CAD/CAM修复体修复老年人后牙缺损的临床效果评价

doi:10.13481/j.1671-587x.20180130

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (01): 157-161.doi: 10.13481/j.1671-587x.20180130

CAD/CAM修复体修复老年人后牙缺损的临床效果评价

朱红玲¹, 耿文韬², 谢金芳², 李雪洋², 尹硕³, 毕崇才¹

1. 吉林大学第一医院口腔科, 吉林长春 130021;
2. 吉林大学口腔医院牙体牙髓病科, 吉林长春 130021;
3. 吉林省长春市口腔医院修复科, 吉林长春 130022

收稿日期:2017-08-09 出版日期:2018-01-28 发布日期:2018-01-24
通讯作者: 毕崇才,副教授,硕士研究生导师(Tel:0431-88782993,E-mail:zhangyingli1989@163.com);尹硕,主治医师(Tel:0431-88796017,E-mail:934232260@qq.com) E-mail:zhangyingli1989@163.com;934232260@qq.com
作者简介:朱红玲(1971-),女,吉林省长春市人,主管护师,主要从事口腔护理方面的研究。
基金资助:
吉林省技术监督局科研基金资助课题（DBXM152-2016，DBXM111-2017）

Evaluation on clinical effect of CAD/CAM restorations in repairing posterior tooth defects in elderly people

ZHU Hongling¹, GENG Wentao², XIE Jinfang², LI Xueyang², YIN Shuo³, BI Chongcai¹

1. Department of Stomatology, First Hospital, Jilin University, Changchun 130021, China;
2. Department of Endodontics, Stomatology Hospital, Jilin University, Changchun 130021, China;
3. Department of Prosthodontics, Changchun Dental Hospital, Jilin Province, Changchun 130022, China

Received:2017-08-09 Online:2018-01-28 Published:2018-01-24

摘要/Abstract

摘要： 目的：采用CEREC椅旁CAD/CAM系统制作修复体修复老年人后牙缺损，评价其治疗1年后的临床疗效。方法：选择48例老年后牙缺损患者，共计52颗后牙，其中嵌体18颗，高嵌体24颗，嵌体冠10颗，采用CEREC椅旁CAD/CAM系统及CEREC瓷块椅旁设计并制作嵌体、高嵌体和嵌体冠，以树脂水门汀粘接。修复后满1年进行随访，采用改良美国公众健康服务标准（USPHS）对修复体、牙体和牙周等方面及患者满意度进行评价。结果：52颗患牙修复体中，嵌体、高嵌体和嵌体冠满意率分别为94.4%、91.7%和80.0%。其中1颗嵌体发生折裂，1颗高嵌体边缘不密合，1颗修复体边缘完整性轻度缺损，1颗牙体颊舌向纵折裂，1颗嵌体冠邻接关系不密合，1颗出现牙龈乳头炎。结论：CEREC椅旁CAD/CAM技术制作的修复体短期临床效果好，是修复老年人后牙缺损的有效手段。

关键词: 高嵌体, 嵌体, 椅旁CAD/CAM, 老年, 牙体缺损

Abstract: Objective: To repaire the posterior tooth defects in the elderly people with CEREC chairside CAD/CAM restorations, and to evaluate the clinical curative effect 1 year after treatment. Methods: A total of 52 posterior teeth from 48 aged patients were selected. Among them, 24 cases were onlays, 18 cases were inlays, and 10 cases were crowns. The inlays/onlays/crowns were designed and manufactured by CEREC chairside CAD/CAM system, and then bonded with resin cement. After 12 months, the patients were followed up. The teeth with restorations were assessed by using the modified USPHS criteria including restorations, tooth, and periodontal. At the same time, the patient's satisfaction was evaluated. Results: In all of the 52 restorations, the success rates of inlay, onlay and crown were 94.4%, 91.7% and 80.0%, respectively; among them, one inlay was fractured, one onlay did not close the edge, one onlay's edge integrity was mild defect, one teeth was fractured, one crown's adjacent relationship was not close, and one crown appeared papillitis. Conclusion: The restorations manufactured by CEREC chairside CAD/CAM system have a good short-term clinical curative effect. It is an effective way to repair the posterior tooth defects in the elderly people.

Key words: elderly, tooth defect, chairside CAD/CAM, inlay, onlay

中图分类号:

R783.3

朱红玲, 耿文韬, 谢金芳, 李雪洋, 尹硕, 毕崇才. CAD/CAM修复体修复老年人后牙缺损的临床效果评价[J]. 吉林大学学报(医学版), 2018, 44(01): 157-161.

