间接法复合树脂嵌体修复磨牙大面积牙体缺损临床疗效观察.docVIP

间接法复合树脂嵌体修复磨牙大面积牙体缺损临床疗效观察[摘要]目的：观察间接法复合树脂嵌体修复磨牙大面积牙体缺损的临床疗效。方法：针对磨牙大面积牙体缺损分别采用间接法复合树脂嵌体技术和复合树脂直接充填修复，每组100例，两年后随访观察，评价标准采用USPHS评价标准，分别从边缘着色、边缘密合度、解剖形态、基牙继发龋、修复体折裂进行评价。结果：复合树脂嵌体修复2年后成功率明显优于复合树脂直接充填（P＜0.05）。实验组4例缺陷,主要为边缘着色,边缘完整性破坏,1例失败为折裂;对照组10例缺陷,主要为边缘着色,边缘完整性破坏,磨损,邻接不良;6例失败,其中2例继发龋,4例折裂。结论：间接法复合树脂嵌体修复后牙大面积牙体缺损具有一定优越性，临床疗效良好。 [关键词]复合树脂；嵌体；间接法；临床疗效 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2008）06-0875-02 Clinical effects of indirect composite resin inlay restoration on massive destruction in molar YANG Fan,LIN Yuan,FAN Jin (Department of Conservative Dentistry, College of Stomatology,Fourth Military Medical University,Xi’an 710032,Shaanxi,China) Abstract： Objective To evaluate clinical effects of indirect composite resin inlay restoration on massive destruction in molar.MethodsMassive destruction in molar were divided into two groups：100 in indirect composite resin inlays group and 100 in control group(composite resin)．The clinical effects of indirect composite resin inlay and composite resin in posterior teeth were compared in USPHS criterion（marginal discoloration，marginal adaption，secondary caries，anatomic shape integrity and fractures of tooth）2 years later． Results2 years after treatment，the successful rate of indirect composite resin inlays was 94.62%（88/93）.The corresponding figure for composite resin was 82.22%(74/90).The difference was statistically significant difference.(P0.05). ConclusionMassive destruction in molar can be well restored with the indirect composite resin inlay. Clinical effects of indirect composite resininlay are superior to those of composite resin in two years． Key Word：composite resin;inlay;indirect;clinical effects 复合树脂已被广泛用于牙体缺损的美容修复，但对于后牙大面积牙体缺损，复合树脂直接充填后会出现材料断裂，边缘微渗漏，磨损等问题，复合树脂嵌体技术是一种将复合树脂制备成与窝洞相适应的固体团块，在体外经二期固化后粘固于窝洞中的一种牙体修复技术[1]。该技术能提高充填体的物理性能、减轻充填体对牙髓的刺激、减小边缘微渗漏。本研究采用间接法复合树脂嵌体技术修复磨牙大面积牙体缺损，观察其2年临床疗效，并与复合树脂直接充填疗效相比较，进一步评价间接法复合树脂嵌体技术修复磨牙大面积牙体缺损的可行性。 1对象和方法 1.1 研究对象：收集我院牙体牙髓病科2006年1月～2006年4月门诊患者177例（200例磨牙