口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 563-566.DOI: 10.13701/j.cnki.kqyxyj.2017.05.024

• 临床研究论著 • 上一篇    下一篇

微创超薄贴面修复畸形前牙的效果研究

罗善峰   

  1. 浙江省绍兴市口腔医院种植科 浙江 绍兴 312000
  • 收稿日期:2017-01-11 出版日期:2017-05-20 发布日期:2017-05-26
  • 作者简介:罗善峰(1982~ ),男,浙江绍兴人,硕士,主治医师,主要从事口腔种植学研究工作,E-mail:93405661@qq.com。

Effects of Ultra-thin Veneers on Anterior Teeth Deformity.

LUO Shan-feng.   

  1. Department of Dental Implantology, Stomatological Hospital of Shaoxin, Shaoxin 312000, China.
  • Received:2017-01-11 Online:2017-05-20 Published:2017-05-26

摘要: 目的:研究超薄贴面修复变异前牙的临床效果。方法:选择要求对先天性牙体形态发育异常(锥形牙及过小牙)的前牙进行美学修复的患者41例共67颗变异前牙,确认患牙牙髓、牙周健康后行不备牙或少备牙(0.3~0.5 mm)超薄贴面修复,根据改良的美国公共卫生署评价标准(USPHS),由2位医师分别评价修复后0.5、1、2、3、4年的美学修复效果。结果:在0.5、1、2、3、4年的追踪研究中,分别有0(0)、1(1)、3(6)、7(12)、11(18)例患者(贴面)失访,患者满意度分别为100%、100%、98%、96%、91%。修复体完整性、颜色、边缘美学效果(密合度及是否着色)、贴面形态、半透明度、牙龈指数、牙齿敏感性、继发龋、患者满意度等方面,经4年的追踪检查,均取得了满意的效果。结论:在严重控制适应症和告知患者注意事项及使用方法的情况下,微创超薄贴面修复变异前牙可取得良好的修复效果,值得临床推广应用。

关键词: 变异前牙, 超薄贴面, 微创修复, 美学效果

Abstract: Objective: To evaluate the effect of ultra-thin veneers on the anterior teeth deformity. Methods: Sixty-seven anterior teeth deformity in 41 patients were selected for this study. No preparation or 0.2-0.3mm preparation was used in the clinical. Ultra-thin veneers were weared. Each restoration was evaluated use USPHS by 2 prosthodontists. The success rates of all restoration were analyzed at 0.5, 1, 2, 3, and 4 years after the treatment. Results: There were 0(0), 1(1), 3(6), 7(12), 11(18) patients (ultra-thin veneers) loss of follow up at 0.5, 1, 2, 3, and 4 years after the veneers finished. The success rates were 100%, 100%, 98%, 96%, and 91% at 0.5, 1, 2, 3, and 4 years follow up, respectively. The marginal fit, colors, esthetic effect, translucency, and integrity of veneers, teeth sensibility, gingival index, and patients' degree of satisfaction were all excellent. There was no case of dentin hypersensitivity and one case of secondary caries after 4 year follow-up. Conclusion: The ultra-thin veneers have a perfect esthetic effect and a satisfactory success rate in the esthetic treatment of anterior teeth deformity under the critical indications.

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