劲润牙本质保护膜用于活髓基牙制备后敏感的临床疗效观察-口腔临床医学专业论文.docxVIP

新疆医科大学硕士学位论文 新疆医科大学硕士学位论文 PAGE PAGE 1 劲润牙本质保护膜用于活髓基牙制备后敏感 的临床疗效观察 研究生：刘乐华 导师：吴佩玲 副教授 摘 要 目的：本课题旨在探讨劲润牙本质保护膜对固定义齿活髓基牙预备后牙本质敏 感症有无减轻作用，评价其对活髓基牙全冠牙体预备后脱敏的实用性，为其临床应 用提供参考依据。方法：采用自身配对设计、双盲、数值分级测评法（NRS）对劲 润牙本质保护膜的临床疗效进行评价。将 46 例患者的 92 颗经烤瓷全冠牙体预备后 的活髓牙随机分为两组，即试验组和对照组，分别使用“劲润”牙本质保护膜和温 蒸馏水涂抹牙预备体表面，然后分别测试患牙脱敏前、脱敏后即刻、脱敏后 14 天、 修复体试戴粘固后 14 天和修复体试戴粘固后三个月的 NRS 值。结果：在脱敏后即 刻、脱敏后 14 天、修复体试戴粘固后 14 天和修复体试戴粘固后三个月试验组的 NRS 值均低于对照组，且存在显著性差异。结论：劲润牙本质保护膜的应用能有效缓解 活髓基牙牙体预备后的敏感症状。 关键词：全冠修复；牙本质敏感；劲润牙本质保护膜；脱敏；数值分级测评法 Clinical Effect of Hybrid Coat on Relieving Dentin Hypersensitivity of theVital Teeth Prepared for Crowns Postgraduate:Liu Lehua Supervisor: Ass Prof. Wu Peiling Abstract Objective: This research aims to investigate the curative effect of Hybrid coat on postoperative dentin hypersensitivity after full crown preparation, evaluate the practicability of Hybrid coat in the field of fixed prosthetics and provide the evidence of its clinical application. Extracted human premolars were selected to expose dentin and observed by means of a scanning electron microscopy to evaluate the sealing properties of Hybrid coat. Methods: A clinical trial used self-paired design, double-blind and numerical rating scales(NRS), to investigate the effect of applied on sensitivity of abutment teeth after crown preparation. 92 teeth after crown preparation in 46 patients were divided into two groups randomly. In testing group: the dentin surface was treated by Hybrid coat, and in control group: the dentin surface was treated by warm sterile water as placebo. The patients were recalled for a NRS test of sensitivity of the prepared teeth before dentin hypersensitivity, after dentin hypersensitivity, after dentin hypersensitivity 14 days, after cement and after cement 3 month of the preparation. Results: The clinical result of the testing group was better than that of the control group. Conclusion: Hybrid coat is effective on relieving the dentin hypersensitivity of the vital teeth prepared for cr