几种不同瓷贴面美容修复的临床应用研究.docVIP

几种不同瓷贴面美容修复的临床应用研究 　　[摘要]目的：不同类型瓷贴面及烤瓷全冠美容修复临床性能的评价与比较。方法：选择32例患者，制作110个瓷贴面，67颗烤瓷全冠，随访2年。复诊时观察修复体颜色满意度、边缘适合性、继发龋及修复体完整性等4项指标，并进行比较分析。结果：修复体完成后，烤瓷贴面成功率93.9%，铸瓷贴面成功率95.0%；瓷贴面的颜色满意度及边缘适合性均明显优于烤瓷全冠。结论：瓷贴面可以较好的解决前牙美观问题，患者满意度好；其中烤瓷贴面不需特殊材料与设备，更易在基层医院开展，成功率高。 　　[关键词]瓷贴面；烤瓷全冠；美容修复；临床应用 　　[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2014）09-0750-03 　　 　　Clinical applied research of different kinds of porcelain veneers in cosmetic restoration 　　YAO Gui-liang,MAO Ying-ying 　　(Department of Prosthodontics,Baoji Stomatology Hospital,Baoji 721001,Shaanxi,China) 　　 　　Abstract:ObjectiveTo evaluate and compared the clinical property of different kinds of porcelain veneers and PFMs(Porcelain Fused to Metal) in cosmetic restoration.MethodsA total of 32 patients were chose, and were restored by 110 porcelain veneers and 67 PFMs, all patients followed up for 2 years. All patients were observed by the degree of satisfaction for color, the marginal adaptation, the secondary caries and the integrity of prosthetic replacement. Then compared and analyzed the prosthetic effect.ResultsThis study found that the achievement radio of ceramic veneers was 93.9%, the achievement radio of Empress II porcelain veneers was 95.0%. The degree of satisfaction for color and the marginal adaptation of porcelain veneers were obviously better than PFMs. ConclusionPorcelain veneers can better solve the cosmetic problem, and the patients degree of satisfaction is good. Ceramic veneers dont need special materials and equipments. Its easy to evolve in basic level hospital, and the achievement radio will be high. 　　Key words:porcelain veneer; PFM;cosmetic restoration;clinical application 　　瓷贴面是应用粘结材料将薄层人工瓷修复体固定于患牙唇面，以遮盖影响美观的缺损、变色等缺陷的一种修复方法。瓷贴面作为全瓷修复的一种形式，其具有良好的生物组织相容性、美学性和牙体预备量少等优点，作为一种保存性修复治疗手段，近年已逐渐被广泛应用于临床[1]。尤其适于对年轻恒牙、髓腔较大的前牙进行牙齿美容修复。 　　本研究通过对烤瓷贴面、铸瓷贴面、二氧化锆瓷贴面及钴铬合金烤瓷全冠美容修复前牙进行比较，并初步得出修复后的整体效果的临床评价。 　　1材料和方法 　　1.1一般资料：选择于我院修复科就诊的前牙牙体缺损的患者进行美容修复。患者全身健康；无精神疾病及颞下颌关节病史；口腔卫生情况良好，牙列较完整，咬合关系基本正常；基牙无牙髓病变。本研究共