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论文摘要

热压铸瓷面瓷贴面的临床效果评估

Clinical evaluation of press occlusal veneer

作者:魏煦, 杨芸, 张凯, 孙方方

Author:Wei Xu, Yang Yun, Zhang Kai, Sun Fangfang.

收稿日期:2017-01-14          年卷(期)页码:2017,44(6):696-700

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:IPS e.max Press,瓷贴面,临床评估,

Key words:IPS e.max Press,porcelain laminate veneer,clinical evaluation,

基金项目:南京市医学科技发展专项资金资助项目(YKK16159)

中文摘要

目的 考察热压铸瓷面瓷贴面在后牙缺损的短期临床效果。方法 对28例患者的35颗后牙牙体缺损,包括18颗重度磨耗活髓后牙和17颗根管治疗术后面牙体缺损的后牙,采用热压铸瓷面瓷贴面修复。根据改良美国公共卫生署修复体评价标准,分别于修复后完成当日和1、6、12、24、36个月对面瓷贴面进行随访复查,结果采用χ2检验分析。结果 后牙热压铸瓷面瓷贴面的修复体外形、边缘适合性、牙龈状况、继发龋和邻面接触点在观察期间显示良好。有2例下颌前磨牙面瓷贴面在粘接2年后出现脱落,χ2检验分析修复体固位的A级成功率在6个时间节点间差异无统计学意义。36个月内各项评估A级成功率在90%以上。结论 热压铸瓷面瓷贴面用于重度磨耗活髓后牙与根管治疗术后面牙体缺损后牙的短期修复效果良好,为后牙牙体缺损微创修复提供了一种选择方式,但其远期效果仍有待进一步的观察。

英文摘要

ObjectiveThis study aimed to evaluate the short-term clinical performance of IPS e.max Press occlusal veneer for single posterior tooth.MethodsA total of 28 patients, including 35 posterior teeth(18 severe wear teeth and 17 occlusal defect posterior teeth after root canal treatment), were restored with IPS e.max Press occlusal veneer. The restorations were evaluated by modified United States Public Health Service criteria at baseline 1, 6, 12, 24, and 36 months. The chi-square test was used to analyze the survival rate.ResultsThe anatomical form, marginal adaption, soft tissue health, secondary caries, and proximal contact points of the restorations were good during 36 months. Two mandibular premolars’ occlusal veneers were lost at 24 months. However, chi-square test shows no significant difference between the time points. The A score percentage was above 90%.ConclusionThe occlusal veneer fabricated by IPS e.max Press for severe wear posterior tooth and occlusal defect posterior tooth after root canal treatment demonstrates satisfactory clinical performance in the short term. It is a new minimally invasive dentistry method for posterior tooth defect. Nonetheless, further study is needed for its long-term outcome.

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