中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
42期
7487-7493
,共7页
生物材料%生物材料临床实践%松动牙%固定%牙周夹板%牙周病%玻璃纤维%高强玻璃纤维%流体树脂%基牙脱黏率
生物材料%生物材料臨床實踐%鬆動牙%固定%牙週夾闆%牙週病%玻璃纖維%高彊玻璃纖維%流體樹脂%基牙脫黏率
생물재료%생물재료림상실천%송동아%고정%아주협판%아주병%파리섬유%고강파리섬유%류체수지%기아탈점솔
glass%tooth%observation%periodontal splints%splints
背景：研究发现采用舌侧凹槽加邻面流体树脂牙体预备方法制作玻璃纤维夹板，用其固定松动前牙可达到较为理想的临床固定修复效果。<br> 目的：观察两种牙体预备方法制作玻璃纤维夹板固定松动前牙5年基牙与夹板脱黏率及固定修复效果。<br> 方法：根据慢性牙周病诊断标准，并严格按照牙周夹板固定适应证选取经过牙周基础治疗后需纤维夹板固定的94例Ⅱ-Ⅲ度前牙松动患者，根据松动患牙间是否进行邻面固定分为2组，邻面未固定组采用舌侧凹槽牙体预备方法，邻面固定组采用舌侧凹槽加邻面流体树脂牙体预备方法进行纤维夹板固定。随后5年中定期临床复诊或电话随访，对固定修复效果进行评价。<br> 结果与结论：5年中定期临床复诊或电话随访显示，邻面固定组76例基牙与夹板脱黏7例，邻面未固定组18例基牙与夹板脱黏12例，均已经进行再固定。与邻面未固定组相比，邻面固定组5年后两组患牙的探诊深度、附着丧失明显改善(P <0.05)，牙槽骨高度占根长的百分比增加(P <0.05)，患者自觉舒适无异物感。结果证实，采用舌侧凹槽加邻面流体树脂牙体预备方法制作玻璃纤维夹板固定松动前牙的5年观察固定效果较好。
揹景：研究髮現採用舌側凹槽加鄰麵流體樹脂牙體預備方法製作玻璃纖維夾闆，用其固定鬆動前牙可達到較為理想的臨床固定脩複效果。<br> 目的：觀察兩種牙體預備方法製作玻璃纖維夾闆固定鬆動前牙5年基牙與夾闆脫黏率及固定脩複效果。<br> 方法：根據慢性牙週病診斷標準，併嚴格按照牙週夾闆固定適應證選取經過牙週基礎治療後需纖維夾闆固定的94例Ⅱ-Ⅲ度前牙鬆動患者，根據鬆動患牙間是否進行鄰麵固定分為2組，鄰麵未固定組採用舌側凹槽牙體預備方法，鄰麵固定組採用舌側凹槽加鄰麵流體樹脂牙體預備方法進行纖維夾闆固定。隨後5年中定期臨床複診或電話隨訪，對固定脩複效果進行評價。<br> 結果與結論：5年中定期臨床複診或電話隨訪顯示，鄰麵固定組76例基牙與夾闆脫黏7例，鄰麵未固定組18例基牙與夾闆脫黏12例，均已經進行再固定。與鄰麵未固定組相比，鄰麵固定組5年後兩組患牙的探診深度、附著喪失明顯改善(P <0.05)，牙槽骨高度佔根長的百分比增加(P <0.05)，患者自覺舒適無異物感。結果證實，採用舌側凹槽加鄰麵流體樹脂牙體預備方法製作玻璃纖維夾闆固定鬆動前牙的5年觀察固定效果較好。
배경：연구발현채용설측요조가린면류체수지아체예비방법제작파리섬유협판，용기고정송동전아가체도교위이상적림상고정수복효과。<br> 목적：관찰량충아체예비방법제작파리섬유협판고정송동전아5년기아여협판탈점솔급고정수복효과。<br> 방법：근거만성아주병진단표준，병엄격안조아주협판고정괄응증선취경과아주기출치료후수섬유협판고정적94례Ⅱ-Ⅲ도전아송동환자，근거송동환아간시부진행린면고정분위2조，린면미고정조채용설측요조아체예비방법，린면고정조채용설측요조가린면류체수지아체예비방법진행섬유협판고정。수후5년중정기림상복진혹전화수방，대고정수복효과진행평개。<br> 결과여결론：5년중정기림상복진혹전화수방현시，린면고정조76례기아여협판탈점7례，린면미고정조18례기아여협판탈점12례，균이경진행재고정。여린면미고정조상비，린면고정조5년후량조환아적탐진심도、부착상실명현개선(P <0.05)，아조골고도점근장적백분비증가(P <0.05)，환자자각서괄무이물감。결과증실，채용설측요조가린면류체수지아체예비방법제작파리섬유협판고정송동전아적5년관찰고정효과교호。
BACKGROUND:Studies have found that the glass fiber splint which is embedded into the groove on the lingual surface of the affected tooth plus fluid resin fixation between the gap of mobile teeth can achieve more satisfactory clinical effects on the stabilization of loose front teeth. <br> OBJECTIVE:To observe the clinical effects of glass fiber splints prepared using two tooth preparation methods on splinting loose front teeth and their debonding rate through a 5-year fol ow-up visit. <br> METHODS:Ninety-four chronic periodontal disease patients, who had received periodontal treatment, were enrol ed in this study for their loose front teeth of degree II-III. Al the enrol ed patients were good candidates for periodontal splinting strictly in accordance with the indications for periodontal splinting. According to whether the fluid resin was used to seal the gap between the mobile teeth, the 96 patients were divided into two groups:patients undergoing glass fiber splint+fluid resin between the mobile teeth served as experimental group, and those only undergoing glass fiber splint as control group. Al the patients were fol owed by regular clinical referral or telephone fol ow-up for 5 year, to evaluate the fixed effects. <br> RESULTS AND CONCLUSION:During the 5 years of regular clinical referral or telephone fol ow-up, seven of the 76 cases and 12 of the 18 cases were found in the experimental and control groups, respectively, to have debonding between the abutment and the splint. Compared with the control group, the probing depth and attachment loss of affected teeth were improved significantly (P<0.05), and the percentage of alveolar bone height accounting for the root length increased significantly in the experimental group (P<0.05) after 5 years of fol ow-up. Patients in the experimental group felt comfortable without foreign body sensation. The results confirmed that the glass fiber splinting plus fluid resin fixation between the gap of mobile teeth was a better treatment for loose front teeth during the 5-year fol ow-up.
