文章摘要

Emax高嵌体与石英纤维桩结合全瓷冠修复大面积牙缺损的疗效及预后

作者: 1王心玲, 1肖瑞
1 解放军总医院第一医学中心口腔科，北京 100853
通讯: 肖瑞 Email: xiaorui_1973@126.com
DOI: 10.3978/j.issn.2095-6959.2022.11.016
基金: 军队青年培育项目(130NP198)。

摘要

目的：比较Emax高嵌体与石英纤维桩结合全瓷冠修复大面积牙缺损的疗效。方法：选择2018年1月至2020年1月于解放军总医院第一医学中心口腔科接受大面积牙缺损修复的200例患者(患牙200颗)，随机分为Emax高嵌体组与石英纤维桩组，每组100例。Emax高嵌体组采用计算机辅助设计与制造(computer aided design and manufacturing，CAD/CAM)的Emax修复系统进行瓷高嵌体修复，石英纤维桩组采用石英纤维桩及全瓷冠修复。比较2组疗效、修复成功率、并发症发生率、颜色匹配率、满意度、牙周探诊深度(probing depth，PD)、龈沟出血指数(sulcus bleeding index，SBI)、菌斑指数(plague index，PLI)等指标。结果：对比2组患者修复后1年的治疗效果，发现Emax高嵌体组的修复成功率(94%)高于石英纤维桩组(85%)；在并发症发生率方面，Emax高嵌体组(1%)明显低于石英纤维桩组(5%)，而Emax高嵌体组的颜色匹配率(99%)明显高于石英纤维桩组(93%)，差异均具有统计学意义(均P0.05)，石英纤维桩组修复前后PD、SBI、PLI等牙周相关指数均较治疗前增加(均P<0.05)，修复后1年石英纤维桩组PD、SBI及PLI指数分别为(2.85±0.71) mm、0.51±0.13、1.46±0.35，均高于Emax高嵌体组的(2.54±0.64) mm、0.45±0.14、1.24±0.32，差异均有统计学意义(均P<0.05)。结论：在大面积牙缺损的修复方面，Emax高嵌体比石英纤维桩结合全瓷冠疗效更好，患者满意度更高，更有利于牙体组织和牙周健康的维护。
关键词： Emax高嵌体；石英纤维桩；牙缺损；修复

Effect and prognosis of Emax high inlay and quartz fiber post combined with all-porcelain crown in the repair of large-area dental defects

Authors: 1WANG Xinling, 1XIAO Rui
1 Department of Stomatology, First Medical Center of PLA General Hospital, Beijing 100853, China

CorrespondingAuthor: XIAO Rui Email: xiaorui_1973@126.com

DOI: 10.3978/j.issn.2095-6959.2022.11.016

Foundation: This work was supported by the Military Youth Development Program, China (130NP198).

Abstract

Objective: To compare the efficacy of Emax high inlay and quartz fiber post combined with all-ceramic crown in the repair of large-area tooth defects. Methods: A total of 200 patients (200 teeth) who underwent large-area tooth defect repair in the Department of Stomatology, First Medical Center of PLA General Hospital from January 2018 to January 2020 were randomly divided into an Emax high inlay group and a quartz fiber post group, with 100 cases in each group. Patients in the Emax high inlay group were repaired with Emax restoration system of computer aided design and manufacturing (CAD/CAM), and patients in the quartz fiber post group were repaired with quartz fiber post and all-ceramic crown. The curative effect, repair success rate, complication rate, color matching rate, satisfaction, periodontal probing depth (PD), sulcus bleeding index (SBI), plaque index (PLI), and other indicators of the 2 groups were compared. Results: One year after the repair, the repair success rate of the Emax high inlay group (94%) was higher than that of quartz fiber post group (85%); the incidence of complications in the Emax high inlay group (1%) was significantly lower than that in the quartz fiber post group (9%), while the color matching rate in the Emax high inlay group (99%) was significantly higher than that in the quartz fiber post group (93%) (all P<0.05). There was no significant difference in periodontal related indexes between the Emax high inlay group before and 1 year after the repair (P>0.05). The periodontal related indexes such as PD, SBI, and PLI in the quartz fiber post group before and after the repair were increased compared with those before the treatment (all P<0.05). The indexes of PD, SBI, and PLI in the quartz fiber post group 1 year after the repair were (2.85±0.71) mm, 0.51±0.13, and 1.46±0.35, respectively, which were significantly higher than (2.54±0.64) mm, 0.45±0.14, and 1.24±0.32 in the Emax high inlay group (all P<0.05). Conclusion: In the repair of large-area tooth defects, Emax high inlay is more effective than quartz fiber post combined with all ceramic crown, with higher patient satisfaction, which is more conducive to the maintenance of tooth tissue and periodontal health.

Keywords： Emax high inlay; quartz fiber pile; tooth defect; repair

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