[1]陈宏吉. 不同修复材料用于前牙美容修复的远期对照研究[J].中国医学物理学杂志,2018,35(7):865-868.[doi:DOI:10.3969/j.issn.1005-202X.2018.07.024]
　CHEN Hongji. Long-term follow-up outcomes of different repair materials for esthetic restoration of anterior teeth [J].Chinese Journal of Medical Physics,2018,35(7):865-868.[doi:DOI:10.3969/j.issn.1005-202X.2018.07.024]
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 不同修复材料用于前牙美容修复的远期对照研究()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第7期
页码:
865-868
栏目:
医疗新技术
出版日期:
2018-07-20

文章信息/Info

Title:
 

Long-term follow-up outcomes of different repair materials for esthetic restoration of anterior teeth

 

文章编号:
1005-202X（2018）07-0866-04
作者:
 陈宏吉
 佛山市禅城区人民医院口腔科， 广东 佛山 528000
Author(s):
 

CHEN Hongji

 Department of Stomatology, the People’s Hospital of Chancheng District, Foshan 528000, China
关键词:
 ; 前牙美容修复; 纳米复合树脂; 敏感发生率; 视觉模拟评分; 边缘密合; 色泽
Keywords:
 ; Keywords: esthetic restoration of anterior teeth;  nanocomposite resin;  incidence of hypersensitiveness;  visual analogue scale;  marginal adaptation;  color
分类号:
R783.1
DOI:
DOI:10.3969/j.issn.1005-202X.2018.07.024
文献标志码:
A
摘要:
 【摘 要】 目的：观察不同修复材料用于前牙美容修复的效果及远期随访结果。 方法：选择80例行前牙美容修复患者进行前瞻性研究，按随机数表法分为A组（40例，58颗患牙）与B组（40例，62颗患牙）。A组采取3M-Z350纳米复合树脂进行修复，B组采用3M-Z100复合树脂进行修复。比较两组术后1 d、术后1周、术后1个月及术后3个月的敏感发生率、疼痛［采用视觉模拟评分法（VAS）评估］及随访3年的边缘密合度、颜色匹配度、修复体完整度。 结果：A组术后1 d、术后1周、术后1个月的患牙敏感发生率分别为8.62%、5.17%、3.45%，显著低于B组的22.58%、17.74%、14.52%（P<0.05）。两组术后3个月的患牙敏感发生率分别为6.91%与16.13%，差异无统计学意义（P>0.05）。A组术后1 d、术后1周、术后1个月的VAS评分分别为2.51±0.54、2.03±0.47、1.58±0.38，均显著低于B组的2.72±0.59、2.35±0.50、1.81±0.42（P<0.05）。两组术后3个月的疼痛VAS评分未见统计学意义（P>0.05）。两组随访3年的修复体完整度差异无统计学意义（P>0.05）。A组随访3年的边缘密合度与颜色匹配度显著优于B组（P<0.05）。 结论：3M-Z350纳米复合树脂用于前牙美容修复的术后敏感发生率低于3M-Z100复合树脂，疼痛更轻，且远期随访的良好边缘密合度与颜色匹配度均更佳，值得推广。
Abstract:
 Abstract: Objective To observe the effect of different repair materials for esthetic restoration of anterior teeth and its long-term follow-up outcomes. Methods A total of 80 patients undergoing esthetic restoration of anterior teeth were selected for prospective study. The selected patients were divided into group A (40 cases, 58 teeth) and group B (40 cases, 62 teeth) by random number table. In group A, 3M-Z350 nanocomposite resin was applied for esthetic restoration, while in group B, 3M-Z100 composite resin was adopted. At 1 day, 1 week, 1 month, 3 months after operation, the incidences of dental hypersensitiveness and pain which was assessed by visual analogue scale (VAS) were compared between two groups. Moreover, after 3-year follow-up, the degrees of marginal adaptation, color matching and integrity were compared. Results The incidence of dental hypersensitiveness in group A at 1 day, 1 week and 1 month after operation were 8.62%, 5.17% and 3.45%, respectively, significantly lower than 22.58%, 17.74% and 14.52% in group B (P<0.05). The incidence of dental hypersensitiveness in group A and group B at 3 months after operation was 6.91% and 16.13%, with no significant differences (P>0.05). The VAS scores in group A at 1 day, 1 week and 1 month after operation were 2.51±0.54, 2.03±0.47 and 1.58±0.38, respectively, significantly lower than 2.72±0.59, 2.35±0.50 and 1.81±0.42 in group B (P<0.05). The VAS scores in the two groups after 3 months of operation had no statistical significance (P>0.05). After 3-year follow-up, two groups didn’t show any significant differences in integrity degree (P>0.05), however, group A was superior to group B in the degrees of marginal adaptation and color matching (P<0.05). Conclusion 3M-Z350 nanocomposite resin for esthetic restoration of anterior teeth achieves a lower incidence of postoperative dental hypersensitiveness as compared with 3M-Z100 composite resin, and is worthy of promotion for it has advantages of less pain and better long-term follow-up outcomes of good marginal adaptation and color matching.

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备注/Memo

备注/Memo:
 【收稿日期】2018-03-02
【基金项目】佛山市医学类科技攻关项目（2016AB001511）
【作者简介】陈宏吉，主治医师，研究方向：口腔医学，E-mail: 2371011057@qq.com
更新日期/Last Update: 2018-07-24