Zeizz医用放大镜在口腔修复临床中应用体会.docVIP

Zeizz医用放大镜在口腔修复临床中应用体会 　　[摘要] 目的 探讨使用医用放大镜进行口腔修复的应用体会。方法 对我院收治的28例进行口腔正畸的患者随机分为两组，观察组治疗时佩戴医用放大镜预备修复体，对照组治疗时常规预备修复体。在显微镜和扫描镜下对唇侧龈边缘进行差异值的测定，并将结果进行统计学分析。结果 观察组唇侧的垂直边缘差异值明显小于对照组，其绝对边缘差值也小于对照组，差异有统计学意义（P＜0.05）。结论 使用医用放大镜在进行口腔修复时可取得较好的效果，有助于辅助临床牙体的预备，值得在临床推广使用。 　　[关键词] 医用放大镜；口腔修复；牙体预备 　　[中图分类号] R783 [文献标识码] B [文章编号] 1673-9701（2011）23-76-02 　　 　　Clinical Application of Zeizz Medical Magnifying Glass in Prosthodontics 　　SHAN Yaping 　　Department of Stomatology，Zhejiang Province Ningbo City Women and Children Hospital，Ningbo 315012，China 　　 　　[Abstract] Objective To summarize the application experience of medical magnifying glass in the clinic of prosthodontics. Methods All 28 orthodontic patients in our hospital were randomly divided into two groups，the observation group received therapy wearing magnifying glass to prepare the restoration，the control group was given conventional preparation in the treatment of prosthesis. Microscope and scanning microscope were used for determination of the difference in value in the labial gingival edge，and the results were statistically analyzed. Results The difference between the vertical edges of the observation group was significantly lower than that of the control group，the absolute edge difference was less than that of the control group， the difference was statistically significant（P＜0.05）. Conclusion The medical magnifying glass repair could achieve better results， help assisting the clinical tooth preparation， and it is worthy of promotion in clinical use. 　　[Key words] Medical magnifying glass；Prosthodontics；Tooth preparation 　　 　　随着医疗卫生水平的逐渐提高，医用放大镜在临床的使用也日趋广泛，其主要特点是在使用过程中方法较为简单，尤其可用于对牙体的预备及牙体表面的解剖观察[1]。近几年，固体修复体的比重逐渐增长，其制作的精密度也与患者的健康密切相关，如果固体修复体不能与患者的边缘基牙吻合[2]，则可能会造成基牙周围组织的牙龈萎缩，甚至出现牙周炎等情况。为此，我院在口腔修复中使用医用放大镜，更好地为患者进行了牙体预备，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取我院口腔科门诊收治的28例进行口腔修复的患者进行本次试验，其中男10例，女18例，年龄15~20岁，平均（17.78±1.11）岁。患者需要进行口腔修复的牙齿为左侧上颌第一磨牙20颗，右侧上颌第一磨牙16颗，共计36颗。仪器选择Zeizz医用放大镜，S-510扫描镜（日本）。 　　1.2 方法 　　将28例患者随机分为两