高嵌体与纤维桩核冠修复对后牙牙体缺损疗效观察及对患者咀嚼能力和牙龈状况的影响

Observation of Curative Effect of Onlay and Fiber Post-core Crown Restoration on Posterior Tooth Defect and Its Influence on Chewing Ability and Gingival Condition of Patients

目的:观察高嵌体修复与纤维桩核冠修复对后牙牙体缺损疗效及对患者咀嚼能力和牙龈状况的影响。方法:选取2020年11月~2021年11月收治的60例牙体缺损患者作为研究对象,根据患者治疗意愿分为对照组和研究组,其中对照组26例、观察组34例。对照组行纤维桩核冠修复治疗,观察组行高嵌体修复治疗,对比两组患者修复效果、咀嚼功能、牙龈指数(GI)和菌斑指数(PLI)评分、并发症发生情况、满意度。结果:经统计发现,观察组邻面接触、表面质地、边缘密合度、舒适度等均优于对照组,两组比较具有明显差异(P<0.05);修复前,两组患者咀嚼功能评分比较无差异(P>0.05),修复后,观察组较对照组高(P<0.05);修复前,两组GI和PLI评分比较无差异(P>0.05),修复后,两组评分均有所降低,且观察组低于对照组(P<0.05);观察组并发症发生率为2.94%,对照组并发症发生率为11.54%,观察组与对照组比较无差异(P>0.05);观察组患者满意度为94.12%,对照组患者满意度为73.08%,观察组明显高于对照组(P<0.05)。结论:高嵌体修复与纤维桩核冠修复用于治疗牙体缺损,高嵌体修复的临床疗效更佳,患者咀嚼能力和牙龈健康程度明显提升,GI和PLI评分明显降低,有效减少并发症,提高满意度。值得临床推广使用。

Objective:To observe the curative effect of onlay restoration and fiber post-core crown restoration on posterior tooth defect and the influence on patients’chewing ability and gingival condition.Methods:A total of 60 patients with dental defects admitted from November 2020 to November 2021 were selected as research subjects,and were divided into matched group and study group according to their treatment intention,including 26 cases in matched group and 34 cases in observation group.The matched group was treated with fiber post and nuclear crown repair,and the observation group was treated with high inset repair.The repair effect,mastication function,Gingival index(GI)and Plaque index(PLI)scores,complications and satisfaction were compared between the two groups.Results:According to statistics,after repair,adjacent surface contact,surface texture,edge closeness and comfort in the observation group were better than those in the matched group,and there were differences between the two groups(P<0.05).The scores of chewing function in the observation group were higher than those in the matched group after repair(P<0.05).Before repair,GI and PLI scores of the two groups were compared(P>0.05),after repair,the scores of the two groups were decreased,and the observation group was lower than the matched group(P<0.05).The complication rate was 2.94%in the observed group and 11.54%in the matched group,with no difference between the observed group and the matched group(P>0.05).The satisfaction of patients in the observation group was 94.12%,and that in the matched group was 73.08%,which was higher than that in the matched group(P<0.05).Conclusion:High-onlay restoration and fibron-core crown restoration are used in the treatment of tooth defects.The clinical efficacy of high-onlay restoration is better,the chewability and gingival health of patients are significantly improved,GI and PLI scores are significantly reduced,complications are effectively reduced and satisfaction is improved.It is worthy of clinical application.