| 王华娟,孟媛,孙干.全瓷冠联合不同纤维桩在前牙牙体缺损中的修复效果及对美观度和龈沟液中炎症因子的影响.[J].中南医学科学杂志.,2024,(6):1010-1013. |
| 全瓷冠联合不同纤维桩在前牙牙体缺损中的修复效果及对美观度和龈沟液中炎症因子的影响 |
| The repair effect of all ceramic crowns combined with different fiber posts in anterior tooth defects and their impact on aesthetics and inflammatory factors in gingival crevicular fluid |
| 投稿时间：2024-04-23 修订日期：2024-07-15 |
| DOI：10.15972/j.cnki.43-1509/r.2024.06.034 |
| 中文关键词: 全瓷冠 前牙牙体缺损 美观度 炎症因子 石英纤维桩 玻璃纤维桩 |
| 英文关键词:all ceramic crowns anterior tooth body defect aesthetics inflammatory factors quartz fiber posts glass fiber posts |
| 基金项目:阜阳市科技计划项目(FK202081121) 作者简介:王华娟,副主任医师,研究方向为口腔常见疾病的防治,E-mail为sghdgm@163.com。 |
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| 中文摘要: |
| 目的探讨全瓷冠联合不同纤维桩在前牙牙体缺损中的修复效果及对美观度和龈沟液中炎症因子的影响。 方法选取收治的前牙牙体缺损患者70例,随机均分为石英组和玻璃组。石英组采用全瓷冠联合石英纤维桩修复,玻璃组采用全瓷冠联合玻璃纤维桩修复。比较两组修复后的美观度及修复前后龈沟液中炎症因子水平[肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β]、牙周指标[探诊深度(PD)、牙龈指数(GI)、菌斑指数(PLI)]和前牙咬合力及咀嚼效率。 结果修复后,石英组颜色匹配、形态匹配、继发龋、磨损与断裂、敏感、边缘适合性均高于玻璃组(P＜0.05)。修复后,两组龈沟液中TNF-α及IL-1β水平均降低,且石英组均低于玻璃组(P＜0.05)；修复后,两组PD均升高,且石英组高于玻璃组(P＜0.05),两组PLI及GI均降低,且石英组低于玻璃组(P＜0.05)；两组前牙咬合力及咀嚼效率均升高,且石英组均高于玻璃组(P＜0.05)。 结论全瓷冠联合石英纤维桩与联合玻璃纤维桩相比,其对前牙牙体缺损的修复效果更佳,美观度更高,能够显著降低龈沟液中炎症因子水平,改善牙周指标,提高前牙咀嚼功能。 |
| 英文摘要: |
| AimTo explore the repairing effect of all ceramic crowns combined with different fiber posts in anterior tooth defects and their impact on aesthetics and inflammatory factors in gingival crevicular fluid. Methods70 patients with anterior tooth defects admitted were randomly and equally divided into quartz group and glass group. The quartz group was repaired with an all-ceramic crown combined with a quartz fiber post, while the glass group was repaired with an all-ceramic crown combined with a glass fiber post. The differences of the aesthetics were compared between two groups after treatment and the differences of the aesthetics, periodontal indicators [probing depth (PD), gingival index (GI), plaque index (PLI)], tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) in gingival sulcus fluid, biting force and chewing efficiency of the anterior teeth were compared between two groups before and after treatment. ResultsAfter repairment, the color matching, morphology matching, secondary caries, wear and tear, sensitivity, and marginal adaptation of the quartz group were higher than the glass group (P＜0.05); After repairment, TNF-α and IL-1 β levels in the gingival crevicular fluid of two groups all decreased, and the quartz group was lower than the glass group (P＜0.05); After repairment, both groups of PD increased, and the quartz group was higher than the glass group (P＜0.05). The PLI and GI of both groups decreased, and the quartz group was lower than the glass group (P＜0.05); After repairment, the bite force and chewing efficiency of both groups increased, and the quartz group was higher than the glass group (P＜0.05). ConclusionCompared with the combination of all-ceramic crowns and glass fiber posts, the combination of all-ceramic crowns and quartz fiber posts has a better repair effect on anterior tooth defects, higher aesthetics, which can significantly reduce the levels of inflammatory factors in gingival crevicular fluid, improve periodontal indicators, and enhance the chewing ability of the anterior teeth. |
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