IPSe.max Press铸瓷嵌体修复后牙牙体缺损的临床效果评价

Clinical Evaluation of IPSe.max Press Casting Porcelain Inlay to Posterior Teeth

目的对后牙邻面洞采用IPSe.maxPress铸瓷嵌体修复后的临床观察和分析,评价铸瓷嵌体修复牙体缺损的临床效果.方法 36例患者制作IPSe.maxPress铸瓷嵌体36个,修复2 a后用改良瑞格(Ryge)标准评价方法,对瓷嵌体的各项临床指标:瓷表面质地、边缘适合性、颜色匹配、牙龈反应、术后敏感及存留率进行观察分析.结果 IPSe.maxPress铸瓷嵌体存2a存留率为92.7%;92%具有良好的边缘适合性;12.3%患者有牙龈探诊出血;17%的患者备牙后有冷热敏感症状,13.8%粘结后0.5 a内消失;100%的患者对颜色满意.结论 IPS e.max Press铸瓷嵌体是一种较为可靠、效果较好的后牙牙体缺损修复体.

Objective To evaluate the clinical effects of IPS e.max press inlay to the posterior teeth.Method 36 IPS e.max press inlays were made for 36 patients.After 2 years,the clinical performance of inlays were evaluated according to modified California Dental Association/Rage Criteria.Porcelain qualities,border fitness,color match,the gingival condition,sensitiveness after operation and success rate were calculated.Resuts The success rate of IPS e.max press inlay was 92.7％.The border fitness rate was 92％,12.3％ patients appeared gingival bleeding.13.8％ patients felt uncomfortable cold and hot stimulation after the operation,but the uncomfortable feeling dissappeared 0.5a later after adhensivision.100％ patients were satisfied with the color match.Conclusion IPS e.max press inlay is a successful and reliable approach for posterior teeth.