3种方法修复深度楔状缺损临床观察.docVIP

3种方法修复深度楔状缺损临床观察 　　[摘要]目的探讨疗效较理想的修复深度楔状缺损的材料和方法。方法189名患者的486颗患牙随机分为3组，分别用玻璃离子黏固剂修复法、光固化复合树脂修复法和夹层技术修复深度楔状缺损。修复后1~2年复查，观察其临床疗效。结果修复1年和2年后玻璃离子黏固剂修复法、光固化复合树脂修复法和夹层技术修复的成功率分别为89.66%、84.72%、93.46%和69.17%、82.22%、90.28%。夹层技术组成功率明显高于其他2组。结论夹层技术用于修复深度楔状缺损的临床疗效较好。 　　[关键词]楔状缺损；玻璃离子；光固化复合树脂；夹层技术 　　[中图分类号]R 781.2[文献标志码]A[doi]10.3969/j.issn.1673-5749.2012.02.004 　　Clinical observation of deep dental wedge-shaped defects with three different methodsChen Ping.（Dept. of Stomatology, Mianyang Central Hospital, Mianyang 621000, China） 　　[Abstract]ObjectiveTo explore better materials and methods for restoring deep dental wedge-shaped defects. Methods486 teeth in 189 cases with wedge-shaped defects were randomly divided into three groups which were restored with glass inomer cement restoration, light-cured composite resin restoration and the sandwich technique respectively. Evaluation was made after restoration for 1 to 2 years respectively. ResultsThe successful rates of glass inomer cement restoration, light-cured composite resin restoration and the sandwich technique after 1 to 2 years were 89.66%, 84.72%, 93.46% and 69.17%, 82.22%, 90.28% respectively. The successful rate of the sandwich technique group was higher than that of the other two groups. ConclusionThe clinical curative effect of the sandwich technique for restoring deep dental wedge-shaped defects was better. 　　[Key words]dental wedge-shaped defect；glass-inomer；light-cured composite resin；sandwich technique 　　楔状缺损是口腔门诊常见的疾病之一，它是牙齿唇颊面颈部硬组织由于慢性磨耗所致的形如楔子的缺损，一般中老年患者多见，常波及多颗牙齿。临床上，其修复的方法多种多样，可用复合树脂、玻璃离子黏固剂或银汞合金等进行修复。本研究选用玻璃离子黏固剂修复法、光固化复合树脂修复法和夹层技术3种方法，从2005年至2007年，修复楔状缺损189名患者共486颗患牙。通过2年的复诊和随访，对其疗效进行比较分析。 　　1材料和方法 　　1.1临床资料 　　选择绵阳市中心医院口腔科牙体楔状缺损的患者189名，共486颗患牙为研究对象。其中，男92名，女97名；年龄30～65岁，平均45岁。牙颈部楔状缺损按Smith等[1]的牙齿磨耗指数（tooth wear index，TWI）分为5度。0度：牙颈部外形无改变、无磨损；Ⅰ度：牙颈部外形轻微改变、少量磨损；Ⅱ度：牙颈部缺损深度小于1 mm；Ⅲ度：牙颈部缺损深度为1～2 mm；Ⅳ度：牙颈部缺损深度大于2 mm。本研究选择患牙为Ⅲ度和Ⅳ度，即牙颈部缺损深度为1 mm以上，缺损达牙本质层，其他部位均无龋坏、无充填体、无冷热刺激痛、牙髓活力正常、无牙周组织病变。486颗患牙随机分为3组，分别用