ZHU Hongling, GENG Wentao, XIE Jinfang, LI Xueyang, YIN Shuo, BI Chongcai. Evaluation on clinical effect of CAD/CAM restorations in repairing posterior tooth defects in elderly people[J]. Journal of Jilin University Medicine Edition, 2018, 44(01): 157-161.

参考文献

[1] 姚江武.数字化口腔修复(3)--CAD/CAM二氧化锆钉MOD高嵌体修复[J].临床口腔医学杂志, 2016, 32(2):115-119.
[2] Keizer SP,Van Pelt AW. Full crown preparation of a vital tooth is outdated[J]. Ned Tijdschr Tandheelkd, 2004, 111(11):435-441.
[3] 包旭东,高学军.椅旁CAD/CAM数字化修复[J].中国实用口腔科杂志,2016,9(6):321-325.
[4] Han W, Li Y, Zhang Y, et al. Design and fabrication of complete dentures using CAD/CAM technology[J]. Medicine, 2017, 96(1):e5435.
[5] Coelho Santos MJ,Mondelli RF,Lauris JR, et al. Clinical evaluation of ceramic inlays and onlays fabricated with two systems:two-year clinical follow-up[J]. Oper Dent, 2004, 29(2):123-130.
[6] Barnes B. A year clinical evaluation of two composite resins in class-Ⅱ cavities[J]. Outseas Med-Stomatol, 1999, 18(3):175.
[7] Stavropoulou AF, Koidis PT. A systematic review of single crowns on endodontically treated teeth[J]. J Dent, 2007, 35(10):761-767.
[8] Aquilino SA, Caplan DJ. Relationship between crown placement and the survival of endodontically treated teeth[J].J Prosthet Dent, 2002, 87(3):256-263.
[9] Chrepa V, Konstantinidis I, Kotsakis GA, et al. The survival of indirect composite resin onlays for the restoration of root filled teeth:a retrospective medium-term study[J]. Int Endod J, 2014, 47(10):967-973.
[10] Ozyoney G, Yan Koglu F, Tagtekin D, et al. The efficacy of glass-ceramic onlays in the restoration of morphologically compromised and endodontically treated molars[J]. Int J Prosthodont, 2013, 26(3):230-234.
[11] 王林虎,郭家平.CEREC椅旁CAD/CAM诊室技术25年的研究进展[J].国际口腔医学杂志, 2012, 39(1):124-127.
[12] Schönberger J, Erdelt KJ, Bäumer D, et al. Marginal and internal fit of posterior three-unit fixed zirconia dental prostheses fabricated with two different CAD/CAM systems and materials[J]. Clin Oral Investig, 2017, 21(8):2629-2635.
[13] GiordanoR. Materials for chairside CAD/CAM-prod uced restora tions[J]. J Am Dent Assoc, 2006, 137(l):14-21.
[14] 李蓉,程祥荣,王贻宁, 等.CEREC2 CAD/CAM全瓷修复体的临床研究[J]. 口腔医学研究,2004,20(2):189-191.
[15] Schäfer E, Zandbiglari T, Schäfer J. Influence of resin-based adhesive root canal fillings on the resistance to fracture of endodontically treated roots:an in vitro preliminary study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(2):274-279.
[16] Lang H, Korkmaz Y, Schneider K, et al. Impact of endodontic treatmentson the rigidity of the root[J]. J Dent Res, 2006, 85(4):364-368.
[17] Sener-Yamaner ID, Sertgöz ZA, Toz-Akalin T, et al. Effect of material and fabrication technique on marginal fit and fracture resistance of adhesively luted inlays made of CAD/CAM ceramics and hybrid materials[J]. J Adhesion Sci Technol, 2016, 31(1):55-70.
[18] Kölpin M, Sterzenbach G, Naumann M. Composite filling or single crown:The clinical dilemma of how to restore endodontically treated teeth[J]. Quintessence Int, 2014, 45(6):457-466.
[19] Ahmad I. Restitution of maxillary anterior aesthetics with all-ceramic components[J]. Int Dent J, 2002, 52(1):47-56.
[20] Jedynakiewicz NM, Martin N. The effect of surface coating on the bond strength of machinable ceramics[J]. Biomaterials, 2001, 22(7):749-752.
[21] 张潇,李新,张德强.基于工业逆向工程及CAM技术的口腔修复全冠模型的构建及初步研究[J]. 口腔医学研究,2015, 31(3):258-261.
[22] Oppermann RV, Gomes SC, Cavagni J, et al. Response to proximal restorationsplaced either subgingivally or following crown lengthening inpatients with no history of periodontal disease[J]. Int J Periodontics Restorative Dent, 2016, 36(1):117-124.
[23] Ma L, Guess PC, Zhang Y. Load-bearing properties of minimal-invasive monolithic lithium disilicate and zirconia occlusal onlays:Finite element and theoretical analyses[J]. Dent Mater, 2013, 29(7):742-751.
[24] 牛云平,窦海瑞.CEREC E4D全瓷高嵌体修复无髓磨牙缺损临床效果观察[J]. 山西职工医学院学报, 2014, 24(1):4-6.

