CAJ | 학술논문

目的：探讨金属烤瓷冠桥修复引发失败的因素及应对措施。方法选取70例金属烤瓷冠桥修复失败案例作研究对象，均为我院口腔科2012年4月~2014年4月收治，分析引起修复失败的原因，并制定个体化处理方案，回顾临床资料。结果分析本组选取的70例金属烤瓷冠桥修复失败病例原因，裂瓷或崩瓷21例，牙龈炎14例，全冠松动和脱落14例，牙髓炎10例，外形不满意4例，色泽改变7例。采取针对性方案处理，均得到有效修复，成功率为100%。患者满意度为100%。相较治疗前，患者生存质量和舒适度明显改善（P＜0.05）。结论金属烤瓷冠桥修复颜色逼真、强度好、舒适美观、耐磨损，患者和医生均有较高认可度，但对医生操作和技工制作要求较高，故需尽量提高医生技术水平，以保障修复有效率和质量，降低不良事件发生率。
목적：탐토금속고자관교수복인발실패적인소급응대조시。방법선취70례금속고자관교수복실패안례작연구대상，균위아원구강과2012년4월~2014년4월수치，분석인기수복실패적원인，병제정개체화처리방안，회고림상자료。결과분석본조선취적70례금속고자관교수복실패병례원인，렬자혹붕자21례，아간염14례，전관송동화탈락14례，아수염10례，외형불만의4례，색택개변7례。채취침대성방안처리，균득도유효수복，성공솔위100%。환자만의도위100%。상교치료전，환자생존질량화서괄도명현개선（P＜0.05）。결론금속고자관교수복안색핍진、강도호、서괄미관、내마손，환자화의생균유교고인가도，단대의생조작화기공제작요구교고，고수진량제고의생기술수평，이보장수복유효솔화질량，강저불량사건발생솔。
Objective To study the metal PFM crown and bridge repair of trigger failure factors and countermeasures. Methods The selected 70 cases of ceramometal crown and bridge repair failure case as the research object, all are our dental between April 2012 and April 2012 were analyzed, the cause of this failure repair, and setting individualized treatment plan, review of clinical data. Results The analysis of this group of selected 70 cases of failure of PFM crown and bridge repair metal, porcelain crack or collapsed 21cases, 14 cases of gum, full crown is loose and fall off in 14 cases, 10 cases of pulpitis, appearance is not satisfied in 4 case, color change in 7cases. A targeted solution treatment, effectively repair, the success rate was 100%. Conclusion Ceramometal crown and bridge repair color fidelity, good strength, comfortable and beautiful, wear resistance, the patient and the doctors have higher recognition, but the doctor operation and industrial production, high demand for enhancing the technical levels of doctors, as far as possible in order to ensure repair efficiency and quality, reduce the incidence of adverse events.