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论文摘要

瓷贴面修复四环素牙后颜色稳定性的随机对照研究

A randomized controlled study on color stability of tetracycline teeth restored with ceramic veneer

作者:史舒雅, 顾晓宇

Author:Shi Shuya, Gu Xiaoyu

收稿日期:2020-06-23          年卷(期)页码:2021,39(3):336-336-340

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:瓷贴面,四环素牙,颜色,

Key words:ceramic veneer,tetracycline teeth,color,

基金项目:国家自然科学基金(81300919)

中文摘要

目的评价不同厚度瓷贴面及不同固化类型的树脂粘接剂修复四环素牙一段时间后的颜色稳定性。方法临床选择符合贴面修复适应证、需要制作包括2颗上颌中切牙在内的四环素牙患者20名,按照瓷贴面厚度0.5 mm或0.75 mm,采用同一种粘接剂的光固化或双固化的方式随机分为4组,完成相应的上颌中切牙瓷贴面修复。用比色仪测量瓷贴面粘接后即刻及使用1、6、12、24个月后的L*、a*、b*值,并计算色差(ΔE)。用双因素方差分析和组间t检验对结果进行统计学分析。结果瓷贴面使用24个月后均出现颜色改变,ΔE<2.25。0.75 mm厚瓷贴面色差较0.5 mm组小(P<0.05)。光固化或双固化粘接类型对色差改变的差异无统计学意义。结论树脂粘接剂和瓷贴面厚度可影响瓷贴面修复后颜色的改变。同一种贴面粘接剂光固化或双固化的方式不影响贴面修复四环素牙的长期颜色稳定性。

英文摘要

ObjectiveThis study aimed to evaluate the color stability of tetracycline teeth restored with ceramic veneers of different thicknesses combined with different resin cement systems after aging.

MethodsTwenty patients with tetracycline teeth, including two maxillary central incisors, were selected clinically. The patients were randomly divided into four groups and restored with 0.5 and 0.75 mm ceramic veneers by using a veneer adhesive system, either with light-cured or dual-cured reaction. The color difference (ΔE) values after cementation and 1, 6, 12, and 24 months of use were obtained by quantification of L*, a*, and b* values with a colorimeter. The results were analyzed statistically with two-way ANOVA and Student'sttest.

ResultsThe ΔE values of ceramic veneers detected after aging were less than 2.25. The 0.5 mm groups exhibited greater color change than the 0.75 mm-thick veneers (P<0 .05). no significant difference was found on the color change of dual- or light-cured resin cements.

ConclusionResin cements and veneer thickness influence the color of ceramic veneers after aging. Cementation of veneers with either dual- or light-cured resin cements does not affect the long-term color stability of tetracycline teeth differently.

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