CAJ | 학술논문

目的：通过调查前牙瓷贴面修复患者术后护理宣教及贴面修复远期效果，探讨两者间的关系。方法对在我科修复专业进行前牙瓷贴面修复的69例患者(共196个全瓷贴面)，进行问卷调查和口腔检查，获取术后护理宣教、日常维护措施及瓷贴面远期状况的原始数据，进行统计学分析。结果前牙瓷贴面修复治疗术后，与医生口头医嘱相比，经护士个性化护理宣教的刷牙评分、牙线使用频率均高于前者，而咬硬物习惯及带颜色饮料饮用习惯上两者无明显差别。修复体远期评估前者较后者存在更多的修复体脱落、崩瓷、继发龋、贴面着色等不良事件发生的情况。结论前牙瓷贴面修复术后护士个性化的护理宣教有利于患者养成更好的日常维护习惯，降低修复体脱落、崩瓷、继发龋、着色等不良事件的发生率，提高贴面修复的远期效果。
목적：통과조사전아자첩면수복환자술후호리선교급첩면수복원기효과，탐토량자간적관계。방법대재아과수복전업진행전아자첩면수복적69례환자(공196개전자첩면)，진행문권조사화구강검사，획취술후호리선교、일상유호조시급자첩면원기상황적원시수거，진행통계학분석。결과전아자첩면수복치료술후，여의생구두의촉상비，경호사개성화호리선교적쇄아평분、아선사용빈솔균고우전자，이교경물습관급대안색음료음용습관상량자무명현차별。수복체원기평고전자교후자존재경다적수복체탈락、붕자、계발우、첩면착색등불량사건발생적정황。결론전아자첩면수복술후호사개성화적호리선교유리우환자양성경호적일상유호습관，강저수복체탈락、붕자、계발우、착색등불량사건적발생솔，제고첩면수복적원기효과。
Objectives To survey on the nursing instruction after veneer restoration of anterior teeth and long term restorative effect, and analyze their relationships.Methods We investigated 69 patients with 196 veneer restorations of anterior teeth via questionnaire and oral examination to gather data on nursing instruction, daily maintenance measure and long term restorative effect of veneer. These data were statistically analyzed by SPSS.Results Comparing with doctors' oral advices, patients with nursing instruction after veneer restoration presented higher teeth brushing and dental lfoss score. There was no difference on hard food masticating and color drinks drinking hobbits. Long term evaluation of veneers showed lower adhesive failure, ceramic fracture, secondary caries and staining of restoration on nursing instructed patients.Conclusion Nursing instruction after veneer restoration of anterior teeth could help to developing better daily maintenance measures, reducing the rate of adhesive failure, ceramic fracture, secondary caries and staining of restoration, and promote the long term restorative effects.