摘要
目的探讨Vitremer树脂加强型玻璃离子修复楔状缺损的疗效。方法选取华亭县人民医院收治的牙体楔状缺损患者98例(164颗)作为研究对象,按照修复材料不同分为观察组51例(83颗)和对照组47例(81颗),其中观察组给予Vitremer树脂加强型玻璃离子修复,对照组给予光固化复合树脂修复。观察两组修复成功率、远期疗效、龈沟液(GCF)、天冬氨酸转氨酶(AST)、碱性磷酸酶(ALP)水平以及修复满意度。结果观察组修复成功率为96.08%稍高于对照组的91.49%(P>0.05);观察组牙体密合度、填充体形态、牙龈情况、边缘着色和敏感度优于对照组(P<0.05);修复后4周观察组GCF、AST和ALP水平与修复前比较差异无统计学意义(P>0.05),对照组GCF、AST和ALP水平显著高于修复前(P<0.05),且对照组显著高于观察组(P<0.05);观察组满意率为94.12%显著高于对照组的80.85%(P<0.05)。结论 Vitremer树脂加强型玻璃离子能够提高楔状缺损患者修复成功率,保护牙周,并提高远期疗效和修复满意度。
OBJECTIVE To explore curative effect of Vitremer resin reinforced glass ionomer in repairment of wedge-shaped defect. METHODS 98 cases（164 teeth） of patients with teeth of wedge-shaped defects treated in target hospital were selected as the study ob- jects, and were divided into observation group of 51 cases（83 teeth） and control group of 47 cases （81 teeth）. The observation group were given Vitremer resin reinforced glass ionomer repairment, and the control group were given light cured composite resin repairment. Repair success rate, long-term effect, gingival crevicular fluid （GCF）, aspartate aminotransferase （AST）, alkaline phosphatase （ALP） levels and repairment satisfaction were observed in the two groups. RESULTS The success rate of the observation group was 96.08%, slightly higher than that of 91.49% of the control group （P〉0.05）. Tooth density, filling morphology, gingival condition, edge coloring, and sensitivity in the observation group were better than those in the control group （P〈0.05）. After repairment of 4w, there were no significant differences in GCF, AST, ALP levels of the observation group when compared with those of the control group （P〉 0.05）.GCF, AST and ALP were significantly higher than those before repairment in the Control group （P〈0.05）, and those in the control group were significantly higher than those in the observation group （P〈0.05）. Satisfaction of the observation group（94.12%）was higher than that of 80.85% in the control group （P〈0.05）. CONCLUSION Vitremer resin reinforced glass ionomer could improve the success rate of patients with wedge-shaped defects, protect dental periphery and improve long-term efficacy and repairment satisfaction.
出处
《中国初级卫生保健》
2017年第12期104-106,共3页
Chinese Primary Health Care
