两种黏结剂修复楔形缺损临床观察.doc

两种黏结剂修复楔形缺损临床观察[摘要] 目的 探讨全酸蚀黏结剂与自酸蚀黏结剂修复楔形缺损的临床效果。方法 选取2009年5月～2011年3月我院收治的楔形缺损患者60例（患牙182颗），采用自身对照方法，随机分为全酸蚀组（左侧90颗）和自酸蚀组（右侧92颗）。比较两组修复成功率和敏感性。结果 修复1个月、6个月和12个月时，两组修复成功率比较，差异均无统计学意义（P＞0.05）；全酸蚀组修复1个月时敏感发生率明显高于自酸蚀组（P＜0.01），修复6个月和12个月时差异无统计学意义（P＞0.05）。结论 自酸蚀黏结剂能提供可靠的黏结效果，修复成功率高，且术后敏感更低，操作更加简便，值得临床推广应用。 [关键词] 全酸蚀黏结剂；自酸蚀黏结剂；楔形缺损 [中图分类号] R787 [文献标识码] B[文章编号] 1673-9701（2011）21-39-02 Clinical Observation of Two Adhesive in Restoring of Wedge-shaped Defects WANG Chunjing1YIN Xiaoyan2 1.The First Integrated Department of Hangzhou Dental Hospital，Hangzhou 310006，China；2.Department of VIP，Hangzhou Dental Hospital，Hangzhou 310006，China [Abstract] Objective To investigate the clinical effeacy of total-etching and self-etching adhesive in restoring of wedge-shaped defects. Methods Sixty patients（182 teeth）with wedge-shaped defect were selected from May 2009 to March 2011 in our hospital，using self-control，randomly divided 60 patients into total-etching group（90 teeth on left）and self-etching group （92 teeth on right）. Success rate of restoration and sensitivity of two groups were compared. Results After 1 month，6 months and 12 months restoring，the success rate of restoration the two groups compared，the difference was not statistically significant （P＞0.05）；After 1 month restoring，the sensitivity incidence rate in total-etching group was were significantly higher than that of Self-etching group（P＜0.01），there were no significant differences in restoring after 6 months and 12 months（all P＞0.05）. Conclusion The self-etching adhesive can provide reliable results，has a higher success rate of repairation and less sensitivity after the operation，and more convenient，worthy of clinical application. [Key words] Self-etching adhesive；Total-etching adhesive；Wedge-shaped defects 楔形缺损是一种非龋性牙体硬组织疾病，是牙颈部硬组织缓慢磨耗所致的缺损，在老年人群中发病率高达90%以上[1]，常引起牙齿感觉过敏，严重者发生牙髓炎和根尖周炎，甚至牙体折断[2]，严重影响患者的生活质量。光固化复合树脂充填具有美观、保存牙体组织多、机械性能好等优点，是目前修复楔形缺损的主流方法[3]。成功的复合树脂充填除了依靠树脂材料的质量外，还要有较好的黏结系统。目前临床多应用全酸蚀黏