釉质预酸蚀对自酸蚀粘结剂XenoIII临床疗效影响.docVIP

釉质预酸蚀对自酸蚀粘结剂XenoIII临床疗效影响 　　[摘要]目的：研究釉质预酸蚀对一步法自酸蚀粘结剂XenoIII应用于楔状缺损充填治疗疗效的影响。方法：采用半口对照设计对我科32例患者（124颗前磨牙）唇颊侧楔状缺损进行粘结修复治疗，试验组在使用XenoIII前用35%磷酸酸蚀缺损边缘釉质30s，对照组直接常规粘结树脂充填治疗。修复后1周（基线）、3个月、6个月、1年时按照改良美国公共卫生署（USPHS）标准对两组修复体的固位、釉质边缘着色、边缘适合度、术后敏感、继发龋进行临床评价。结果：在各时间点两组修复体脱落率比较，差异无统计学意义（P0.05），1年时，试验组的边缘着色及边缘适合度的A级率均优于对照组，且差异均具有统计学意义（P0.05）。结论：预酸蚀釉质能改善XenoIII粘结修复楔状缺损时的边缘封闭，从而改善临床疗效。 　　[关键词]釉质预酸蚀；一步法自酸蚀粘结剂；楔状缺损 　　[中图分类号]R783 [文献标志码]A [文章编号]1008-6455（2015）19-0060-04 　　Effect of beforehand selective enamel etching on the clinical performance of a self-etch adhesive XenoIII 　　ZHANG Zhi-wen，QIU Jian-ping 　　（Department of Stomatology，Northern Jangsu Peoples Hospital，Yangzhou 225000，Jiangsu，China） 　　Abstract： Objective To evaluate the clinical performance of a one-step，self-etch adhesive XenoIII combined with a composite Z350 to restore wedge-shaped defect with or without beforehand selective etching of enamel. Methods Totally 32 clients 124 teeth with wedge-shaped defect from our department were selected and randomly divided into 2 groups according to half-mouth control design.In the control group，the adhesive（XenoIII）was applied without beforehand enamel phosphoric-acid-etching，whereas the latter was applied first in the experimental group.The restorative composites used for all restorations were Z350.The clinical performance was assessed at one week（baseline），3，6months，1 year in terms of retention，marginal staining and adapability at the enamel， post-operative sensitivity and secondary caries. Results The retention rates showed no significant differences between the two groups at all the recall times（P0.05）.At the one-year recall， marginal staining and adapability at the enamel showed significant differences between groups（P0.05）：the percentages of restorations that have no marginal staining（got A critieria）and have perfect marginal adapability（got A critieria）are higher in experimental group.Only in control group，there were significant differences between the one-year recal