下颌切牙IPS Empress 2瓷贴面与全冠修复临床比较分析.docVIP

下颌切牙IPS Empress 2瓷贴面与全冠修复临床比较分析 　　[摘要]目的：比较下颌切牙瓷贴面与全冠冠修复效果，为临床选择应用提供参考。方法：选择我院口腔中心患者258例，随机分为两组，采用IPS Empress2瓷贴面下颌切牙195颗和IPS Empress 2全瓷冠修复下颌切牙148颗，于治疗后2周、1年、3年复查，对患者4项指标即修复体完整度、边缘适合度、颜色匹配及牙龈反应进行对比观察。结果：瓷贴面和全瓷冠修复都是较好的美容修复技术，两组间4项指标不具有统计学差异。结论：下颌切牙的美容修复，制备要求高，在合适的适应症中，仍归同于前牙美容修复方案的选择，即瓷贴面的优先选择。 　　[关键词]下颌切牙；瓷贴面；全瓷冠 　　[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2011）02-0297-03 　　 　　Clinical comparative analysis between ceramic veneer and all-ceramic crown restored for mandibular incisors 　　LIU Zhi,SUN Xiao-mei 　　(Departmoent of Stomatology,Plastice Surgery Hospital,China Academy of Medical Science,BeiJing 100144,China) 　　 　　Abstract:Objective To compare the clinical performance between ceramic veneer and all-ceramic crown restored for mandibular incisors. Provide references for clinical use.Methods258 patients were randomly divided into two groups.195 mandibular incisors were restored with IPS Empress 2 ceramic veneers. 148 mandibular incisors were restored with IPS Empress 2 all-ceramic crowns. Restorations were evaluated after luting in two weeks and 12,36 months.The integrity of restoration,marginal adaptation,color match and gingival condition were assessed.Resultsthere is no statistical difference of the four criteria between the two groups (P＞0.05).Both ceramic veneers and all-ceramic crowns are good choice for cosmetic restorations.Conclusionbecause of the strict requirement for tooth preparation in the cosmetic restoration of mandibular incisors, ceramic veneers are still recommended whenever indicated,which is similar to the cosmetic restorations for other anterior teeth. 　　Key words:mandibular incisor;ceramic veneer;all ceramic crown 　　 　　瓷贴面和全瓷修复做为前牙的美容修复技术，都具有美观，耐磨，以及组织性好等优点，备受口腔科医师和患者的青睐。前牙中下颌切牙的牙冠短小，预备条件差，对于临床修复提出较高要求。本研究对我中心2004～2009年126例瓷贴面患者共计195颗下切牙和132例全瓷修复患者共计148颗下切牙进行临床随访统计，对比观察临床修复效果并对其中的应用问题加以总结。 　　 　　1材料和方法 　　1.1病例选择：126例瓷贴面患者中男性52例计60颗下切牙，女性74例135颗切牙，平均年龄34岁。132例全瓷修复患者中男性55例57颗下切牙，女性77例91颗切牙，平均年龄32岁。患者覆牙合、 覆盖基本正常，修复原因：四环素牙、氟斑牙及死髓牙等所致变