口腔医学研究

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (10): 1056-1059.DOI: 10.13701/j.cnki.kqyxyj.2016.10.013

• 临床研究论著 • 上一篇    下一篇

CAD/CAM全瓷高嵌体修复根管治疗后牙体缺损的临床评价

黄琛琛1, 潘丽娜2, 张伟2, 许庆安2, 樊明文2*   

  1. 1. 安徽医学高等专科学校口腔医学系 安徽 合肥 230601;
    2. 武汉大学口腔医学院牙体牙髓一科 湖北 武汉 430079
  • 收稿日期:2016-04-07 出版日期:2016-10-26 发布日期:2016-10-26
  • 通讯作者: 樊明文,E-mail:fmwmail@whu.edu.cn
  • 作者简介:黄琛琛(1980~ )女,安徽淮南人,硕士,主治医师,主要从事口腔医学临床和教学工作。
  • 基金资助:
    国家自然科学基金(编号:81570968)

Clinical Evaluation of IPS E.max CAD Ceramic Onlay Restoration of Endodontically Treated Posterior Teeth.

HUANG Chen-chen1, PAN Li-na2, ZHANG Wei2, XU Qing-an2, FAN Ming-wen2*.   

  1. 1. Department of Stomatology, Anhui Medical College, Hefei 230601, China;
    2. School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
  • Received:2016-04-07 Online:2016-10-26 Published:2016-10-26

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摘要： 目的:采用瓷睿刻计算机辅助设计与制作(CAD/CAM)系统制作全瓷高嵌体修复根管治疗后的后牙牙体缺损,观察其1年期床疗效。方法::选取46例根管治疗后的后牙,使用瓷睿刻(CEREC)系统,IPS e.max CAD材料,制作全瓷高嵌体,双固化树脂水门汀粘结。修复后1年,采用改良USPHS标准对修复体、牙体、牙周等各方面指标进行评价,同时评价患者满意度。结果:87 ％的修复体各项检查标准都达到了USPHS 标准A类,患者满意率92％。CEREC 全瓷高嵌体1年期疗效确切。结论:使用瓷睿刻(CEREC)系统制作的 IPS e.max CAD全瓷高嵌体可作为根管治疗后后牙牙体缺损的有效修复方案。

关键词: 瓷睿刻, CAD/CAM, 高嵌体, 临床评价

Abstract: Objective: To evaluate the clinical effect of IPS e. max CAD ceramic onlay restoration of endodontically treated posterior teeth. Methods: Forty-six endodontically treated posterior teeth were restored with IPS e. max CAD ceramic onlay designed by CEREC SW4.2. After 12 months, the patients were recalled. The teeth with restoration were assessed by using the modified USPHS criteria including secondary caries, gingivitis, tooth fracture, marginal discoloration, marginal integrity criteria and restoration fracture/debond, etc. At the same time, the patient's satisfaction was evaluated. Results: Of all the 46 teeth, 40 were scored A in all aspects. One tooth was fractured. The total satisfactory rate of patients was 92%.Conclusion: Ceramic onlay made by CAD/CAM is an effective restoration for endodontically treated posterior teeth.

Key words: CEREC, CAD/CAM, Onlay, Clinical evalution

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