比较Admira Fusion和 BEAUTIFIL Ⅱ两种复合树脂修复中老年患者牙颈部缺损的短期临床疗效

Short-term Clinical Effect of Admira Fusion and BEAUTIFILⅡin Restoration of Wedge-shaped Defects in Middle-aged and Senior Patients

目的:观察比较Admira Fusion和BEAUTIFILⅡ两种复合树脂修复中老年患者中度颈部缺损患牙的短期临床疗效并分析其影响因素。方法:选取2016年9月～2017年3月于南方医院就诊的50例年龄介于50～80岁的中度颈部缺损患者为研究对象,分别采用Admira Fusion纳米树脂(A组)和BEAUTIFILⅡ纳米树脂(B组)修复,随访修复成功率、边缘密合率、表面粗糙率、色泽协调率、菌斑指数以及影响因素。结果:修复后12个月A组患牙修复成功率显著高于B组(96.00%∶84.00%,P<0.05)。修复后12个月,A组患牙边缘密合率和表面粗糙率分别为96.00%、4.00%,B组分别为84.00%、16.00%(P<0.05)。疗效单因素分析显示口腔卫生习惯、饮食习惯、刷牙方式、牙位、双侧咀嚼及咬合与颈部缺损修复成功率相关(P<0.05)。结论:相比于BEAUTIFILⅡ纳米树脂,Admira Fusion纳米树脂材料修复中老年患者颈部缺损成功率较高,其具有良好的边缘密合性和极佳的色泽协调性,故更适合修复中老年中度颈部缺损患牙。

Objective: To evaluate the short-term clinical effect and related influencing factors of Admira Fusion and BEAUTIFIL Ⅱ resin used for moderate wedge-shaped defects in senior patients. Methods: Fifty cases of patients, between 50 to 80 years old, with moderate wedge-shaped defects were selected from September 2016 to March 2017 as research objects. They were randomly divided into two groups and were treated with Admira Fusion (Group A) and BEAUTIFIL Ⅱ(Group B), respectively. The repair success rate, the edge sealing rate, the rough surface rate, the color coordination rate, the Q-H modified plaque index, and related influencing factors were followed up. The relevant clinical data were analyzed. Results: Twelve months after restoration, the success rate of Group A (96%) was significantly higher than Group B (84%)( P <0.05). Twelve months after restoration, the edge sealing rate and the rough surface rate of Group A were 96% and 4%, respectively. While those of Group B were 84% and 16%( P <0.05). Univariate analysis showed that the success rate of restoration was correlated with oral hygiene habits, diet, the tooth position, and chewing habits ( P <0.05). Conclusion: Admira Fusion nano-resin to repair moderate wedge-shaped defects of middle-aged and senior patients has indicated better marginal sealing and excellent color match, which is worthy of wide clinical application. Thus Admira Fusion should be the preferred choice for senior patients with moderate wedge-shaped defects.