| 柴 雪,王小勤,赵广宁,刘 青,耿 莎,张 斌,董茜茜.对比分析Lava Ultimate优韧瓷高嵌体与SonicFill声波树脂修复对根管治疗后大面积牙体缺损的修复效果[J].,2022,(19):3709-3713 |
| 对比分析Lava Ultimate优韧瓷高嵌体与SonicFill声波树脂修复对根管治疗后大面积牙体缺损的修复效果 |
| Comparison of Repair Effect of Lava Ultimate High Toughness Ceramic Inlay and Sonicfill Acoustic Resin on Large-area Tooth Defect after Root Canal Treatment |
| 投稿时间：2022-03-11 修订日期：2022-04-07 |
| DOI：10.13241/j.cnki.pmb.2022.19.021 |
| 中文关键词: Lava Ultimate优韧瓷高嵌体 SonicFill声波树脂 牙体缺损 牙体修复 |
| 英文关键词: Lava ultimate high toughness porcelain inlay Sonic fill resin Tooth defect Dental restoration |
| 基金项目:陕西省卫生健康委青年科研项目（2021E020） |
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| 中文摘要: |
| 摘要 目的：比较Lava Ultimate优韧瓷高嵌体与SonicFill声波树脂修复对根管治疗后大面积牙体缺损的修复效果。方法：选择2019年1月至2022年1月期间我院收治的124例根管治疗后大面积牙体缺损患者作为研究对象，根据牙体修复方式分为A组（62例）和B组（62例）。A组采用Lava Ultimate优韧瓷高嵌体修复，B组采用SonicFill声波树脂修复。比较两组患者治疗后6个月、12个月时的临床疗效、牙龈指数（GI）和菌斑指数（PLI）以及并发症情况、患者修复满意度。结果：（1）A组和B组修复后6个月和修复后1年时的改良版USPHS标准中边缘密合度、修复体外形、修复体颜色、修复体折裂、基牙继发龋等分级比较无显著差异（P>0.05）；（2）A组和B组修复后6个月和修复后12个月时的GI和PLI均显著低于修复前（P<0.05），但两组不同时间的GI、PLI分别比较无显著差异（P＞0.05）；（3）A组修复总满意度高于B组（P<0.05）；（4）A组和B组修复后并发症总发生率分别为3.23%和4.84%，两组间比较无显著差异（P＞0.05）。结论：Lava Ultimate优韧瓷高嵌体与SonicFill声波树脂修复对根管治疗后大面积牙体缺损治疗效果相当，都能有效保证牙体缺损外观恢复、密合程度和咬合，有利于牙周健康，但高嵌体满意度较高。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the effects of lava ultimate high toughness ceramic inlay and sonicfill acoustic resin in the repair of large-area tooth defects after root canal treatment. Methods: 124 patients with large-area tooth defects after root canal treatment treated in our hospital from January 2019 to January 2022 were selected as the research objects. They were divided into group A (62 cases) and group B (62 cases) according to the method of tooth restoration. Group A was repaired with lava ultimate high toughness porcelain inlay, and group B was repaired with sonicfill acoustic resin. The clinical efficacy, gingival index (GI) and plaque index (PLI), complications and patient satisfaction were compared between the two groups at 6 months and 1 year. Results: (1) There was no difference between group A and group B in the classification of edge tightness, shape, color, fracture and secondary caries of abutment teeth in the modified USPHS standard at 6 months and 1 year after restoration (P>0.05); (2) The GI and PLI of group A and group B at 6 months and 12 months after repair were significantly lower than those before repair(P<0.05), but there was no difference between the two groups at different times (P>0.05); (3) The total satisfaction of repair in group A was higher than that in group B (P<0.05); (4) The total incidence of complications in group A and group B were 3.23% and 4.84% respectively. There was no difference between the two groups (P>0.05). Conclusion: Lava ultimate superior tough porcelain high inlay and sonicfill acoustic resin have the same effect on the treatment of large-area tooth defects after root canal treatment. They can effectively ensure the appearance recovery, tightness and occlusion of tooth defects, which is conducive to periodontal health, but the high inlay satisfaction is high. |
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