Ceramage聚合瓷高嵌体修复牙体缺损的疗效及对患者生活质量的影响

The therapeutic effect of Ceramage polymer ceramic high inlay in repairing dental defects and its impact on patient quality of life

目的分析Ceramage聚合瓷高嵌体修复牙体缺损的疗效及对患者生活质量的影响。方法回顾性分析自2022年12月至2023年12月期间永安市中医医院口腔科收治的74例牙体缺损的临床资料。其中采取金属嵌体修复治疗37例患者纳入对照组,采取Ceramage聚合瓷高嵌体修复治疗的37例患者纳入观察组。比较两组患者修复前后菌斑指数、牙龈指数,修复后并发症,修复前、修复1年后的咀嚼功能和语言功能。结果修复后,观察组菌斑指数(0.84±0.18)分,低于对照组(0.98±0.24)分,差异有统计学意义(t=2.839,P=0.006);观察组牙龈指数(0.75±0.14)分,低于对照组(0.90±0.19)分,差异有统计学意义(t=3.866,P=0.001)。观察组发生感染1例(2.70%),嵌塞1例(2.70%)。对照组发生感染2例(5.41%),嵌塞3例(8.11%),脱落1例(2.70%)。观察组并发症发生率为5.41%,低于对照组16.22%,差异有统计学意义(χ2=6.058,P=0.014)。修复1年后,观察组咀嚼功能评分(9.28±2.35)分,高于对照组(8.04±1.63)分,差异有统计学意义(t=2.637,P=0.010);观察组语言功能评分(9.09±1.94)分,高于对照组(8.18±1.71)分,差异有统计学意义(t=2.140,P=0.036)。结论Ceramage聚合瓷高嵌体修复牙体缺损的疗效显著,并发症少,能够提高咀嚼和语言功能,达到改善生活质量的目的,预后良好,是一种切实有效的牙体缺损修复方式,值得推广应用。

Objective To analyze the effificacy of Ceramage polymer ceramic high inlay in repairing dental defects and its impact on patients'quality of life.Methods A retrospective analysis was conducted on the clinical data of 74 cases of dental defects admitted to the Department of Stomatology of Yong'an Traditional Chinese Medicine Hospital from December 2022 to December 2023.Among them,37 patients treated with metal inlay restoration were included in the control group,and 37 patients treated with Ceramage polymer ceramic high inlay restoration were included in the observation group.The plaque index and gingival index before and after restoration,complications after restoration,chewing function and language function before and after restoration were compared between the two groups.Results After restoration,the plaque index of the observation group(0.84±0.18)scores was lower than that of the control group(0.98±0.24)scores,with statistically signifificant differences(t=2.839,P=0.006);gingival index in the observation group(0.75±0.14)scores,lower than that in the control group(0.90±0.19)scores,with statistically signifificant differences(t=3.866,P=0.001).There was 1 case of infection(2.70%)and 1 case of impaction(2.70%)in the observation group.There were 2 cases of infection(5.41%),3 cases of impaction(8.11%),and 1 case of detachment(2.70%)in the control group The incidence of complications in the observation group was fi5.41%,which was lower than the control group's 16.22%,and the difference was statistically significant(χ2=6.058,P=0.014).After one year of repair,the chewing function score of the observation group(9.28±2.35)was higher than that of the control group(8.04±1.63),fiand the difference was statistically significant(t=2.637,P=0.010);the language function score of the observation group(9.09±1.94)was fihigher than that of the control group(8.18±1.71),the difference was statistically significant(t=2.140,P=0.036).Conclusions Ceramage fipolymer porcelain high inlay restoration of dental defects has significant therapeutic effects,fewer complications,can improve chewing and language function,and achieve the goal of improving quality of life.The prognosis is good and it is a practical and effective method for repairing dental defects,which is worth promoting and applying.