上海口腔医学

上海口腔医学 ›› 2026, Vol. 35 ›› Issue (2): 142-147.doi: 10.19439/j.sjos.2026.02.005

• 论著 • 上一篇    下一篇

全酸蚀与自酸蚀粘接系统对后牙树脂充填后牙髓敏感及远期并发症发生率的影响

袁洋1,2,3, 张维波1,2,3   

  1. 1.安徽医科大学口腔医学院,安徽 合肥 230032;
    2.安徽医科大学附属口腔医院 综合科,安徽 合肥 230032;
    3.安徽省口腔疾病研究重点实验室,安徽 合肥 230032
  • 收稿日期:2025-09-19 修回日期:2025-11-17 出版日期:2026-04-25 发布日期:2026-04-27
  • 通讯作者: 袁洋,E-mail：328354630@qq.com
  • 作者简介:袁洋（1990—）,男,硕士研究生,主治医师
  • 基金资助:
    安徽省高校科研项目（自然科学类）（2024AH050670）

Effects of total-etch and self-etch bonding systems on pulp sensitivity and the incidence of long-term complications following resin filling of posterior teeth

Yuan Yang1,2,3, Zhang Weibo1,2,3   

  1. 1. School of Stomatology, Anhui Medical University. Hefei 230032;
    2. Department of General Practice, Affiliated Stomatological Hospital of Anhui Medical University. Hefei 230032;
    3. Anhui Provincial Key Laboratory of Oral Disease Research. Hefei 230032, Anhui Province, China
  • Received:2025-09-19 Revised:2025-11-17 Online:2026-04-25 Published:2026-04-27

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摘要： 目的:探讨全酸蚀与自酸蚀粘接系统对后牙树脂充填后牙髓敏感及远期并发症发生率的影响。方法:采取前瞻性队列研究,选择2023年3月—2025年3月行后牙树脂充填的80例患者,采用随机数字表法分为试验组和对照组,每组各40例。对照组采用全酸蚀粘接系统,试验组采用自酸蚀粘接系统,随访6个月。比较术后1周、6个月两组临床效果,比较术前、术后1周及6个月两组牙髓敏感指标,统计并比较术后1周及6个月并发症发生情况。结果:术后1周,两组美国公共卫生署标准（United States Department of Public Health standards,USPHS）各项评分相比无显著差异;术后6个月,试验组边缘适应性、表面形态、颜色匹配、术后敏感、折裂与固位A级评分占比显著高于对照组（P<0.05）。术后1周、6个月,两组温度测试反应分级显著高于术前,试验组显著低于对照组（P<0.05）。术后1周,两组并发症总发生率相比无显著差异（P>0.05）;术后6个月,试验组并发症总发生率显著低于对照组（P<0.05）。结论:自酸蚀粘接3M-Z350纳米复合树脂充填后牙可有效改善疗效,减少术后牙髓敏感,提高咀嚼功能;且界面密封性较好,术后填充物脱落、牙髓炎疼痛等并发症发生率较低。

关键词: 术后牙髓敏感, 后牙树脂充填, 全酸蚀, 自酸蚀粘接, 远期并发症

Abstract: PURPOSE: To investigate the effects of total-etch and self-etch bonding systems on pulp sensitivity and the incidence of long-term complications following resin filling of posterior teeth. METHODS: A prospective cohort study was conducted. Eighty patients who underwent posterior dental resin filling from March 2023 to March 2025 were selected and randomly divided into the experimental group and the control group by random number table method, with 40 cases in each group. The control group was treated with total-etch bonding system, while the experimental group was treated with self-etch bonding system, with a follow-up period of 6 months. Clinical outcomes were compared between the two groups at 1 week and 6 months post-operation; pulp sensitivity indicators and chewing function were compared pre-operation, 1 week and 6 months post-operation;complications were statistically analyzed and compared at 1 week and 6 months post-operation. Results: One week post-operation, there was no significant difference in the scores of each item of the United States Department of Public Health standards (USPHS) between the two groups. Six months post-operation, the proportion of marginal adaptability, surface morphology, color matching, postoperative sensitivity, fracture and retention A grade in the experimental group was significantly higher than that in the control group(P<0.05). One week and 6 months post-operation, the temperature test response grading of the two groups was significantly higher than that pre-operation, and the experimental group was significantly lower than that of the control group(P<0.05). One week post-operation, there was no significant difference in the total incidence of complications between the two groups (P>0.05), six months post-operation, the overall complication rate in the experimental group was significantly lower than that in the control group (P<0.05). CONCLUSIONS: Self-etching and bonding 3M-Z350 nano-composite resin to fill teeth can effectively improve the therapeutic effect, reduce postoperative pulp sensitivity, enhance chewing function and have good interface sealing performance. The incidence of complications such as post-operation fillings and pulpitis pain is relatively low.

Key words: Postoperative pulp sensitivity, Posterior resin filling, Total-etch bonding, Self-etch bonding, Long-term complications

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