口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (9): 983-986.DOI: 10.13701/j.cnki.kqyxyj.2018.09.015

• 口腔修复学研究 • 上一篇    下一篇

铸瓷贴面临床效果的4年回顾性研究

袁硕*,陈志宇   

  1. 河北医科大学口腔医院修复科 河北 石家庄 050000
  • 收稿日期:2018-02-24 出版日期:2018-09-28 发布日期:2018-09-25
  • 通讯作者: 袁硕,E-mail:1367204107@qq.com
  • 作者简介:袁硕(1976~ ),女,河北承德人,硕士,主治医师,主要从事口腔美学修复的临床治疗工作。
  • 基金资助:
    2015年政府资助临床优秀人才培养和基础课题研究项目(编号:361029)

A Retrospective Study of Clinical Effect of Cast Porcelain Veneers in 4 Years.

YUAN Shuo*, CHEN Zhi-yu.   

  1. Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050000, China.
  • Received:2018-02-24 Online:2018-09-28 Published:2018-09-25

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摘要： 目的: 探讨在铸瓷贴面修复术操作中影响铸瓷贴面患者临床效果的因素。方法: 对铸瓷贴面修复术患者302例进行回顾性研究,对牙体预备的分型、比色方法、粘接过程等因素进行分析,研究其对铸瓷贴面临床效果的影响。采用SPSS 18.0软件对数据进行处理,以P<0.05为差异有统计学意义。结果: 包绕型在修复体边缘着色和密合度、患者满意度和合适度方面显著优于对接型和开窗型(P＜0.05);仪器比色法和数码摄影法在修复体形态和颜色、患者满意度方面显著性高于目测法(P＜0.05);光固化型树脂粘接剂相比双重固化型和化学固化型在修复体形态和颜色、患者满意度及合适度方面有显著性提高(P＜0.05);粘接剂厚度小于0.1 mm相比厚度小于0.2 mm在修复体边缘着色和密合度、修复体形态和颜色方面分值有显著性地提高(P＜0.05);铸瓷贴面表面处理方面,5种处理方法在临床疗效指标上无显著性差异(P＞0.05)。结论: 铸瓷贴面修复术中影响临床效果的手术操作包含牙体预备的分型、比色方法、树脂粘接剂和粘接剂厚度等是影响临床修复效果的因素。

关键词: 铸瓷贴面, 临床效果, 多因素分析

Abstract: Objective: To study the factors related to the clinical effects of IPS-Empress porcelain veneer. Methods: Three hundred and two cases of patients treated by IPS-Empress porcelain veneer were studied retrospectively. The type of dental preparation, colorimetric methods, bonding process, and other factors were analyzed to study the impact of the clinical effect of IPS-Empress porcelain veneer. Results: Type I was significantly superior to type II and type III in terms of the color and marginal adaptation of prosthetic margin and patients’ satisfaction degree (P<0.05). Instrument colorimetry and digital photography in the form and color of restorations and patients’ satisfaction degree were significantly higher than the visual method (P<0.05). Photocurable resin adhesives was significantly higher than dual-cure and chemical-cure adhesives on the the form and color of restorations and patients’ satisfaction degree (P<0.05). Adhesive thickness less than 0.1mm was better than thickness less than 0.2mm in the color and marginal adaptation of prosthetic margin and the form and color of restorations (P<0.05). In terms of surface treatment of IPS-Empress porcelain veneer, the five treatment methods showed no significant difference in clinical curative effect (P>0.05). Conclusion: The type of dental preparation, colorimetric methods, resin adhesive, and adhesive thickness were the factors that affected the clinical effect in the operation of IPS-Empress porcelain veneer.

Key words: IPS-Empress porcelain veneer , Clinical effect , Multivariate analysis