重度酸蚀性牙齿磨损患者的微创咬合重建与美学修复

Minimally Invasive Occlusal Reconstruction and Aesthetic Repair in Patients with Severe Acid-Erosion Dental Wear

目的:探讨重度酸蚀性牙齿磨损患者微创咬合重建与美学修复的效果。方法:以2015年1月-2017年5月笔者科室收治的40例因胃食管返流导致的重度酸蚀性牙齿磨损患者为研究对象,所有患者均进行微创咬合重建与美学修复。术后随访1年,观察患者的治疗效果、满意度及不良反应发生情况,比较治疗前及随访1年后的咀嚼功能及咬合力。结果:所有患者均得到明显修复,无明显冷热敏感症状及其他不良反应,患者满意度为90.00%;随访1年后的咀嚼效率、咬合力分别为74.11±26.38、(136.50±42.80)N,均明显大于治疗前,有显著性差异,具有统计学意义(t=2.753、4.169,P=0.008、0.000)。结论:微创咬合重建与美学修复治疗重度酸蚀性牙齿磨损患者效果明显,患者满意度高,能明显改善患者的咀嚼功能及咬合力。

Objective To explore the effect of minimally invasive occlusal reconstruction and aesthetic repair in patients with severe acid-erosion dental wear. Methods 40 patients with severe acid-corroded teeth wear caused by gastroesophageal reflux which was taken as research object in the department of stomatology of our hospital from January 2015 to May 2017. All patients were carried out minimally invasive occlusal reconstruction and aesthetic repair. Patients were followed up for 1 year after operationy, the treatment effect, patients’ satisfaction degree and adverse reaction was observed, The chewing function and occlusal force was compared before treatment and 1 year after following-up. Results All the patients were obviously repaired without obvious cold and heat sensitive symptoms and other adverse reactions. Patients’ satisfaction degree was 90.00%. The masticatory efficiency and occlusal force was(74.11±26.38)N,(136.50±42.80)N 1 year after following-up, respectively and it was significantly greater than that before treatment(t=2.753, 4.169, P=0.008, 0.000). Conclusion Minimally invasive occlusal reconstruction and aesthetic repair was effective for patients with severe acid-erosion dental wear, with patients’ satisfaction degree, it could improve the chewing function and occlusal force of patients.