PalodentV3修复磨牙临面缺损临床疗效观察.docVIP

PalodentV3修复磨牙临面缺损临床疗效观察 　　【摘要】 目的 观察Palodent V3修复磨牙临面缺损的临床疗效。方法 160颗临面缺损磨牙， 随机分成实验组和对照组， 各80颗。实验组Palodent V3成形系统复合树脂充填， 对照组采用传统半环周型复合树脂充填。于修复后6个月和1年复诊。对比两组效果。结果 实验组修复后6个月的成功率为97.4%、修复后1年的成功率为94.3%， 均高于对照组的33.3%、27.9%， 差异均有统计学意义（P0.05）。结论 Palodent V3成型系统复合树脂修复磨牙临面缺损临床疗效良好， 显著优于传统半环周型成型系统。 　　【关键词】 Palodent V3；磨牙临面缺损；复合树脂 　　DOI：10.14163/j.cnki.11-5547/r.2017.02.026 　　Observation on clinical effect of Palodent V3 in repair of molar teeth surface defect ZHAO Wei-peng. Department of Stomatology， Beijing City Daxing District Likang Hospital， Beijing 102614， China 　　【Abstract】 Objective To observe clinical effect of Palodent V3 in repair of molar teeth surface defect. Methods A total of 160 surface defect molar teeth were randomly divided into experimental group and control group， with 80 teeth in each group. The experimental group received Palodent V3 figuration system compound resins filling， and the control group received traditional semicircular compound resins filling. They all had subsequent visit in 6 months and 1 year repair. Curative effect was compared in two groups. Results The experimental group had success rate in 6 months repair as 97.4%， and 94.3% in 1 year repair， which were all higher than 33.3% and 27.9% in the control group. Their differences had statistical significance （P0.05）. Conclusion Palodent V3 figuration system compound resins shows perfect clinical effect in repair of molar teeth surface defect， which is obviously better than traditional semicircular figuration system. 　　【Key words】 Palodent V3； Molar teeth surface defect； Compound resins 　　目前复合树脂主要通过材料与牙体组织之间的粘结力固位， 不需要过多的磨除牙体组织， 同时与天然牙相近的色泽、耐磨性能和强度， 在临床上得到广泛的应用。但是， 复合树脂在固化时主要发生聚合反应， 常会存在聚合收缩和聚合不全现象， 复合树脂聚合收缩率在2.6%～7.1%， 聚合收缩也可以使修复后的磨牙之间会出现间隙， 进而出现食物嵌塞、牙周炎症等的症状[1]。为了解决这一问题， 美国登士柏公司生产的Palodent成形系统是分段式成形系统的典型代表。该系统由AlvinMeyer博士在1956年发明， 目前已被美国多数牙科大学使用[2]。本项研究采用Palodent V3和传统半环周型成形系统的复合树脂修复磨牙临面， 并评价近远期效果， 进一步证实Palodent V3成形系统优越性。 　　1 资料与方法 　　1. 1 一般资料 选择2015年6～9月就诊的148例患者的160颗临面缺损的磨牙。纳入