前牙瓷贴面美学修复后的效果评价

Evaluation of the effect of porcelain veneers in anterior teeth restoration

目的:评价瓷贴面在前牙区美学修复后的效果。方法:对前牙区存在美学缺陷的56例患者在瓷贴面修复前进行艾森克人格问卷N量表调查,而后进行瓷贴面修复,修复完成后1、6、12个月复查,医生参照改良式Ryge标准,患者根据视觉模拟评分法(visual analogue scales,VAS)进行效果评价。结果:艾森克人格问卷N量表调查中典型情绪型、倾向情绪型、中间情绪型的人数分别为16、10、62人。医生对瓷贴面的效果评价包括修复体完整度、颜色满意程度、边缘适合性、术后敏感、牙龈反应5个方面,术后1个月达到A等级的颗数分别为(85/88),(87/88),(86/88),(84/88),(86/88);术后6个月,达到A等级的颗数分别为(81/85),(83/85),(82/85),(83/85),(84/85);术后12个月,达到A等级的颗数分别为(76/81),(78/81),(77/81),(81/81),(80/81)。修复后1个月,患者对整体轮廓、颜色满意程度、咀嚼功能的满意度分别为9.31±0.26,9.51±0.25和9.23±0.39分。结论:瓷贴面修复具有较好的临床效果。术前进行人格问卷调查,可提高患者的满意度。

Objective：To evaluate the clinical effect of porcelain veneer in the restoration of anterior teeth area. Methods：Fifty-six cases of anterior teeth aesthetics with defect were chose,that Eysenck personality questionnaire-N scale survey were carried out before the porcelain veneer restorations. After 1,6 and 12 months follow-up,according to improved standards of Ryge and the visual analogue scale（ VAS） the restorations were evaluated. Results：Eysenck personality question-naire-N scale in typical emotional,emotional tendency and the intermediate mood type were 16,10 and 62 respectively. The doctor＇ s evaluation of porcelain veneers includes restoration integrity,color satisfaction,edge suitability,postoperative sensitivity,and gingival reaction. About that the number of porcelain veneersafter operation to achieve A grade were 85,87,86,84 and 86 in 1 month follow-up,81,83,82,83,84 in 6 months follow-up and 76,78,77,81,80 in 12 months follow-up,respectively. One months after restoration,with the overall profile,color satisfaction,satisfaction and masticatory function were 9.31 ± 0.26,9.51 ± 0.25 and 9.2 ± 0.39,respectively. Conclusion：Porcelain veneer has good clinical effect,and the personality questionnaire before operation can improve the patients＇ satisfaction.