期刊导航

论文摘要

定深法磨牙面预备空间不足的易发区域分析

Analysis of situations prone to insufficient spaces in tooth surface preparation with the fixed-depth groove method

作者:张跃骞, 聂蓉蓉, 孟翔峰

Author:Zhang Yueqian, Nie Rongrong, Meng Xiangfeng

收稿日期:2024-08-29          年卷(期)页码:2025,43(3):370-370-375

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:磨牙,全冠修复,牙合面预备,修复空间,

Key words:molar,full-crown restoration,occlusal surface preparation,preparation space,

基金项目:南京大学医学院附属口腔医院3456骨干人才资助项目(0222E301)

中文摘要

目的 对全冠修复的磨牙面预备空间进行数字化数据采集,分析磨牙面预备空间最小及面预备空间不足的易发区域。 方法 选取拟行二氧化锆全冠修复的磨牙(除第三磨牙外)共846例。所有磨牙在视觉引导下,通过定深法进行牙体预备,并制取数字化印模。对预备体的面进行区域划分(近颊区、近舌区、远颊区、远舌区、近中边缘嵴、远中边缘嵴),并应用图像测量软件(3Shape Unite)记录磨牙面预备空间最小的区域,并定义<1 mm为面预备空间不足。采用卡方检验进行数据统计和分析。 结果 不同象限磨牙面预备空间最小的发生区域差异具有统计学意义(P<0.05)。上颌第一磨牙面预备空间最小的易发区域位于近颊区,而其余磨牙面预备空间最小的易发区域则位于远舌区。面预备空间不足的发生率为41.0%(347例),其易发区的分布与面预备空间最小的易发区域分布一致。 结论 即使采用定深法,在视觉引导下的磨牙面预备空间的不均匀现象仍然不可避免。对磨牙面预备空间不足易发区域的预判,可以为临床医生提供指导。

英文摘要

ObjectiveDigitally collect data on the preparation space of the molar occlusal surface for full crown restoration and analyze the minimum preparation spaces and areas prone to insufficient preparation.MethodsA total of 846 molars (excluding third molars) designated for repair with zirconium dioxide crowns were selected. All molars were prepared by using the fixed-depth groove method under visual guidance. A digital impression was collected, and the occlusal surface of the preparation was divided into regions: mesiobuccal area, mesiolingual area, distobuccal area, distolingual area, mesial marginal ridge, and distal marginal ridge. Image measurement software (3Shape Unite) was employed to record the smallest preparation space on the molar occlusal surface, and a space of <1 mm was defined as insufficient preparation. the chi-square test was utilized for the statistical analysis of data.ResultsSignificant differences were observed in the areas with the smallest preparation space on the occlusal surface of molars across different quadrants (P< 0.05). Notably, the area with the smallest preparation space on the occlusal surface of the maxillary first molar was most frequently found in the mesiobuccal area, whereas the smallest preparation spaces on other molars were predominantly located in the distolingual area. The insufficient preparation of the occlusal surface occurred in 41.0% (347 cases) of teeth. The distribution of prone areas corresponded with the distribution of the smallest spatial areas.ConclusionAlthough the fixed-depth groove method is employed, the preparation space on the molar surface unavoidably remains uneven under visual guidance. The identification of the areas prone to minimum preparation spaces can serve as a valuable guide for clinicians to prevent insufficient preparation.

下一条:边缘性腭咽闭合不全临床诊断方法的初步探索及可靠性分析

关闭

Copyright © 2020四川大学期刊社 版权所有.

地址:成都市一环路南一段24号

邮编:610065