| 陈艳莉,钟秋,方文静,赵小琦,张元林.三种不同类型嵌体修复后牙II类洞的疗效对比[J].口腔材料器械杂志,2022,31(4):296-300. |
| 三种不同类型嵌体修复后牙II类洞的疗效对比 |
| Comparison of the curative effect of three different types of inlays on restoring Class II cavities in posterior teeth |
| 投稿时间：2021-08-12 修订日期：2021-11-19 |
| DOI：10.11752/j.kqcl.2022.04.15 |
| 中文关键词: 复合树脂嵌体 CAD/CAM全瓷嵌体 Ceramage聚合瓷嵌体 后牙II类洞 |
| 英文关键词:Composite resin inlay CAD/CAM all-ceramic inlay Ceramage polymer inlay Posterior teeth Class II cavity |
| 基金项目:宜宾市卫健委2021年医学科研项目（编号：2021YW0031） |
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| 中文摘要: |
| 目的 研究3种不同类型嵌体修复后牙II类洞的疗效。方法 选取130例(患牙150颗）后牙II类洞患者，按随机数法随机分为3组：A组50颗患牙给予复合树脂嵌体修复；B组51颗患牙给予CAD/CAM全瓷嵌体修复；C组49颗患牙给予Ceramage聚合瓷嵌体修复，评估牙体修复后的预后情况。结果 C组患者修复效果明显优于A组和B组。C组患者的GI、PI和SBI评分显著低于A组和B组。修复一年后，各组GI和PI评分与刚修复后相比均增加，且C组评分显著低于B组和C组(P<0.05）；C组牙体磨损和边缘着色发生率显著低于A组和B组(P<0.05）。结论 Ceramage聚合瓷嵌体修复效果明显优于复合树脂嵌体修复和CAD/CAM全瓷嵌体修复效果，可以有效保护牙周健康，且预后良好。 |
| 英文摘要: |
| Objective The aim of this study was to compare the efficacy of three different types of inlays for repairing Class II cavities in posterior teeth. Methods A total of 130 patients (150 teeth) who were admitted to our hospital from March 2018 to October 2019 were selected as patients with Class II cavities. According to the random number method, they were randomly divided into three groups: group A (50 cases), group B (51 cases), and group C (49 cases). Patients in group A were given restorations with composite resin inlays, group B were given restorations with CAD/CAM all-ceramic inlays, and group C were given restorations with Ceramage polymer inlays. The repairing effect and the prognosis after dental prosthesis of each group were evaluated. Results The repairing effect of patients in group C was significantly better than that in groups A and B. Gingival index (GI), plaque index (PI) and sulcus bleeding index (SBI) scores of patients in group C were significantly lower than those in groups A and B. One year after repair, the GI and PI scores of each group increased compared with those immediately after repair, and the scores of group C were significantly lower than those of group B and group C (P<0.05). The incidence of tooth wear and edge coloring in group C was significantly lower than that in group A and group B (P<0.05). Conclusion Ceramage polymer ceramic inlay restoration was significantly better than composite resin inlay restoration and CAD/CAM all-ceramic inlay restoration. It can effectively protect periodontal health and has a good prognosis. |
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