全瓷体与复合树脂体修复上颌前牙牙体缺损的临床效果对比

Comparison of clinical effect of all-ceramic body and composite resin body in restoration of maxillary anterior tooth defect

目的研究全瓷体与复合树脂体修复上颌前牙牙体缺损的临床效果。方法选取上颌前牙牙体缺损患者200例(268颗牙),随机将其分为对照组(100例,135颗牙)与实验组(100例,133颗牙)。对照组采用复合树脂体修复,实验组采用全瓷体修复。比较两组患者生活质量评分,牙齿外观修复效果评分,牙齿功能修复效果评分,不良反应发生情况,满意度。结果实验组患者的躯体疼痛、生理功能、生活能力、社会功能、心理健康、健康状况评分分别为(51.20±4.22)、(52.28±4.36)、(49.84±4.65)、(50.38±4.68)、(49.69±5.03)、(52.28±4.85)分,均高于对照组的(40.23±5.58)、(41.87±5.98)、(39.96±5.06)、(40.44±5.54)、(40.37±5.33)、(41.26±5.71)分,差异具有统计学意义(P<0.05)。实验组患牙的外形、边缘适合、质地光滑、颜色适中、边缘无染色、总体效果评分分别为(88.54±10.62)、(87.23±10.36)、(89.93±10.84)、(88.24±11.01)、(89.58±10.70)、(88.85±10.96)分,均高于对照组的(75.59±10.87)、(76.52±11.24)、(75.69±12.30)、(74.53±12.08)、(76.58±12.74)、(75.55±12.20)分,差异具有统计学意义(P<0.05)。实验组患牙的固定位置、牙龈状况、未继发疾病、咀嚼功能、残渣无残留、总体效果评分分别为(87.69±10.32)、(89.64±10.77)、(88.65±10.52)、(86.61±10.03)、(86.20±10.69)、(87.75±10.51)分,均高于对照组的(74.06±12.22)、(72.65±12.08)、(73.62±11.41)、(74.67±11.78)、(75.55±12.43)、(74.13±11.88)分,差异具有统计学意义(P<0.05)。实验组患者的不良反应发生率15.04%低于对照组的31.11%,差异具有统计学意义(P<0.05)。实验组患者的满意度98.00%高于对照组的72.00%,差异具有统计学意义(P<0.05)。结论上颌前牙牙体缺损的修复过程中采用全瓷体修复可有效改善患者的牙齿功能,同时提高其生活质量,是有效的修复方式。

Objective To study the clinical effect of all-ceramic body and composite resin body in restoration of maxillary anterior tooth defect.Methods This study selected 200 patients with maxillary anterior tooth defects(268 teeth)and randomly divided them into a control group(100 cases,135 teeth)and an experimental group(100 cases,133 teeth).The control group was restored by composite resin body,and the experimental group was restored by all-ceramic body.The quality of life score,cosmetic dental restoration outcome score,functional dental restoration outcome score,occurrence of adverse reactions,and satisfaction were compared between the two groups.Results The scores of physical pain,physical function,living ability,social function,mental health and health status in the experimental group were(51.20±4.22),(52.28±4.36),(49.84±4.65),(50.38±4.68),(49.69±5.03)and(52.28±4.85)points,which were higher than(40.23±5.58),(41.87±5.98),(39.96±5.06),(40.44±5.54),(40.37±5.33)and(41.26±5.71)points in the control group.The difference was statistically significant(P<0.05).The scores of shape,marginal fit,smooth texture,moderate color,no staining of margins,and overall outcome score of the affected teeth in the experimental group were(88.54±10.62),(87.23±10.36),(89.93±10.84),(88.24±11.01),(89.58±10.70),and(88.85±10.96)points,which were higher than(75.59±10.87),(76.52±11.24),(75.69±12.30),(74.53±12.08),(76.58±12.74),and(75.55±12.20)points in the control group.The difference was statistically significant(P<0.05).The scores of fixed position,gingival condition,absence of secondary diseases,masticatory function,absence of residue,and overall outcome score of the affected teeth in the experimental group were(87.69±10.32),(89.64±10.77),(88.65±10.52),(86.61±10.03),(86.20±10.69),and(87.75±10.51)points,which were higher than(74.06±12.22),(72.65±12.08),(73.62±11.41),(74.67±11.78),(75.55±12.43),and(74.13±11.88)points in the control group.The difference was statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was 15.04%,which was lower than 31.11%in the control group,and the difference was statistically significant(P<0.05).The satisfaction of the experimental group was 98.00%,which was higher than 72.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of all-ceramic restorations in maxillary anterior tooth defects can effectively improve the tooth function of patients and improve their quality of life,which is an effective restoration method.