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全瓷贴面技术用于前牙美容修复中的效果及对牙体形态、牙周健康指标的影响

Effect of all-porcelain veneer technology on cosmetic restoration of anterior teeth and its influence on tooth morphology and periodontal health index
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摘要 目的探讨全瓷贴面技术用于前牙美容修复中的效果及对牙体形态、牙周健康指标的影响。方法选取2021年3月至2023年3月我院行前牙美容修复患者118例为研究对象,根据修复方法不同将患者分为两组,对照组(n=53例)行全瓷冠修复,观察组(n=65例)采用全瓷贴面技术修复。观察比较两组的临床疗效、牙体形态美学评分、修复前后牙周健康指标、修复后舒适度、并发症发生率及总体满意度情况。结果观察组临床总疗效96.92%显著高于对照组84.91%(P<0.05)。修复后,观察组边缘染色、边缘适应性、表面质地、颜色匹配、外形等牙体形态美学评分显著高于对照组(P<0.05)。修复后观察组的牙周探诊深度、龈沟出血指数、龈沟液量、菌斑指数等牙周健康指标水平显著低于对照组(P<0.05)。修复后两组环境、社会文化等舒适度评分比较无明显差异(P>0.05),但观察组心理、生理等舒适度评分显著高于对照组(P<0.05)。观察组总并发症发生率3.08%低于对照组18.87%(P<0.05)。观察组修复总满意度96.92%高于对照组84.91%(P<0.05)。结论全瓷贴面技术用于前牙美容修复中的效果显著,能提高临床疗效、牙体形态美学评分,改善牙周健康指标,提高舒适度,降低并发症发生率,提高患者满意度。 Objective To investigate the effect of all porcelain veneer technology in the cosmetic restoration of anterior teeth and its influence on tooth morphology and periodontal health.Methods A total of 118 patients who underwent cosmetic restoration of anterior teeth in the hospital from March 2021 to March 2023 were selected as the study objects.The patients were divided into two groups according to different restoration methods:the control group(n=53 cases)received all ceramic crown restoration,and the observation group(n=65 cases)received all ceramic veneer restoration.The clinical efficacy,tooth morphological aesthetic score,periodontal health index before and after restoration,comfort level after restoration,complication rate and overall satisfaction of the two groups were observed and compared.Results The total clinical efficacy of the observation group(96.92%)was significantly higher than that of the control group(84.91%)(P<0.05).After restoration,the aesthetic scores of tooth morphology such as marginal staining,marginal adaptability,surface texture,color matching,and appearance in the observation group were significantly higher than those in the control group(P<0.05).After restoration,the periodontal probing depth,gingival bleeding index,gingival fluid volume,plaque index in the observation group were significantly lower than those in the control group(P<0.05).After the repair,there was no signifi‐cant difference in the comfort scores of environment and social culture between the two groups(P>0.05),but the comfort scores of psychology and physiology in the observation group were significantly higher than those in the control group(P<0.05).The total complication rate of 3.08%in the observation group was lower than that of 18.87%in the control group(P<0.05).The total satisfaction of repair in the observation group(96.92%)was higher than that in the control group(84.91%)(P<0.05).Conclusions The all ceramic veneer technique is effective in the aesthetic restoration of anterior teeth,improving the clinical effect,the aesthetic score of tooth morphology,periodontal health index,comfort level,patient satisfaction,and reducing the inci‐dence of complications.
作者 汪青风 郭世梁 吴颖 黄叶全 Wang Qingfeng;Guo Shiliang;Wu Ying;Huang Yequan(Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210000)
出处 《口腔材料器械杂志》 2024年第4期221-226,共6页 Chinese Journal of Dental Materials and Devices
基金 江苏省科技项目基础研究计划(自然科学基金)面上项目(BK20201119)。
关键词 前牙美容修复 全瓷贴面技术 牙体形态 牙周健康 舒适度 并发症 Anterior teeth cosmetic repair All ceramic veneer technology Tooth morphology Peri‐odontal health Comfort level Complication
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