上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (1): 88-93.doi: 10.19439/j.sjos.2025.01.016

• 论著 • 上一篇    下一篇

全冠与瓷嵌体修复隐裂牙疗效及对咀嚼能力、牙龈状况的影响

王冕1, 侯颖2, 田菲菲3, 孟丹婕4, 韩爽5   

  1. 1.安徽医科大学合肥口腔临床学院（合肥市口腔医院）牙体牙髓病一科, 2.胜利路门诊部, 3.西区正畸科, 4.综合科, 5.正畸二科, 安徽 合肥 230001
  • 收稿日期:2024-07-12 修回日期:2024-08-26 发布日期:2025-03-05
  • 通讯作者: 韩爽,E-mail：1094607131@qq.com
  • 作者简介:王冕（1981-）,男,硕士,副主任医师, E-mail：113040216@qq.com
  • 基金资助:
    2022年安徽医科大学校科研基金（2022xkj255）

Efficacy of total crown and porcelain inlay restoration and its effect on masticatory ability and gingival condition

WANG Mian1, HOU Ying2, TIAN Fei-fei3, MENG Dan-jie4, HAN Shuang5   

  1. 1. First Department of Dental Endodontics, 2.Department of Shengli Road Outpatient, 3.Department of West District Orthodontics, 4.Department of General Dentistry, 5.Second Department of Orthodontics, Hefei Clinical School of Stomatology, Anhui Medical University (Hefei Stomatological Hospital). Hefei 230001, Anhui Province, China
  • Received:2024-07-12 Revised:2024-08-26 Published:2025-03-05

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摘要： 目的: 探讨全冠与瓷嵌体用于隐裂牙根管治疗后修复的临床疗效及对患者咀嚼能力、牙龈状况的影响。方法: 采用前瞻性研究,选择2020年12月—2023年12月收治的106例行根管治疗的隐裂牙患者,按随机数表法分为试验组和对照组,每组各53例。统计并比较2组临床效果、不良反应;治疗前、治疗1、3、7天疼痛水平[视觉模拟量表（visual analogue scale,VAS）];治疗前、随访6个月牙龈状况[牙菌斑指数（plaque index,PLI）、牙龈指数（gingival index,GI）、牙龈出血指数（gingival bleeding index,BI）和牙周袋深度（pocket depth,PD）];治疗前、随访1个月、3个月、6个月咀嚼能力（咬合力、咀嚼效率）。采用SPSS 25.0软件包对数据进行统计学分析。结果: 试验组优良率高于对照组,不良反应总发生率低于对照组（P<0.05）。治疗后1、3、7天,2组VAS评分显著低于治疗前,试验组[（4.43±0.68）分、（3.15±0.63）分和（2.04±0.51）分]显著低于对照组[（4.86±0.57）分、（3.81±0.67）分和（2.86±0.52）分],均呈下降趋势（P<0.05）。随访6个月,2组BI、PD高于治疗前,GI、PLI低于治疗前,试验组均显著低于对照组（P<0.05）。随访1、3、6个月,试验组咀嚼效率[（70.25±5.57）%、（85.36±6.74）%和（92.57±6.35）%]显著高于对照组[（62.35±5.44）%、（73.57±6.32）%和（84.26±6.22）%],试验组咬合力[（112.52±9.67）Ibs、（130.52±11.58）Ibs和（143.54±13.40）Ibs]显著高于对照组[（98.53±9.47）Ibs、（113.25±10.54）Ibs和（125.36±12.46）Ibs],均呈上升趋势（P<0.05）。结论: 瓷嵌体用于隐裂牙根管治疗后修复的临床效果优于全冠修复,可有效提高患者咀嚼能力,改善牙龈状况,且不良反应发生率较低。

关键词: 牙隐裂, 根管治疗, 临床疗效, 咀嚼能力, 牙龈状况

Abstract: PURPOSE: To investigate the clinical efficacy of full crown and porcelain inlay in the treatment of cracked teeth after root canal treatment and repair and its effect on chewing ability and gingival status. METHODS: A prospective study was conducted to select 106 patients with cracked teeth who underwent root canal treatment from December 2020 to December 2023, divided into experimental group and control group according to the random number table method, with 53 cases in each group. The clinical effects and adverse reactions of the two groups were counted and compared. The pain levels [visual analogue scale (VAS)] of the two groups before treatment,1 st, 3 rd and 7 th day after treatment were compared. The gingival conditions [plaque index (PLI), gingival index (GI), gingival bleeding index (BI) and periodontal pocket depth (PD)] were compared between the two groups before treatment and after 6 months of follow-up. The chewing ability (bite force, chewing efficiency) of the two groups before treatment, 1 month, 3 months and 6 months of follow-up were compared.Statistical analysis was performed with SPSS 25.0 software package. RESULTS: The good rate of the experimental group was higher than that of the control group, and the total incidence of adverse reactions was lower than that of the control group(P<0.05). At the 1st, 3rd and 7th day after treatment, VAS scores of the two groups were significantly lower than those before treatment. The experimental group[(4.43±0.68), (3.15±0.63) and (2.04±0.51) points] were significantly lower than the control group[(4.86±0.57), (3.81±0.67) and (2.86±0.52) points], all showed a downward trend (P<0.05). At 6 months of follow-up, BI and PD in the two groups were higher than those before treatment, GI and PLI were lower than those before treatment. GI, PLI, BI and PD in the experimental group were significantly lower than those in the control group(P<0.05). After 1, 3 and 6 months of follow up, the masticatory efficiency and bite force of the two groups were higher than those before treatment. The masticatory efficiency of the experimental group was (70.25±5.57)%, (85.36±6.74)% and (92.57±6.35)%, which was significantly higher than that of the control group[(62.35±5.44)%, (73.57±6.32)% and (84.26±6.22)%]. The bite force in the experimental group[(112.52±9.67), (130.52±11.58) and (143.54±13.40) Ibs] were significantly higher than those in the control group[(98.53±9.47) , (113.25±10.54) and (125.36±12.46) Ibs], all of which showed an upward trend (P<0.05). CONCLUSIONS: The clinical efficacy of porcelain inlays for cracked teeth after root canal treatment and repair is better than that of full crown repair, which can effectively improve the chewing ability and the gingival condition, the incidence of adverse reactions is low.

Key words: Cracked teeth, Root canal therapy, Clinical efficacy, Chewing ability, Gingival condition

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