth preparation and a low incidence of pulpitis in the later period. Minimally invasive super-thin veneer has high aesthetic value, so it is necessary to choose appropriate aesthetic repair methods according to the patients' needs.

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