上海口腔医学

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (6): 647-650.doi: 10.19439/j.sjos.2024.06.014

• 论著 • 上一篇    下一篇

树脂与CAD/CAM全瓷贴面修复前牙间隙效果比较

张国庆1,2, 王卫国1,2   

  1. 1.中国人民解放军联勤保障部队第九三医院 口腔科, 浙江 杭州 310000;
    2.杭州医学院附属西湖医院 口腔科, 浙江 杭州 310000
  • 收稿日期:2024-05-17 修回日期:2024-06-24 出版日期:2024-12-25 发布日期:2025-01-07
  • 通讯作者: 王卫国,E-mail: wwgdk@126.com
  • 作者简介:张国庆（1987-）,男,本科,主治医师,E-mail： zgqing1987@126.com
  • 基金资助:
    浙江省基础公益研究计划项目（LTGY24H140001）

Comparison of the effect of resin restoration and CAD/CAM all-porcelain veneer restoration on anterior tooth space

ZHANG Guo-qing1,2, WANG Wei-guo1,2   

  1. 1. Department of Stomatology, the No.903 Hospital of PLA Joint Logistic Support Force. Hangzhou 310000;
    2. Department of Stomatology, the Affiliated Xihu Hospital, Hangzhou Medical College. Hangzhou 310000, Zhejiang Province, China
  • Received:2024-05-17 Revised:2024-06-24 Online:2024-12-25 Published:2025-01-07

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摘要： 目的: 比较树脂与CAD/CAM全瓷贴面修复前牙间隙的效果。方法: 对2023年2月—2024年1月收治的185例前牙间隙修复患者（333颗患牙）的病例资料进行回顾分析,按修复方式分为对照组（92例,患牙170颗）和试验组（93例,患牙163颗）,对照组行树脂修复,试验组行CAD/CAM全瓷贴面修复。比较2组临床疗效、咀嚼功能、牙周健康状况、美学效果及并发症。采用SPSS 25.0软件包对数据进行统计学分析。结果: 试验组总有效率显著高于对照组（P<0.05）。治疗后1个月,2组咀嚼功能评分显著升高（P<0.05）,且试验组更高（P<0.05）。试验组牙龈指数（gingival index,GI）、菌斑指数（plaque index,PI）评分显著低于对照组（P<0.05）,2组探诊深度（probing depth,PD）相比,差异无统计学意义（P>0.05）。试验组基牙敏感程度和牙髓状态、与邻牙颜色匹配度、修复体边缘颜色和完整度等级分布显著优于对照组（P<0.05）。2组并发症总发生率相比无统计学差异（P>0.05）。结论: 与树脂相比,CAD/CAM全瓷贴面修复前牙间隙效果更佳,可改善患者咀嚼功能与牙周健康状况,提升美学效果,降低并发症发生率。

关键词: 树脂修复, CAD/CAM全瓷贴面修复, 前牙间隙, 美学效果, 并发症

Abstract: PURPOSE: To compare the aesthetic effects of resin restoration and CAD/CAM all-porcelain veneer restoration on anterior tooth space. METHODS: The medical records of 185 patients (333 teeth) with anterior space restoration from February 2023 to January 2024 were retrospectively analyzed. The patients were divided into control group(n=92, 170 teeth) and experimental group(n=93, 163 teeth) according the restoration methods. The control group was repaired with resin,while the experimental group was repaired with CAD/CAM all-porcelain veneer. The clinical effect, masticatory function, periodontal health status, aesthetic effect and complications were compared between the two groups. SPSS 25.0 software package was used for statistical analysis of the data. RESULTS: The total effective rate of the experimental group was significantly higher than that of the control group (P<0.05). After 1 month of treatment, the masticatory function scores of 2 groups were significantly increased (P<0.05), and the experimental group was higher than the control group (P<0.05). The gingival index (GI) score and plaque index (PI) score of the experimental group were significantly lower than those of the control group (P<0.05), but there was no significant difference in probing depth (PD) between the two groups (P>0.05). The abutment sensitivity and pulp status, the color matching degree with neighboring teeth, the edge color of prosthesis and the grade distribution of prosthesis integrity in the experimental group were significantly better than these of the control group (P<0.05). There was no significant difference in the total incidence of complications between the two groups (P>0.05). CONCLUSIONS: Compared with resin repair, CAD/CAM porcelain veneer has better effect on anterior tooth space repair, which can improve patients' chewing function and periodontal health, enhance aesthetic effect, and reduce the risk of complications.

Key words: Resin repair, CAD/CAM of all porcelain veneer restoration, Anterior tooth space, Aesthetic effect, Complication

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