整体铸造E.max瓷全冠用于根管治疗后磨牙的修复讲义.docVIP

整体铸造E.max瓷全冠用于根管治疗后磨牙的修复 郑照杰1，吕文芳2，李 娜1，张 鹏3，宋 玲2，卢恕来2，曹 阳2，于江波2，郭大伟2 (1潍坊医学院口腔医学院，山东省潍坊市 261000；2青岛市市立医院口腔科，山东省青岛市 266071；3烟台市口腔医院，山东省烟台市 264001) 引用本文：郑照杰，吕文芳，李娜，张鹏，宋玲，卢恕来，曹阳，于江波，郭大伟. 整体铸造E.max瓷全冠用于根管治疗后磨牙的修复[J].中国组织工程研究，2016，20(21):3124-3130. DOI: 10.3969/j.issn.2095-4344.2016.21.012 ORCID: 0000-0002-0803-6265(郭大伟) 文章快速阅读： 文题释义： IPS e.max Press 压铸瓷块：是最新一代的热压铸全瓷系统，拥有二硅酸锂和磷酸锂晶相，这种晶相会在增强其机械强度的同时不降低其透明度，具有极佳的生物相容性和抗腐蚀性，其成分目前尚未发现有明显的细胞毒性，对牙周组织及人体健康无明显不良影响，目前该材料在临床上使用较广泛，可以制作成高强度的基底冠，也可以用来制作加饰瓷和不加饰瓷(整体铸造)的全瓷修复体。 IPS e.max Press修复体：E.max crowns by monolithic technique applied to endodontically treated molars Zheng Zhao-jie1, Lv Wen-fang2, Li Na1, Zhang Peng3, Song Ling2, Lu Shu-lai2, Cao Yang2, Yu Jiang-bo2, Guo Da-wei2 (1School of Stomatology of Weifang Medical University, Weifang 2261000, Shandong Province, China; 2Department of Stomatology, Qingdao Municipal Hospital, Qingdao 266071, Shandong Province, China; 3Yantai Stomatology Hospital, Yantai 264001, Shandong Province, China) Abstract BACKGROUND: IPS e.max Press has an excellent biocompatibility and corrosion resistance, which obtains satisfactory clinical outcomes on dental veneers, inlay and onlay restorations. But little is reported on molar monolithic restoration by IPS e.max Press crown. OBJECTIVE: To evaluate the clinical effects of IPS e.max Press crown on molar repair after root canal therapy. METHODS: Totally 215 patients with 324 affected molars, including 88 males and 127 females, aged 22-58 years old, were enrolled for repairing with IPS e.max Press crown. Then the color, shape, fracture and edge coloring of the restoration, marginal discrepancy, secondary caries and gingival health status were assessed after a 3-year follow-up. RESULTS AND CONCLUSION: During the follow-up, 324 dental restorations met the class A standards for color, marginal discrepancy, shape as well as secondary caries. In addition, 3 restorations were fractured, 14 restorations had margin