声波树脂直接填充与聚合瓷嵌体在磨牙龋损修复中的对比分析研究

Comparative Analysis of acoustic Resin direct Filling and Polymer ceramic Inlay in the Restoration of Molar Caries and their Impact on periodontal Health

目的探讨声波树脂直接填充与聚合瓷嵌体在磨牙龋损修复中的对比分析及对牙周健康的影响。方法回顾性分析2020年10月至2021年10月舞钢市人民医院收治的126例磨牙龋损患者,根据修复方式的不同,分为树脂填充组及聚合瓷嵌体组,使用声波树脂直接填充修复的为树脂填充组,共68例;采用聚合瓷嵌体修复的为聚合瓷嵌体组,共58例。于修复后6个月,记录两组患者的修复成功率、修复体效果、咬合力、咀嚼效率、牙周健康和治疗后的不良反应并进行比较。结果聚合瓷嵌体组患者的修复成功率(89.66%)高于树脂填充组(73.53%),差异具有统计学意义(P<0.05)。聚合瓷嵌体组患者在修复体颜色、基牙继发龋、边缘密合度、修复体折裂评估中,有效率(A级发生率)均高于树脂填充组,差异具有统计学意义(P<0.05)。聚合瓷嵌体组患者的牙齿咬合力、咀嚼效率较树脂填充组患者高,菌斑指数(PLI)和牙龈指数(GI)较树脂填充组患者低,差异具有统计学意义(P<0.05)。聚合瓷嵌体组患者不良反应发生率(5.17%)低于树脂填充组患者(17.65%),差异具有统计学意义(P<0.05)。结论聚合瓷嵌体在磨牙龋损中的修复效果优于声波树脂直接填充,且对牙周健康的保持有积极作用,可以减少患者治疗后并发症的发生,安全性较高。

Objective To explore the comparative analysis of acoustic resin direct filling and polymer ceramic inlay in the restoration of molar caries and their impact on periodontal health.Methods A retrospective analysis was conducted on 126 patients with molar caries admitted to the People's Hospital of Wugang City from October 2020 to October 2021.According to different restoration methods,they were divided into resin filling group and polymer ceramic inlay group.The resin filling group was directly filled with acoustic resin,with a total of 68 cases;A total of 58 cases were repaired using polymer ceramic inlay,which was the polymer ceramic inlay group.After 6 months of restoration,the success rate,restoration effect,bite force,chewing efficiency,periodontal health,and adverse reactions after treatment between the two groups were recorded and compared.Results The success rate of repair in the group of patients with polymer ceramic inlay(89.66%)was higher than that in the resin filling group(73.53%),and the difference was statistically significant(P<0.05).The effective rate(A-level incidence rate)of patients in the polymer ceramic inlay group was higher than that in the resin filling group in the evaluation of restoration color,secondary caries of the abutment teeth,marginal fit,and restoration fracture,and the difference was statistically significant(P<0.05).The bite force and chewing efficiency of patients in the polymer ceramic inlay group were higher than those in the resin filled group,while the plaque index(PLI)and gingival index(GI)were lower than those in the resin filled group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in patients with polymer ceramic inlay(5.17%)was lower than that in patients with resin filling(17.65%),and the difference was statistically significant(P<0.05).Conclusion The repair effect of polymer ceramic inlay in molar caries is better than that of direct filling with acoustic resin,and it has a positive effect on maintaining periodontal health,reducing the occurrence of postoperative complications in patients,and has high safety.