CEREC数字化椅旁全瓷修复系统制作高嵌体修复老年重度磨耗牙的临床观察

摘要

目的探究瓷睿刻(chairside economical restorations of esthetic ceramics,CEREC)数字化椅旁全瓷修复系统制作高嵌体修复老年重度磨耗牙的临床效果。方法选取老年重度磨耗牙患者92例(共92颗患牙)的临床资料,开展回顾性研究,根据修复方案不同及患者意愿分为对照组和研究组,各46例,对照组采用传统热压铸瓷修复,研究组采用CEREC数字化椅旁全瓷修复系统制作高嵌体修复。比较2组印模制取时间、一次戴牙成功率、修复效果、修复满意度、不良事件发生率、修复前后咀嚼功能、生活质量[口腔健康影响程度量表(oral health impact profile-14,OHIP-14)]、口腔卫生指数[简化牙石指数(simplified calculus index,CI-S)、简化软垢指数(simplified debris index,DI-S)]。结果研究组印模制取时间短于对照组,一次戴牙成功率(100.00%)高于对照组(86.96%)(P<0.05);研究组边缘适合性、牙龈健康情况、修复体松动或脱落成功率(95.65%、93.48%、100.00%)均高于对照组(82.61%、78.26%、86.96%)(P<0.05);与本组修复前比较,2组修复后6、24个月咀嚼效率均明显提高,且研究组高于对照组(P<0.05);2组修复后6、24个月OHIP-14各项评分均低于修复前,且研究组低于对照组(P<0.05);与本组修复前比较,2组修复后6、24个月CI-S、DI-S评分均明显降低,且研究组低于对照组(P<0.05);研究组不良事件发生率(6.52%)低于对照组(21.74%)(P<0.05);研究组对修复体舒适度、外观、咀嚼功能以及整体治疗体验满意度评分均高于对照组(P<0.05)。结论CEREC数字化椅旁全瓷修复Clinical observation of onlays made by CEREC digital all-ceramic restorative system for the restoration of severely worn teeth in the elderly ZHU Yu-long(Department of Stomatology,Beijing Daxing District Hospital,Beijing 102600,China)[Abstract]Objective To explore the clinical effect of onlays made by chairside economic restoration of esthetic ceramics(CEREC)digital all-ceramic restorative system for the restoration of severely worn teeth in the elderly.Methods The clinical data of 92 elderly patients with severe worn teeth(92 teeth in total)were selected for retrospective study.According to different restoration schemes and patients'wishes,they were divided into control group and research group,with 46 cases in each group.The control group was repaired with traditional hot-pressed porcelain,and the research group was repaired with CEREC digital all-ceramic restorative system.The impression preparation time,success rate of one-time tooth wearing,restoration effect,restoration satisfaction,incidence of adverse events,masticatory function before and after restoration,quality of life[oral health impact profile-14(OHIP-14)],oral health index[simplified calculus index(CI-S),simplified debris index(DI-S)]were compared between two groups.Results The time of impression preparation in the research group was shorter than that in the control group,and the success rate of one-time tooth wearing(100.00%)was higher than that of the control group(86.96%)(P<0.05).The edge fitness,gum health,and restoration loosening or the success rate of shedding(95.65%,93.48%,100.00%)were higher than those of the control group(82.61%,78.26%,86.96%)(P<0.05).Compared with those before repair,the masticatory efficiency of the two groups was significantly improved at 6 and 24 months after repair,and higher in the research group than in the control group(P<0.05).The OHIP-14 scores of the two groups at 6 and 12 month safter repair were lower than those before repair,and lower in the research group than in the control group(P<0.05).Compared with those before repair,the CI-S and DI-S scores of the two groups were significantly reduced at 6 and 12 months after repair,and lower in the research group than in the control group(P<0.05).The incidence of adverse events(6.52%)was lower in the research group than in the control group(21.74%)(P<0.05).The scores on the comfort,appearance,masticatory function and satisfaction with overall treatment experience were higher than those in the control group(P<0.05).Conclusion Onlay made by CEREC digital chairside all-ceramic restorative system in the treatment of elderly patients with severely worn teeth can achieve better restoration effects,which can reduce the incidence of related adverse events,and further improve the masticatory function,oral hygiene and quality of life of patients,with good patient satisfaction.[Key words]tooth wear;CEREC digital chairside all-ceramic restorative system;onlay restoration系统制作高嵌体修复治疗老年重度磨耗牙患者,能获得更好修复效果,且能减少相关不良事件发生率,进一步改善患者咀嚼功能、口腔卫生及生活质量,患者满意度高。