顾静怡,冯华英,李洁.两种不同材料的瓷嵌体用于后牙修复的临床效果比较[J].口腔材料器械杂志,2023,32(3):195-198,204.
两种不同材料的瓷嵌体用于后牙修复的临床效果比较
Clinical evaluation of restoring posterior teeth with porcelain onlays produced using two different materials
投稿时间:2022-09-26  修订日期:2023-01-30
DOI:10.11752/j.kqcl.2023.03.08
中文关键词:  CAD/CAM  高嵌体  IPS e.max全瓷  Lava Ultimate优韧瓷  临床效果
英文关键词:CAD/CAM  Onlay  IPS e.max all-ceramic  Lava Ultimate toughness porcelain  Clinical effects
基金项目:常州市卫生健康委员会面上项目(编号:QN202041)
作者单位E-mail
顾静怡 常州市口腔医院 修复科, 常州 213003  
冯华英 常州市口腔医院 修复科, 常州 213003 tt77585@126.com 
李洁 常州市口腔医院 修复科, 常州 213003  
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中文摘要:
      目的 比较在计算机辅助设计/计算机辅助制作 (CAD/CAM) 下 IPS e.max 全瓷高嵌体及Lava Ultimate 优韧瓷高嵌体用于修复后牙缺损的临床治疗效果。方法 临床完成 IPS e.max 全瓷高嵌体 75个, Lava Ultimate 优韧瓷高嵌体 62 个, 随访观察 6 个月、1 年、2 年、3 年, 参考美国公共健康会(USPHS)标准, 对其临床效果进行观察。结果 IPSe.max 全瓷高嵌体的颜色优于 Lava Ultimate 优韧瓷高嵌体; 而Lava Ultimate 优韧瓷高嵌体的修复体完整性优于 IPS e.max 全瓷高瓷嵌体。结论 两种材料瓷嵌体用于后牙修复的临床效果没有显著差异, 优选哪种材料取决于患者的喜好。关注修复体完整性的患者建议优选Lava Ultimate 优韧瓷, 关注高嵌体的颜色的患者建议优选 IPSe.max 全瓷。
英文摘要:
      Objective To evaluate the clinical performance of IPS e.max all-ceramic onlay and Lava Ultimate toughness porcelain onlays in restoring the posterior teeth with CAD/CAM. Methods Seventy-five posterior teeth were restored with IPS e.max all-ceramic onlays, and sixty-two posterior teeth were restored with Lava Ultimate toughness porcelain onlays. All restorations were evaluated at 6 months, 1 year, 2 years, and 3 years according to modified USPHS parameters. Results The color shade of IPS e.max all-ceramic onlays were superior to those of Lava Ultimate toughness porcelain onlays. However, the integrity of restoration using Lava Ultimate toughness porcelain onlays was better than those of IPS e.max all-ceramic onlays. Conclusions There is no significant difference in the clinical effect of the two materials for posterior tooth restoration, which material is preferred depends on the patient's preference, Lava Ultimate is preferred for patients who are concerned about the integrity; while IPSe.max is preferred for patients who are concerned about the color of the onlay.
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