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研究数字化口内扫描技术与传统硅橡胶精细印模技术 在临床前牙瓷贴面修复中的应用效果
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R783

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Application effect of digital intraoral scanning technology and traditional silicone rubber fine impression technology in clinical anterior dental porcelain veneer restoration
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    摘要:

    目的 分析数字化口内扫描技术与传统硅橡胶精细印模技术对前牙瓷贴面修复患者临床疗效与牙周指标的影响,以期为临床 诊治提供有效参考依据。方法 按照随机数字表法将 2016 年 3 月至 2020 年 11 月北京瑞程医院管理有限公司瑞泰口腔医院分公司收治的 140 例因前牙缺损行瓷贴面修复治疗的患者分为对照组和研究组,各 70 例。予以对照组患者传统硅橡胶精细印模技术治疗,予以研究组 患者数字化口内扫描技术治疗,两组患者均于治疗后定期随访 1 年。比较两组患者治疗后 1 年的临床疗效、临床相关指标,治疗前与治 疗后 2 个月的牙周指标,治疗后 2 个月的修复效果,以及治疗后 1 年内并发症发生情况。结果 治疗后 1 年,研究组患者的治疗总有效 率显著高于对照组;研究组患者取模时间、戴牙时间均显著短于对照组,边缘间隙显著小于对照组;与治疗前比,治疗后 2 个月两组患 者的牙菌斑指数(PLI)和出血指数(BI)均显著升高,但研究组显著低于对照组;研究组患者的固位与边缘染色效果中 A 级占比均显著 高于对照组;治疗后 1 年内,研究组患者的并发症总发生率显著低于对照组(均P<0.05);而治疗后 2 个月,两组患者的表面质地与颜 色匹配效果经比较,差异均无统计学意义(均P>0.05)。结论 相较于传统硅橡胶精细印模技术,数字化口内扫描技术对前牙瓷贴面修 复的治疗效果更好,具有治疗时间短、颜色匹配度高、密合度高等优点,且其对患者牙周指标的影响较小,安全性更高。

    Abstract:

    Objective? To analyze the influence of digital intraoral scanning technology and traditional silicone rubber fine impression technology on clinical efficacy and periodontal indexes of patients with anterior teeth porcelain veneer restoration, in order to provide an effective reference for clinical diagnosis and treatment. Methods According to the random number table method, 140 patients who received porcelain veneer repair treatment for anterior tooth defect from March 2016 to November 2020 in Beijing Ruicheng Hospital Management Co., Ltd. Ruitai Stomatological Hospital Branch were divided into control group and research group, each with 70 cases. The patients in the control group were treated with traditional silicone rubber fine impression technology, and the patients in the research group were treated with digital intraoral scanning technology. Both groups were followed up regularly for 1 year after treatment. The clinical efficacy, clinical related indexes, periodontal indexes before treatment and 2 months after treatment, restoration effect 2 months after treatment, and complications at 1 year after treatment were compared between the two groups. Results? 1 year after treatment, the total effective rate of patients in the research group was significantly higher than that in the control group; the time of taking the model and the time of tooth wearing in the research group were significantly shorter than those in the control group, and the marginal gap was significantly smaller than that in the control group; compared with before treatment, the plaque index (PLI) and bleeding index (BI) of the two groups of patients significantly increased at 2 months after treatment, but the research group was significantly lower than the control group; the proportions of grade A in effect of retention and marginal staining of the patients in the research group were significantly higher than those of the control group; 1 year after treatment, the total incidence of complications in the researchgroup was significantly lower than that in the control group(all P<0.05); and 2 months after treatment, the surface texture and color matching effects of the two groups were compared, and there was no statistical difference (all P>0.05). Conclusion Compared with the traditional silicone rubber fine impression technology, digital intraoral scanning technology has better therapeutic effect on anterior teeth porcelain veneer restoration, and has the advantages of short treatment time, high color matching, high degree of fit, and it has less impact on patients' periodontal indicators and with higher security.

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  • 在线发布日期: 2022-08-23
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