全瓷贴面美容修复69例临床观察.docVIP

全瓷贴面美容修复69例临床观察[摘要]目的:通过前牙瓷贴面修复效果的临床观察,评价该项技术对前牙美容修复的效果。方法:门诊选择69例患者共计376颗患牙用IPS-empress铸瓷贴面修复,用美国加州牙科协会的评价标准和改良Ryge 贴面复查标准评价方法,于修复后1周、6个月、1年、2年复诊,观察修复体保存完整度、颜色的匹配、边缘适合性、术后过敏、牙龈反应5项指标。结果:临床观察结果表明,98%左右的瓷贴面完整度保存良好,并且具有良好的边缘适合性,崩瓷、折裂率及脱落率均低于1%;术后敏感和牙龈反应较轻;患者对修复体的颜色满意程度较高。结论:IPS-empress铸瓷贴面修复系统是一种可靠的美容修复方式。 [关键词]瓷贴面;美容修复;临床评价 [中图分类号]R783[文献标识码]A[文章编号]1008-6455(2010)02-0265-03 Clinical analysis of 69 cases with aesthetic all-ceramic restorations HAN Hao (Department of Stomatology,Xiguan Minhang Community Health Service Center,Xi’an 710082,Shaanxi,China) Abstract: ObjectiveThe purpose of this study was to evaluate the clinic efficacy of IPS-Empress porcelain laminate veneers in aesthetic dentistry. Methods 376 anterior tooth of 69 patients were restored with IPS-empress porcelain laminate veneers.The patients were recalled for evaluation postoperatively,at regular intervals of 1week,6 months,1 years and 3 years respectively.The factors of evaluation included the veneers’ integrity,fracture,the marginal situation,the gingival health,sensitivity and the patients’satisfaction with color match. Results The study showed that during the periods of evaluation,more than 98% veneers were found to be intact,the rate of debond and fracture was less than 1% respectively.The veneers showed excellent marginal fit and gingival health.At the one week,64 teeth had sensitive symptom,but the sensitive symptom had almost disappeared at the follow-up examination.The color of the veneers was stable. ConclusionThe study indicates that the IPS-Empress porcelain laminate veneer is reliable and ideal choice for anterior aesthetic restoration. Key words:porcelain laminate veneers;aesthetic restoration;clinical evaluation 瓷贴面口腔修复具有仿生修复的优越性,能够最大限度地保存牙体组织,特别适用于修复前牙牙列,具有美观和功能恢复俱佳的优点,近些年来备受口腔医师和患者的青睐。我科对要求前牙贴面美容修复的69例患者进行IPS-empress铸瓷贴面修复共计376颗进行随访临床统计,观察临床修复效果并对其中的应用问题加以总结。 1材料和方法 1.1 病例选择:本研究选择的病例全部为2005～2008年来我科就诊的患者,其中四环素牙33例,氟斑牙16例,外伤变色牙10例,过小牙4例,牙齿缝隙增大6例,共计376颗。其中男性患