缺陷树脂修复体的临床处理策略

Clinical treatment strategies for defective direct composite resin restorations

在五十余年的应用中,复合树脂直接粘接修复术已凸显出优异的临床效能。然而,修复效果并非一劳永逸,如何处理缺陷树脂修复体已成为口腔医生需要抉择的临床问题。依据修复体质量评价标准,缺陷树脂修复体的概念和分类得以细化,修补而非替换逐渐成为缺陷树脂修复体临床处理的首选方法。本文在回顾树脂修复体修补现况基础上,基于缺陷树脂修复体的问题表现进行治疗方案的归纳总结,进一步根据现代技术发展阐述陈旧树脂修补时,待粘接界面处理方法,以期为缺陷树脂修复体的临床处理提供更为明确的方案决策和处理技术。

Over the past fifty years,direct adhesive composite resin restoration technology has demonstrated excellent clinical performance.However,the performance of restorations is not permanent,and how to deal with defective composite resin restorations has become an important clinical decision for dentists.Based on the quality assessment standards of restorations,the concept and classification of defective composite resin restorations have been refined,with repair rather than replacement increasingly becoming the preferred method for handling such restorations.This article reviews the current status of composite resin restoration repairs and summarizes treatment plans based on the problems presented by defective composite resin restorations.Furthermore,it discusses the treatment of bonding interfaces in repairing old resins in light of modern technological developments,aiming to provide a clearer decision-making framework and technical treatment approach for the clinical management of defective composite resin restorations.