龈上微创粘接高嵌体和全冠修复后牙根管治疗牙体缺损的临床分析

Clinical analysis of root canal treatment for tooth defect after supragingival minimally invasive adhesive dentistry and full crown

【目的】探讨龈上微创粘接高嵌体和全冠修复后牙根管治疗牙体缺损的效果评价。【方法】选取2018年3月至2019年3月就诊的根管治疗后牙牙体缺损患者104例,根据修复方法不同分为两组,研究组为龈上微创粘接高嵌体修复根管治疗后患牙,对照组为全冠修复根管治疗后患牙。比较两组修复效果、修复满意度、预后情况。【结果】两组间修复效果无差异,效果均较好(P>0.05);研究组修复满意度高于对照组(P<0.05);研究组修复12个月后,牙龈指数、龈沟出血指数均低于对照组(P<0.05)。【结论】全冠修复与龈上微创粘接高嵌体修复应用在根管治疗后牙牙体缺损中,修复效果均比较显著,龈上微创粘接高嵌体修复后患者咬合承受力较强,承受咬合力后,不会对牙龈组织造成牵拉,不会破坏患牙与邻牙邻接关系,不会对牙体造成大量磨除,牙龈恢复更好,患者满意度更高,可提倡将龈上微创粘接高嵌体修复应用在行根管治疗的后牙牙体缺损治疗中。

【Objective】To evaluate the clinical efficacy of two methods(supragingival minimally invasive adhesive dentistry and full crown)for tooth defect repair after root canal treatment.【Methods】A total of 104 patients with dental defects after root canal treatment from March 2018 to March 2019 were selected and divided into two groups according to the different repair methods.The patients in the study group were treated with supragingival minimally invasive adhesive dentistry for repairing root canals and those in the control group received full crown repair after root canals treatment.The repair efficacy,repair satisfaction and prognosis of the two groups were compared.【Results】The repair efficacy was good in both groups,and there was no significant difference between the two groups(P>0.05).The patient satisfaction in the study group was higher than that in the control group(P<0.05).After 12 months of repair,the gingival index and sulcus bleeding index in the study group were lower than those in the control group(P<0.05).【Conclusion】The application of all-crown restoration or supragingival minimally invasive adhesive dentistrys after root canal treatment for tooth defect both has good efficacy.The patients can have a strong occlusal tolerance after supragingival minimally invasive adhesive dentistry.After bearing the bite force,gum tissue will not be stretched,the abutment relationship between the affected tooth and the adjacent tooth will be remained,and a large amount of abrasion of the tooth body will be avoided.The application of supragingival minimally invasive adhesive dentistry after root canal treatment for tooth defect shows better gum recovery and higher patient satisfaction.Therefore,it can be promoted in tooth defect treatment.