IPS e.max Press铸瓷高嵌体修复后牙牙体缺损的临床疗效分析

CLINICAL EVALUATION OF IPS E.MAX PRESS CASTING PORCELAIN ON LAY TO POSTERIOR TEETH

目的后牙牙体缺损采用IPS e.max press铸瓷高嵌体修复后的临床效果评价。方法筛选2010年至2012年在郑州人民医院门诊口腔科就诊的行铸瓷高嵌体修复后牙牙体缺损的患者65名,共计患牙73颗,其中前磨牙48颗,磨牙25颗。随访3年,采用改良美国公共卫生机构评价标准对修复体边缘密合度,完整性,牙龈炎症及继发龋4项指征进行临床效果评估。结果 73颗修复体第1年随访到70颗,1颗修复体折断,成功率98.7%。第2年随访到68颗,2例牙龈炎症,探诊出血,成功率97%。第3年随访到67颗,2颗探诊修复体邻面与牙体之间有间隙,修复体周围牙体组织颜色变深,成功率97%。结论后牙牙体缺损采用IPS e.max press铸瓷高嵌体修复方法可靠,临床效果好。

Objective To evaluate the clinical effects of IPS e.max Press onlay to the posterior teeth. Methods Selection from 2010 to 2012 in zhengzhou people＇s hospital outpatient dental clinic of casting porcelain onlay to posterior teeth of the 65 patients, a total of 73 teeth and premolars of 48, molar 25. Follow-up of 3 years, using the improved America＇s public health institutions fit evaluation standard for restoration margins, integrity, gum inflammation and secondary caries 4 indications for clinical effect assessment.Results 73 restoration follow- up of 1 to 70, one restoration fracture, the success rate of 98.7%. To 2 years follow-up, 68, 2 cases of gingivalinflammation, clinical success rate of 97%. Follow-up of 3 years to 67, 2 explore clinical restoration there is gap between adjacent surface with tooth, tooth tissues surrounding restoration color is darker, the success rate of 97%. Conclusion After Posterior Teeth defect using IPS e.max casting porcelain Onlay repair method is reliable clinical effect is good.