牙冠延长术修复劈裂牙的疗效观察.pdfVIP

第 卷第 期 45 3 温 州 医 科 大 学 学 报 Vol.45 No.3 第 卷 年 月 第 期 452015 3 3 Journal of Wenzhou Medical University Mar.2015 温 州 医 科 大 学 学 报 ·临 床 经 验· 牙冠延长术修复劈裂牙的疗效观察 高慧英 （洞头县人民医院 口腔科，浙江 温州 325700） [摘  要] 目的：探讨牙冠延长术在劈裂牙修复中的临床应用效果。方法：选取62例患者共68颗劈裂牙， 随机将其分为A、B 2组各31例，A组劈裂牙36颗，B组劈裂牙32颗。A组予以牙龈切除术，B组予以牙冠延长术。 比较2组术前及术后多时点患牙断端与龈缘情况，包括菌斑指数（PLI）、龈沟出血指数（SBI）、牙周探诊深 度（PD）、牙齿松动度及修复效果等。结果：2组均按既定方案顺利完成手术，术后各时间点牙周指数均较 术前改善，差异有统计学意义（均P＜0.05），但2组间各时间点牙周指数相互比较，差异均无统计学意义（均 P＞0.05）。术后A组牙松动率为25.00%，B组未见松动牙，差异有统计学意义（P＜0.05）。2组间修复有效率 均为100%，满意率A组为63.89%、B组为81.25%，差异有统计学意义（P＜0.05）。结论：牙冠延长术应用于 劈裂牙修复治疗有较好临床效果，能改善、保持修复牙牙周组织健康。 [关键词]  劈裂牙；牙冠延长术；牙修复 [中图分类号]  781.05    [文献标志码]  B     DOI: 10.3969/j.issn.2095-9400.2015.03.017 A curative observation of surgical crown lengthening in split teeth restoration GAO Huiying. Department of Stomatology, People’s Hospital of Dongtou, Wenzhou, 325700 Abstract: Objective: To explore the clinical effect of surgical crown lengthening on restoration of broken teeth. Methods: Sixty-eight broken teeth in 62 patients were selected, and were randomly divided into group A and B, 31 patients per group, 36 broken teeth in group A and 32 broken teeth in group B. Patients in group A were given gingivectomy, and patients in group B were given crown lengthening surgery. Broken end and gingival margin of broken teeth before and after surgery were compared, including plaque index (PLI), sulcus bleeding in- dex (SBI), periodontal probing depth (PD), gomphiasis and repair effect. Results: Al