大块充填树脂修复成人龋齿的耐久性与美观满意度评价OA
Evaluation of the Durability and Aesthetic Satisfaction of Bulk-filled Resin Rrestorations in Adult Caries Treatment
目的:探讨大块充填树脂修复在成人龋齿治疗中的应用效果.方法:选取2021年7月-2023年12月笔者医院收治的龋齿患者80例(共117颗患牙),随机分成对照组(40例,60颗患牙)和研究组(40例,57颗患牙).对照组采用纳米树脂修复,研究组采用大块充填树脂修复.比较两组修复效果、耐久性、美观性及牙齿功能、牙周指标[菌斑指数(PLI)、牙周探诊深度(PD)、牙龈出血指数(BI)]、患者满意度及不良事件发生情况.结果:修复后6个月,研究组牙齿修复的优良率高于对照组(P<0.05);研究组磨损率低于对照组(P<0.05);研究组美观、咀嚼、舒适评分均高于对照组(P<0.05);两组语言评分比较,差异无统计学意义(P>0.05);修复后6个月,两组PLI、PD、BI均降低,且研究组低于对照组(P<0.05).研究组对修复体颜色、咀嚼功能的满意度高于对照组(P<0.05);两组对舒适的满意度比较,差异无统计学意义(P>0.05);研究组不良事件总发生率低于对照组(P<0.05).结论:大块充填树脂修复成人龋齿有确切效果,可提高牙齿的耐久性、美观性及牙齿功能,有助于促进牙周健康,提升患者满意度,减少不良事件的发生率.
Objective To explore the application effect of bulk-filled resin restorations in adult caries treatment.Methods Eighty patients with dental caries(117 teeth in total)admitted to the hospital from July 2021 to December 2023 were randomly divided into control group(40 cases with 60 teeth)and study group(40 cases with 57 teeth).The control group was repaired with nano resin,while the study group was repaired with large filling resin.The restoration effect,durability,aesthetics,fental function,periodontal indexes[plaque index(PLI),periodontal probing depth(PD),gingival bleeding index(BI)],satisfaction and adverse events were compared between the two groups.Results Six months after restoration,the excellent and good rate of dental restoration in the study group was higher(P<0.05).The wear rate of the study group was lower(P<0.05).The scores of aesthetics,mastication and comfort in the study group were higher(P<0.05).There was no significant difference in language scores between the two groups(P>0.05).The sensitivity,edge coloring and color matching scores of the study group were lower(P<0.05).PLI,PD and BI in both groups were decreased,and the study group was lower(P<0.05).The satisfaction degree of the study group on the color and masticatory function of the prosthesis was higher(P<0.05).There was no significant difference in comfort satisfaction between the two groups(P>0.05).The total incidence of adverse events in the study group was lower(P<0.05).Conclusion The bulk-filled resin has definite effect on restoring adult dental caries,which can improve the durability,aesthetics and function of teeth,promote periodontal health,improve patient satisfaction and reduce adverse events.
姚顺旖;龚新龙
常熟市第一人民医院口腔科 江苏 常熟 215500常熟市第一人民医院口腔科 江苏 常熟 215500
医药卫生
龋齿成人大块充填树脂耐久性美观性满意度
decayed toothadultbulk-filled resindurabilityaestheticsdegree of satisfaction
《中国美容医学》 2026 (4)
150-153,4
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