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CAD/CAM高嵌体与常规修复对牙体缺损患者的疗效及对美观满意度、全口卫生情况的影响(1)
http://www.100md.com 2020年1月25日 《中国医学创新》 20203
     【摘要】 目的:分析CAD/CAM高嵌體与常规修复对牙体缺损患者的疗效及对美观满意度、全口卫生情况的影响。方法:选取128例牙体缺损患者,按照随机数字表法将其分为观察组和对照组,各64例。对照组采用常规修复,观察组采用CAD/CAM高嵌体修复,比较两组疗效、满意度和牙龈沟炎症因子(GCF-AST、GCF-ALP)含量。结果:观察组修复成功率为96.9%,高于对照组的70.3%(P<0.05);观察组对修复体外形、舒适度、表面光滑度的满意度分别为96.9%、95.3%、98.4%,均高于对照组的64.1%、62.5%、65.6%,差异均有统计学意义(P<0.05);修复1年后,两组GCF-AST、GCF-ALT含量均较修复前下降,且观察组均低于对照组,差异均有统计学意义(P<0.05)。结论:CAD/CAM高嵌体对牙体缺损患者的修复成功率较高,提高了患者对修复体外形、舒适度、表面光滑度的满意度,降低了牙龈沟中GCF-AST、GCF-ALT含量,改善了全口卫生情况,可作为牙体缺损有效的治疗方案。

    【关键词】 牙体缺损 修复 CAD/CAM高嵌体 美观 全口卫生

    The Effect of CAD/CAM High Inlay and Conventional Restoration on the Patients with Tooth Defect and Their Aesthetic Satisfaction and Full Mouth Hygiene/SHI Xuemei, CHEN Bixia. //Medical Innovation of China, 2020, 17(03): -162

    [Abstract] Objective: To analyze the effect of CAD/CAM high inlay and conventional restoration on the patients with tooth defect and the influence on the aesthetic satisfaction and the full mouth hygiene. Method: A total of 128 patients with tooth defect were selected, according to the method of random number table, they were divided into observation group and control group, 64 cases in each group. The control group was treated with conventional restoration, the observation group with CAD/CAM high inlay repair. The curative effect, satisfaction and the content of inflammatory factors in gingival sulcus (GCF-AST, GCF-ALT) between the two groups were compared. Result: The repair success rate of the observation group was 96.9%, which was higher than 70.3% of the control group (P<0.05). The satisfaction of the observation group to the shape, comfort and surface smoothness of the prosthesis was 96.9%, 95.3% and 98.4%, respectively, which were higher than 64.1%, 62.5% and 65.6% of the control group, the differences were statistically significant (P<0.05). After one year of repair, the GCF-AST and GCF-ALT contents in the two groups were lower than those before repair, and the contents in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion: CAD/CAM high inlay has a high success rate in the restoration of tooth defect, which improves the patients’ satisfaction with the shape, comfort and surface smoothness of the restoration, reduces the content of GCF-AST and GCF-ALT in the gingival sulcus, and improves the overall health. It can be used as an effective treatment plan for tooth defects.

    [Key words] Tooth defect Repair CAD/CAM high inlay Aesthetic Full mouth hygiene, http://www.100md.com(石雪梅 陈碧霞)
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