CAD/CAM修复体修复老年人后牙缺损的临床效果评价

Evaluation on clinical effect of CAD/CAM restorations in repairing posterior tooth defects in elderly people

RichHTML

PDF (PC)

赞

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 10

[1]	司熙, 李莉, 李秋实, 张天夫. 3种不同材料嵌体修复后牙Ⅱ类洞牙体缺损对牙龈的影响及临床疗效分析[J]. 吉林大学学报(医学版), 2018, 44(04): 815-819.
[2]	孙千月, 梁倩, 李倩倩, 杨双, 沈志坚, 吴哲. 利用全程数字化设计技术复制牙冠形态制作修复体1例报告及文献复习[J]. 吉林大学学报(医学版), 2017, 43(06): 1253-1255.
[3]	赵春芳, 李美娟, 于维维, 谢湘林, 冯琳琳, 刘宏雁. 黄紫堇总生物碱对β-淀粉样蛋白致老年性痴呆大鼠的保护作用[J]. 吉林大学学报(医学版), 2017, 43(03): 532-537.
[4]	王旭, 纪茗馨, 郝明月, 贾丽娜, 杨桐伟. 甲基强的松龙对全身麻醉老年患者术中呼吸力学参数的影响及其临床意义[J]. 吉林大学学报(医学版), 2017, 43(02): 361-364.
[5]	刘颖丽, 杨立彬, 张舒石, 张舒岩. 丁苯酞注射液治疗老年急性脑梗死患者的疗效及其对脑血流动力和脑血管储备能力的影响[J]. 吉林大学学报(医学版), 2017, 43(02): 344-348.
[6]	任露娟, 姜红霞, 张艳华, 杨文. 老年糖尿病患者血酮监测临床意义的研究进展[J]. 吉林大学学报(医学版), 2017, 43(01): 205-208.
[7]	李清茹, 季顺东. 多肿瘤标志物蛋白芯片检测在老年人健康体检中的应用价值及其临床意义[J]. 吉林大学学报(医学版), 2016, 42(03): 535-540.
[8]	赵桐荫, 褚运松, 赵惠子, 刘志明, 曹宁, 李忠民. 吉林省农村地区居民膳食模式与高血压关系的调查分析[J]. 吉林大学学报(医学版), 2016, 42(02): 400-404.
[9]	黄河, 田慧敏, 李波, 李鸿雁, 方芳, 崔巍巍, 高田林, 王月娟, 郑峰, 马嫄, 刘娅. 内陆与海岛地区老年人慢性疾病状况及影响因素分析[J]. 吉林大学学报(医学版), 2016, 42(01): 168-176.
[10]	孙頔佳, 张艳华, 刘树军, 杨文. 老年慢性疾病与血清前白蛋白关系的研究进展[J]. 吉林大学学报(医学版), 2016, 42(01): 186-190.
[11]	夏君, 谢晓娜, 刚晓坤, 高影. 老年糖尿病患者个体化治疗的研究进展[J]. 吉林大学学报(医学版), 2016, 42(01): 191-194.
[12]	孙丽娟, 刘婷, 徐秀梅, 李杰. 瑞舒伐他汀治疗老年人下肢动脉粥样硬化的效果评价[J]. 吉林大学学报(医学版), 2015, 41(06): 1260-1263.
[13]	陆非平, 陈炜, 甄洁, 马莉. 老年脓毒症患者免疫调理治疗前后T淋巴细胞亚群的变化[J]. 吉林大学学报(医学版), 2015, 41(05): 994-997.
[14]	. 血栓心脉宁对β-淀粉样蛋白致大鼠老年性痴呆的治疗作用[J]. 吉林大学学报(医学版), 2014, 40(05): 985-990.
[15]	朱颖杰，姚宇航，徐珊珊，潘阳，李志君，韩伟青，姚燕，于雅琴，李波，史杰萍. 吉林省老年人慢性病患病现状、疾病谱分布及其主要疾病危险因素分析[J]. 吉林大学学报(医学版), 2013, 39(6): 1275-1281.