两种烤瓷冠在前牙修复中的临床效果观察(1)
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[摘要] 目的 探讨金铂合金烤瓷冠与镍铬合金烤瓷冠在前牙修复中的临床应用效果。 方法 对本院126例患者的156颗前牙分别以金铂合金烤瓷全冠与镍铬合金烤瓷全冠修复，进行2年的随访，观察不同修复体颜色、解剖形态、边缘完整性、牙龈着色、牙龈健康状态。 结果 2年后共有8例患者(14颗牙)失访。118例患者的142颗修复全冠牙在修复体颜色优秀、解剖形态优秀、边缘完整性优秀、牙龈着色A级及牙龈状态健康等指标方面，金铂合金烤瓷全冠更优于镍铬合金烤瓷全冠，差异有统计学意义(P < 0.05)。 结论 金铂合金烤瓷冠相对在修复后整体效果优于镍铬合金烤瓷冠。
[关键词] 金铂合金；镍铬合金；前牙；烤瓷
[中图分类号] R783.4 [文献标识码] A [文章编号] 1674-4721(2012)02(c)-0032-02
The clinical observation of two cases of porcelain crown in the first dental restoration
HU Leilei1 TENG Yufeng1 YU Zaihu2
1.Department of Stomatology, Yongqing Street Community Health Center of Qingdao Licang District in Shandong Province, Qingdao 266000, China; 2.Department of Stomatology, Qingdao Central Hospital of Shandong Province, Qingdao 266000, China
[Abstract] Objective To investigate the clinical application effect of gold-platinum alloy porcelain crown and Ni-Cr alloy porcelain crowns in the first dental restoration. Methods One hundred and fifty-six front teeth in 126 cases of patients were respectively treated with gold platinum alloy-porcelain crown and Ni-Cr alloy porcelain crown, and after the 2 years follow-up the effects of different restoration color, anatomy, marginal integrity and gingival color and gingival health were observed. Results Two years after a total of eight patients (14 teeth) lost. 118 patients of the 142 dental crown in restoration color excellent, excellent anatomical form, marginal integrity excellence, gums and gum colored A-level health status indicators, gold platinum alloy-porcelain crown were better than nickel-chromium alloy porcelain crown, and there was a significant difference (P < 0.05). Conclusion The overall effect of gold platinum alloy-porcelain crown after the repair is relatively better than the Ni-Cr alloy-porcelain crown.
[Key words] Gold platinum alloy; Nickel-chromium alloy; Front teeth; Porcelain
随着人们生活质量水平的提高，口腔修复体不仅仅是要求功能恢复，还追求美观、逼真、性能稳定，全瓷冠(PJC)由于可以满足以上要求被患者所喜爱，为观察不同全冠修复体在临床前牙修复中的效果，笔者对本院口腔科就诊的126例患者的156颗前牙分别以金铂合金烤瓷全冠与镍铬合金烤瓷全冠修复，现将结果报道如下：
1 资料与方法
1.1 一般资料
选择2008年1月～2009年8月期间在本院口腔科诊治的126例前牙需接受全冠修复的患者，共有156颗前牙需修复 ......
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