光固化复合树脂在牙体病治疗中的疗效观察.docVIP

光固化复合树脂在牙体病治疗中的疗效观察 　　【摘要】 目的：观察不同部位的牙体缺损使用光固化复合树脂修复的临床疗效，并探讨影响疗效的因素。方法：采用光固化复合树脂修复不同部位的64颗牙缺损，并随访3、5、8年，对临床修复效果及影响因素进行分析。结果：64颗牙缺损修复后随访3、5、8年，治疗成功率分别为成功率分别为90.63%、81.25%及68.75%，失败病例主要表现修复体松动脱落、折裂、变色、继发龋、患者出现牙髓炎和根尖周炎。结论：光固化复合树脂治疗不同部位的牙体病成功率较高，远期疗效有待进一步提高。 中国论文网 /6/view-7154002.htm 　　【关键词】 牙体缺损修复； 光固化复合树脂； 疗效 　　Efficacy Observation of Light-cured Compounded Resin in the Treatment of Tooth Diseases/CHEN Shao-hua.//Medical Innovation of China，2015，12（29）：127-129 　　【Abstract】 Objective：To observe the clinical effects of light-cured compounded resin in the treatment of tooth defect in different parts and to discuss the factors that affect efficacy.Method：64 defected teeth in different parts were given the light-cured compounded resin to restore. The patients were then followed up after three， five and eight years of the treatment.Finally，the effectiveness and elements affecting clinical restoration during the treatment were analyzed.Result：According to the interviews of 64 defected teeth after three，five and eight years of the treatment， the success rate was respectively 90.63%，81.25% and 68.75%.Failure cases included abrasion， detachment of fillings， secondary caries， color change and stain.Conclusion：The success rate of light-cured compounded resin in the treatment of tooth defect in different parts is high， but in the long term the efficacy remains to be improved. 　　【Key words】 Restoration of tooth defect； Light-cured compounded resin； Efficacy 　　First-authors address：The Second Peoples Hospital of Jingjiang，Jingjiang 214500，China 　　doi：10.3969/j.issn.1674-4985.2015.29.038 　　银汞合金充填术治疗牙体缺损己有150多年的历史，由于银汞合金在色泽、污染、固位等诸方面的缺陷，临床应用减少，有些国家已计划减少汞的牙科应用。而八十年代后期一种全新的高分子修复材料――光固化复合树脂的问世应用，使牙体修复技术发生了划时代的变化。光固化复合树脂生物相容好，颜色接近自然，在光照固化前有充分时间修正充填体，操作便利等卓越的理化性能，短期治疗效果要优于银汞合金[1]。由于多种原因，临床上常遇到修复体松动脱落、折裂、变色、继发龋、修复后牙髓炎和根尖周炎等失败病例。本人历经二十多年的临床应用及随访，现报告如下。 　　1 资料与方法 　　1.1 一般资料 前牙Ⅰ、Ⅲ、Ⅳ类洞修复10例20颗牙；前牙、后牙Ⅴ类洞修复10例21颗牙，后牙Ⅰ、Ⅱ类洞修复5例6颗牙，形态和色泽异常牙美容修复5例12颗，冠修复前的牙体充填5例5颗牙；男20例28颗牙，女15例36颗牙，年龄8～79岁