标准化流程在前牙美学修复中的临床应用效果分析

摘要

目的:观察标准化操作流程应用于美学修复的临床效果.方法:对门诊行美学修复的37例患者,106颗修复体采用标准化的修复操作流程制做,记录患者修复体验满意度,医生对每一例修复体戴牙时间,参照改良美国公共卫生署标准评价戴牙当天、术后6个月及12个月的临床效果.结果:患者就诊体验满意度(9.7±0.3)分,医师戴牙平均时间(4.7±0.5) min;戴牙当天3例(2.9%)修复体颜色略微不匹配,主要集中于后牙区,患者接受.修复12个月后,1颗(1.1%)修复体出现崩瓷,拆除重新制做,1颗(1.1%)修复体边缘适合性欠佳,4颗(4.4%)修复体牙龈轻度充血红肿,给予局部治疗.总体修复体效果良好稳定.结论:固定义齿修复中,应用标准化的操作流程能获得较高的患者满意度及良好的临床效果.%Objective To evaluate the clinical effects of the application of standardized operating procedure in aesthetic restoration. Methods A standardized prothetic operating procedure was applied to 37 patients and 106 fixed restorations in clinic. The satisfaction of the patients and the time that doctors used to cement the restorations were recorded. The clinical effects were evaluated by the improved U.S. Public Health Sevice standards on the day and 6-months,12-months after the operation. Results After the repairing,patient’s satisfaction achieved (9.7±0.3) points, and the average time for doctors to wear the restorations was (4.7±0.5) minutes. On the day of the operation,3 cases (2.9%) appeared a slight mismatch in color,mainly concentrated on the posterior region,and the patients accepted.12-Months after the operation,1 case (1.1%) turned a cracked porcelain and the restoration was teared down to make a new one,1 case (1.1%) showed a poor rim of the restoration,4 cases (4.4%) appeared mild congestion and swelling in gingiva and a topical treatment was used.The general effects of the restorations are positive and stable. Conclusion The application of standardized operating procedure in fixed restoration can obtain higher satisfaction of patients and positive clinical effects.