中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
77-78
,共2页
传统全瓷修复手段%微创全瓷修复手段%前牙缺陷美学修复%USPHS%VAS
傳統全瓷脩複手段%微創全瓷脩複手段%前牙缺陷美學脩複%USPHS%VAS
전통전자수복수단%미창전자수복수단%전아결함미학수복%USPHS%VAS
Traditional whole porcelain restoration method%Minimally invasive whole porcelain restoration method%Front teeth defect esthetic restoration%USPHS%VAS
目的：探讨传统和微创全瓷修复技术在前牙缺陷美学修复中的临床治疗效果，找到更具有优势的治疗方法，为临床实践提供理论依据。方法：2012年6月-2014年1月收治前牙缺陷患者70例，患牙80颗，随机分为对照组和试验组，各35例，患牙40颗，采用VAS视觉模拟评系统进行评分，评价各组的美学修复满意度，采用USPHS-美国公共健康协会修正标准，评价两组治疗的优秀率，比较两组修复后6个月～2年内的成功率。结果：试验组在修复后， VAS视觉模拟评分系统评分达到(9.51±0.25)分，分值明显高于对照组，在修复牙齿的形态、边缘着色、密合度和继发龋的 A 级比例分别达到100%、100%、99.2%和100%。在修复后随访期间牙齿的间隙、切端的缺损情况、畸形过小牙、牙体表面缺损情况、牙着色或变色缺陷修复成功率分别达到89.4%、85.2%、83.5%、79.2%和95.1%。结论：微创全瓷修复相比较传统的全瓷修复手段而言，在前牙缺陷美学修复方面具有明显的优势，达到的美容效果好、修复成功率高、患者满意度高，综合效果明显优于传统的全瓷修复手段，具有极高的临床应用价值。
目的：探討傳統和微創全瓷脩複技術在前牙缺陷美學脩複中的臨床治療效果，找到更具有優勢的治療方法，為臨床實踐提供理論依據。方法：2012年6月-2014年1月收治前牙缺陷患者70例，患牙80顆，隨機分為對照組和試驗組，各35例，患牙40顆，採用VAS視覺模擬評繫統進行評分，評價各組的美學脩複滿意度，採用USPHS-美國公共健康協會脩正標準，評價兩組治療的優秀率，比較兩組脩複後6箇月～2年內的成功率。結果：試驗組在脩複後， VAS視覺模擬評分繫統評分達到(9.51±0.25)分，分值明顯高于對照組，在脩複牙齒的形態、邊緣著色、密閤度和繼髮齲的 A 級比例分彆達到100%、100%、99.2%和100%。在脩複後隨訪期間牙齒的間隙、切耑的缺損情況、畸形過小牙、牙體錶麵缺損情況、牙著色或變色缺陷脩複成功率分彆達到89.4%、85.2%、83.5%、79.2%和95.1%。結論：微創全瓷脩複相比較傳統的全瓷脩複手段而言，在前牙缺陷美學脩複方麵具有明顯的優勢，達到的美容效果好、脩複成功率高、患者滿意度高，綜閤效果明顯優于傳統的全瓷脩複手段，具有極高的臨床應用價值。
목적：탐토전통화미창전자수복기술재전아결함미학수복중적림상치료효과，조도경구유우세적치료방법，위림상실천제공이론의거。방법：2012년6월-2014년1월수치전아결함환자70례，환아80과，수궤분위대조조화시험조，각35례，환아40과，채용VAS시각모의평계통진행평분，평개각조적미학수복만의도，채용USPHS-미국공공건강협회수정표준，평개량조치료적우수솔，비교량조수복후6개월～2년내적성공솔。결과：시험조재수복후， VAS시각모의평분계통평분체도(9.51±0.25)분，분치명현고우대조조，재수복아치적형태、변연착색、밀합도화계발우적 A 급비례분별체도100%、100%、99.2%화100%。재수복후수방기간아치적간극、절단적결손정황、기형과소아、아체표면결손정황、아착색혹변색결함수복성공솔분별체도89.4%、85.2%、83.5%、79.2%화95.1%。결론：미창전자수복상비교전통적전자수복수단이언，재전아결함미학수복방면구유명현적우세，체도적미용효과호、수복성공솔고、환자만의도고，종합효과명현우우전통적전자수복수단，구유겁고적림상응용개치。
Objective:To explore the clinical curative effect of traditional,minimally invasive whole porcelain restoration technology in the front teeth defect esthetic restoration,to find the treatment method with more advantages,to provide a theoretical basis for clinical practice.Methods:70 patients with front teeth defect were selected from June 2012 to January 2014.80 teeth were offending teeth.They were randomly divided into the control group and the experimental group with 35 cases in each,and 40 teeth were offending teeth.Using VAS visual simulation evaluation system gived a mark to evaluate aesthetic repair satisfaction of each group.Using USPHS-American public health association revised standard evaluated the treatment excellent rates of two groups.6 months to 2 years after repair,the success rate of two groups were compared.Results:After repair,VAS visual simulation evaluation system score of the experimental group was(9.51±0.25) scores,and the score was obvious higher than that of the control group.A grade proportions of the repaired teeth form,edge coloring,marginal adaptation and secondary caries were respectively 100% , 100%,99.2% and 100%.In the follow-up period after repair,the repair success rate of the teeth clearance,incisal defect,too little deformity teeth,tooth surface defect,tooth staining or discoloration defect were respectively 89.4% ,85.2% ,83.5% ,79.2% and 95.1%.Conclusion:Compared with traditional whole porcelain restoration,the minimally invasive whole porcelain restoration has obvious advantages on the front teeth defect esthetic restoration aspect,achieves good cosmetic result,has high success rate,high patient satisfaction.The comprehensive effect is obviously superior to the traditional whole porcelain restoration method,and it has high value in clinical application.
