含钛镍铬合金钴铬合金高金合金烤瓷牙的临床应用比较.docVIP

含钛镍铬合金、钴铬合金、高金合金烤瓷牙的临床应用比较 李鸿飞 ([摘要] 目的 比较含钛镍铬合金、钴铬合金、高金合金烤瓷修复体的临床应用效果。方法选择含钛镍铬合金、钴铬合金和高金合金烤瓷修复患者分别为189例（233单位冠）、206例（251单位冠）和97例（118单位冠）修复完成后分别于3个月、1年、3年复查，检查烤瓷冠的色泽、牙龈炎症、龈缘变色、以及裂纹或折裂或崩瓷情况。结果 含钛镍铬合金、钴铬合金烤瓷冠在色泽、龈缘炎症（3个月时）、裂纹或折裂或崩瓷方面无显著性差异(P0．05)；龈缘变色（1年及3年时）含钛镍铬合金烤瓷冠高于钴铬合金，并明显高于高金合金烤瓷组(P0．05)；裂纹或折裂或崩瓷 3种材料烤瓷牙相比较，差别无显著性（p0.05）。结论 高金合金烤瓷冠在化学稳定性、生物相容性、色泽方面具有明显优势；钴铬合金近几年来已逐步取代镍铬合金烤瓷冠；镍铬合金烤瓷冠远期效果有待进一步考证。 [关键词] 烤瓷冠 含钛镍铬合金 钴铬合金 高金合金 [中图分类号] [文献标色码] [文章编号] The clinical effects of artificial teeth among Nickel-chromium alloy containing titanium, cobalt chromium alloy, high-gold alloy porcelain teeth. Li Hong -fei. (Department of Stomatology,Rugao People’s Hospital,Rugao 226500,China) Abstract: Objective To compare the artificial tooth clinical effects of nickel-chromium alloy containing titanium, cobalt chromium alloy, high-gold alloy-porcelain restorations in the clinical results. Methods The patients treated with Nickel-chromium alloy containing titanium (n=189, 233units), cobalt chromium alloy(n=206,251units) and porcelain high-gold alloy (n=97, 118units) were observed in 3 months, 1 year, 3 years, including the color of porcelain crowns, gingival inflammation, gingival margin discoloration, and the crack or fracture or collapse of porcelain situation. Results There was no significant difference(P 0.05) in color, gingival margin inflammation (3 months), the crack or fracture or collapse of porcelain between artificial tooth of nickel-chromium alloy containing titanium and cobalt chromium alloy -porcelain crown; the rate of gingival margin color ( 1 year and 3 years)in nickel-chromium alloy containing titanium group was higher than that in cobalt- chromium alloy group, and it was significantly higher than that in porcelain the high-gold alloy group (P 0.05); the rates of crack ,fracture and collapse in 3 groups of different artificial tooth were similar (P 0.05) . Conclusions The technic of high-gold alloy porcelain teeth has obvious advantages in chemi