全瓷修复体修复牙体缺损患者69例临床疗效剖析.docVIP

全瓷修复体修复牙体缺损患者69例临床疗效剖析 　　[摘要] 目的 探讨和研究全瓷修复体在修复牙体缺损的临床治疗效果。 方法 选取该院所收治牙体缺损患者共138例，依照随机原则分成观察组与对照组各为69例，对照组患者给予常规的复合树脂体修复，观察组患者则采用全瓷修复体进行修复，治疗6个月后，记录和观察该两组患者的治疗效果与不良反应的发生率状况。结果 经过治疗6个月后随访，观察组患者的牙体颜色逼真率、正常咀嚼率、牙周正常率和邻接良好率分别为75.4%、92.8%、84.1%和81.2%，均明显优于对照组患者；此外，观察组患者的不良反应发生率为24.6%（17例），明显低于对照组患者（89.9%，62例）该两组不良反应发生率对比，差异有统计学意义（P0.01）。结论 对于牙体缺损的患者，运用全瓷修复体进行修复，能够有效的提升治疗效果，并降低不良反应的发生率，非常值得在临床上推广应用。 　　[关键词] 牙体缺损；全瓷修复体；牙体修复 　　[中图分类号] R783 [文献标识码] A [文章编号] 1674-0742（2014）10（b）-0098-02 　　[Abstract] Objective To explore the clinical efficacy of all-porcelain restoration for 69 cases with tooth defect. Methods 138 cases with tooth defect admitted in our hospital from May 2012 to April 2014 were selected and randomly divided into the observation group and the control group with 69 cases in each. Patients in the control group were treated with the conventional composite resin restoration， and patients in the observation group were treated by all-porcelain restoration. 6 months after treatment， the treatment effect and incidence of adverse reactions of the two groups were observed and recorded. Results 6 months after treatment， the follow-up given to the patients showed that， the tooth color fidelity factor， normal chewing rate， periodontal healthy rate and adjacent good rate of the observation group was 75.4%， 92.8%， 84.1%， 81.2%， respectively， significantly better than that of the control group， respectively； in addition， the incidence of adverse reactions of the observation group was 24.6%（17 cases）， obviously lower than 89.9%（62 cases） of the control group， the difference was statistically significant （P0.01）. Conclusion For patients with tooth defect， all-porcelain restoration can effectively improve the treatment effect and reduce the incidence of adverse reactions， so it is worthy of clinical application and promotion. 　　[Key words] Tooth defect； All-porcelain restoration； Dental restoration 　　通常情况下，缺损的牙齿一般是后牙，由于该部位牙齿磨损最为严重，并且牙冠本身就相对较短，在承受着同样的咬合力时，更加容易受损[1]。在临床上，采用复合树