全瓷高嵌体修复根管治疗后牙体缺损的临床效果研究(1)
[摘要] 目的 探讨全瓷高嵌体修复根管治疗后牙体缺损的临床效果。方法 方便选择2016年5月—2017年5月期间该院进行根管治疗后牙体缺损的患者60例作为研究对象，以随机分组方式分为对照组和研究组，每组30例患者，對照组进行全冠修复，研究组进行全瓷高嵌体根管治疗后修复，对比临床效果、修复满意度。 结果 两组患者牙体修复颜色、外形满意度调查结果对比，研究组满意率为100.00%，对照组满意率为93.33%，研究组优于对照组(χ2=6.275，P<0.05);修复体舒适满意度调查结果对比，研究组满意率为100.00%，对照组满意率为96.67%，研究组优于对照组(χ2=7.171，P<0.05)。两组患者修复即刻临床效果对比，A级效果、B级效果修复例数一致，均无C级效果(χ2=0.751，P>0.05);修复后1年临床效果评价，A级、B级效果，研究组优于对照组(χ2=6.763，P<0.05);C级效果两组差异无统计学意义(χ2=1.006，P>0.05)。结论 全瓷高嵌体修复根管治疗后牙体缺损的临床效果满意，具备临床应用和推广的价值。
[关键词] 全瓷高嵌体;根管治疗;修复;牙体缺损;临床效果
[中图分类号] R781 [文献标识码] A [文章编号] 1674-0742(2019)06(a)-0065-03
[Abstract] Objective To investigate the clinical effect of all-ceramic inlay in repairing tooth defects after root canal therapy. Methods From May 2016 to May 2017， 60 patients with dental defect after root canal therapy in our hospital were convenient selected and randomly divided into control group and research group， 30 patients in each group. The control group was treated with full crown restoration， while the research group was treated with all-ceramic high inlay root canal therapy. The clinical effect and satisfaction were compared. Results The satisfaction rate was 100.00% in the research group， which was better than that in the control group (93.33%) (χ2=6.275，P<0.05). The satisfaction rate of the study group was 100.00%， which was better than that of the control group (96.67%) (χ2=7.171，P<0.05). The comparison of immediate clinical effect between the two groups showed that there was no grade C effect (χ2=0.751，P>0.05) and no significant difference between the two groups in grade A effect and grade B effect (χ2=6.763，P<0.05) and grade C effect (χ2=1.006，P>0.05). Conclusion The clinical effect of all-ceramic inlay in repairing tooth defect after root canal treatment is satisfactory， and it has the value of clinical application and promotion.
[Key words] All-ceramic inlay; Root canal therapy; Repair; Dental defect; Clinical effect
根管治疗是牙科的常规治疗方式之一，临床患者根管治疗后，一般要进行牙体修复，恢复牙体的正常功能以及美观度[1]。以往的治疗中，一般针对根管治疗后的牙体进行全冠修复，但对于冠部牙体组织剩余量不足的患者，也会选择进行桩冠修复[2]。现今，随着医学的发展，材料学、黏接技术不可同日而语，全瓷高嵌体修复被广泛应用于临床，并得到医学者和患者的认可，不仅在治疗过程中能够尽可能多的保留牙体组织，同时疗效显著[3]。基于此，为深入探讨全瓷高嵌体修复根管治疗后牙体缺损的临床效果，该文方便选择2016年5月—2017年5月期间该院进行根管治疗后牙体缺损的患者60例患者为对象展开研究，现将结果报道如下。
1 资料与方法
1.1 一般资料
方便选择该院进行根管治疗后牙体缺损的患者60例作为研究对象，以随机分组方式分为对照组和研究组，每组30例患者，研究组男性患者16例，女性患者14例，年龄20～60岁，平均年龄(41.23±3.22)岁;患牙数量：前磨牙16颗，磨牙20颗;上颌牙 18颗，下颌牙 18 颗。对照组男性患者15例，女性患者15例，年龄20～60岁，平均年龄(41.35±3.09)岁;患牙数量：前磨牙17颗，磨牙21颗;上颌牙 18颗，下颌牙 20颗。患者入组标准：①患者已经经过完善的根管治疗，且根管填充完善，根尖无炎症反应;②牙冠缺损 1 个以上牙尖;③患牙牙周无异常，符合全瓷高嵌体修复的指征;④患者后牙区咬合无异常[4]。所有患者均知情并同意该次研究，该次研究经医院伦理委员会批准。, 百拇医药(林青)
[关键词] 全瓷高嵌体;根管治疗;修复;牙体缺损;临床效果
[中图分类号] R781 [文献标识码] A [文章编号] 1674-0742(2019)06(a)-0065-03
[Abstract] Objective To investigate the clinical effect of all-ceramic inlay in repairing tooth defects after root canal therapy. Methods From May 2016 to May 2017， 60 patients with dental defect after root canal therapy in our hospital were convenient selected and randomly divided into control group and research group， 30 patients in each group. The control group was treated with full crown restoration， while the research group was treated with all-ceramic high inlay root canal therapy. The clinical effect and satisfaction were compared. Results The satisfaction rate was 100.00% in the research group， which was better than that in the control group (93.33%) (χ2=6.275，P<0.05). The satisfaction rate of the study group was 100.00%， which was better than that of the control group (96.67%) (χ2=7.171，P<0.05). The comparison of immediate clinical effect between the two groups showed that there was no grade C effect (χ2=0.751，P>0.05) and no significant difference between the two groups in grade A effect and grade B effect (χ2=6.763，P<0.05) and grade C effect (χ2=1.006，P>0.05). Conclusion The clinical effect of all-ceramic inlay in repairing tooth defect after root canal treatment is satisfactory， and it has the value of clinical application and promotion.
[Key words] All-ceramic inlay; Root canal therapy; Repair; Dental defect; Clinical effect
根管治疗是牙科的常规治疗方式之一，临床患者根管治疗后，一般要进行牙体修复，恢复牙体的正常功能以及美观度[1]。以往的治疗中，一般针对根管治疗后的牙体进行全冠修复，但对于冠部牙体组织剩余量不足的患者，也会选择进行桩冠修复[2]。现今，随着医学的发展，材料学、黏接技术不可同日而语，全瓷高嵌体修复被广泛应用于临床，并得到医学者和患者的认可，不仅在治疗过程中能够尽可能多的保留牙体组织，同时疗效显著[3]。基于此，为深入探讨全瓷高嵌体修复根管治疗后牙体缺损的临床效果，该文方便选择2016年5月—2017年5月期间该院进行根管治疗后牙体缺损的患者60例患者为对象展开研究，现将结果报道如下。
1 资料与方法
1.1 一般资料
方便选择该院进行根管治疗后牙体缺损的患者60例作为研究对象，以随机分组方式分为对照组和研究组，每组30例患者，研究组男性患者16例，女性患者14例，年龄20～60岁，平均年龄(41.23±3.22)岁;患牙数量：前磨牙16颗，磨牙20颗;上颌牙 18颗，下颌牙 18 颗。对照组男性患者15例，女性患者15例，年龄20～60岁，平均年龄(41.35±3.09)岁;患牙数量：前磨牙17颗，磨牙21颗;上颌牙 18颗，下颌牙 20颗。患者入组标准：①患者已经经过完善的根管治疗，且根管填充完善，根尖无炎症反应;②牙冠缺损 1 个以上牙尖;③患牙牙周无异常，符合全瓷高嵌体修复的指征;④患者后牙区咬合无异常[4]。所有患者均知情并同意该次研究，该次研究经医院伦理委员会批准。, 百拇医药(林青)