三种材料修复牙体楔状缺损的疗效分析.docVIP

精品论文 参考文献 三种材料修复牙体楔状缺损的疗效分析 张旻 （上海市长宁区同仁医院lt;原长宁区中心医院gt; 200050） 　　【摘要】目的 比较Tetric N-Flow流体树脂、可乐丽菲露AP-X和DensplyTPH树脂充填楔状缺损的临床疗效；评价楔状缺损应用三种材料保存修复的临床效果。方法　对168名患者共411颗患牙随机分3组，分别使用Tetric N-Flow流体树脂、可乐丽菲露AP-X和DensplyTPH树脂充填修复。观察1年的临床修复效果，并对结果进行分析。结果　采用Tetric N-Flow流体树脂修复的123颗患牙，1年后复诊成功率97.56%，可乐丽菲露AP-X修复的145颗患牙，1年后复诊成功率91.72%，TPH树脂充填修复的143颗患牙，1年后复诊成功率90.91%。Tetric N-Flow流体树脂修复成功率明显高于其它2组。结论　适当的充填材料是楔状缺损修复成功的重要因素。 　　【关键词】楔状缺损 流体树脂 可乐丽菲露 TPH树脂 　　【中图分类号】R781.05 【文献标识码】A 【文章编号】1672-5085（2013）34-0103-02 　　【Abstract】Objective：To compare the clinical effects with three different materials in restoration of wedge-shaped defects of teeth. Methods：411 teeth with wedge-shaped defects of the 168 patients were randomly divided into three groups, which were restored with Tetric N-Flow resin, Clearfil AP-XTM and TPH resin respectively. All patients were followed-up for 1 year to analyze the clinical effects results. Results：The successful ratio of Tetric N-Flow resin group was 97.56%, Clearfil AP-XTM group was 91.72%, and that of TPH resin group was 90.91%. There were significant difference of Tetric N-Flow resin compared with the other two groups. Conclusion：Appropriate filling material is important for successful treatment of wedge-shaped defects of teeth. 　　【Key words】wedge-shaped defects Tetric N-Flow resin Clearfil AP-XTM TPH resin 　　楔状缺损是一种常见的牙体疾病,是牙齿唇颊侧硬组织发生缓慢消耗所致的牙体缺损[1]。临床上用于楔缺修复的材料很多，本文以Tetric N-Flow流体树脂、可乐丽菲露AP-X和DensplyTPH树脂分别修复楔状缺损并对其疗效进行评估,现报道如下。 　　1 材料和方法 　　1.1材料 　　选用Tetric N-Flow纳米流体树脂(义获嘉伟瓦登特公司)、可乐丽菲露AP-X(日本可乐丽医疗器株式会社生产)、TPH树脂（登士柏（天津）国际贸易有限公司） 　　1.2研究对象 　　选取我科门诊病例168例, 男86例，女82例，年龄23-75岁,共411颗患牙。按就诊先后顺序,随机分为3组,第一组用Tetric N-Flow流体树脂充填,共123颗牙，第二组用可乐丽AP-X充填,共145颗牙，第三组用TPH树脂充填。共143颗牙。患者多对冷、热、酸、甜或探诊敏感但无穿髓及不可逆性牙髓炎症状。 　　1.3方法 　　1.3.1 Tetric N-Flow流体树脂组 去除患牙颈部牙石、菌斑及色素,稍备洞形，净水冲净，吸唾、隔湿、轻吹，小毛刷蘸取自蚀性粘结剂涂布于窝沟内及边缘10s，轻吹2s，光照10s，将Tetric N-Flow流体树脂均匀注入制备好的窝沟内，光照40s, 修整、打磨、抛光。 　　1.3.2 可乐丽AP-X组　去除患牙颈部牙石、菌斑及色素,稍备洞形，净水冲净，吸唾