氧化锆全瓷修复对牙体缺损患者咀嚼功能及牙周健康的影响

摘要/Abstract

摘要： 目的分析氧化锆全瓷修复在牙体缺损患者中的应用价值。方法回顾性分析2021年4月—2022年4月日照市岚山区人民医院收治的78例牙体缺损患者的病历有关资料,按修复方式的不同将其分为两组。其中,行金属烤瓷修复的40例患者纳入对照组,行氧化锆全瓷修复的38例患者纳入观察组,两组均观察至术后6个月。对比两组修复效果、咀嚼功能、牙周健康相关指标、龈沟液内炎症因子水平、满意度。结果观察组颜色匹配占比、边缘密合占比、牙龈正常占比、修复体完整稳固占比高于对照组,差异有统计学意义（P<0.05）;术后,观察组咀嚼效率与咬合力高于对照组,菌斑指数（PLI）评分、牙龈指数（GI）评分、探诊深度（PD）及C反应蛋白（CRP）、肿瘤坏死因子-α（TNF-α）、白介素-6低于对照组,差异有统计学意义（P<0.05）;观察组满意度高于对照组,差异有统计学意义（P<0.05）。结论氧化锆全瓷修复在牙体缺损患者治疗中效果显著,可有效提高其咀嚼功能,降低炎症因子水平,改善牙周健康,提高患者满意度,临床应用价值较高。

关键词: 牙体缺损, 氧化锆全瓷修复, 咀嚼功能, 牙周健康

Abstract: Objective To analyze the application value of zirconia all ceramic restoration in patients with tooth defects. Methods The medical records of 78 patients with tooth defects admitted to Lanshan District People's Hospital in Rizhao from April 2021 to April 2022 were analyzed retrospectively, and they were divided into two groups according to the different repair methods. Among them,40 patients with metal ceramic restorations were included in the control group, and 38 patients with zirconia all ceramic restorations were included in the observation group. Both groups were observed until 6 months after operation. The restorative effect, masticatory function, periodontal health related indicators, levels of inflammatory factors in gingival crevicular fluid and satisfaction were compared between the two groups. Results The proportion of color matching, marginal sealing, normal gingival and complete and stable prosthesis in the observation group were higher than those in the control group, with statistically significant difference (P<0.05);After operation, the masticatory efficiency and bite force of the observation group were higher than those of the control group, and the plaque index (PLI) score, gingival index (GI) score, depth of detection (PD), C-reactive protein (CRP),tumor necrosis factor (TNF-α(TNF-α)、 Interleukin-6 was significantly lower than that of the control group (P<0.05); The satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Zirconia all ceramic restoration has a significant effect in the treatment of patients with tooth defects. It can effectively improve their masticatory function, reduce the level of inflammatory factors, improve periodontal health, and improve patient satisfaction. It has a high clinical application value.

Key words: tooth defect, zirconia all ceramic repair, masticatory function, periodontal health

中图分类号:

丁昌学. 氧化锆全瓷修复对牙体缺损患者咀嚼功能及牙周健康的影响[J]. 中华养生保健, 2023, 41(13): 18-21.

DING Chang-xue. Effects of Zirconia all Ceramic Restorations on Masticatory Function and Periodontal Health in Patients with Dental Defects[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(13): 18-21.

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