本文選題：流動(dòng)復(fù)合樹脂 + Vertise��； 參考：《大連醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的:本研究通過(guò)采用Vertise Flow自粘接流動(dòng)樹脂(VF)和Filtek?Z350Flowable Restorative(ZF)流動(dòng)樹脂修復(fù)牙頸部楔狀缺損,觀察比較修復(fù)后3個(gè)月、6個(gè)月、12個(gè)月的臨床效果,探討Vertise Flow自粘接流動(dòng)樹脂修復(fù)牙頸部楔狀缺損的臨床效果。方法:以大連醫(yī)科大學(xué)附屬第一醫(yī)院口腔科診斷為楔狀缺損的36名患者的80例患牙為研究對(duì)象,隨機(jī)分為兩組,實(shí)驗(yàn)組:采用Vertise Flow自粘接流動(dòng)樹脂充填;對(duì)照組:采用Adper?Easy One自酸蝕粘接劑加Filtek?Z350 Flowable Restorative流動(dòng)樹脂充填。納入的病例要求缺損局限為牙釉質(zhì)或?yàn)檠辣举|(zhì)淺層,無(wú)明顯牙髓刺激癥狀和無(wú)自發(fā)痛史,患牙半年內(nèi)未做過(guò)修復(fù)、未受過(guò)外傷、未進(jìn)行牙周或正畸治療。將所有楔狀缺損牙齒的牙體預(yù)備均只做改良型預(yù)備:金剛砂車針將洞壁磨粗糙,在釉質(zhì)洞緣預(yù)備小斜面。本次試驗(yàn),所有對(duì)象均不做墊底。牙體預(yù)備后用水完全噴洗,并用空氣干燥5秒鐘。實(shí)驗(yàn)組比色,隔濕,選用Vertise Flow自粘接流動(dòng)樹脂提供的量配端頭將Vertise Flow流動(dòng)樹脂擠到洞內(nèi),用所提供的筆刷以適度的壓力給整個(gè)洞壁和斜面涂敷Vertise Flow達(dá)15~20秒鐘,用小筆刷清理周圍多余材料,光固化燈照射20秒;繼續(xù)重復(fù)上述步驟,每次厚度不超過(guò)2毫米,直至缺損處被完全修復(fù)。用金剛砂車針磨除唇頰面多余復(fù)合樹脂,橡膠杯蘸拋光膏將牙面精修與拋光;對(duì)照組比色,隔濕,涂布Adper?Easy One自酸蝕粘接劑20秒,輕吹干5秒,光固化10秒,隨后將Filtek?Z350 Flowable Restorative流動(dòng)樹脂注射入楔狀缺損內(nèi),輕輕加壓,分層固化,每層不超過(guò)2毫米,光固化燈照射20秒,繼續(xù)重復(fù)注射、固化步驟,每次厚度不超過(guò)2毫米,直至缺損處被完全修復(fù),用金剛砂車針磨除唇頰面多余復(fù)合樹脂,橡膠杯蘸拋光膏將牙面精修與拋光。修復(fù)效果依據(jù)改良的Ryge標(biāo)準(zhǔn)進(jìn)行評(píng)分,在修復(fù)后3個(gè)月、6個(gè)月、12個(gè)月分別進(jìn)行觀察記錄。結(jié)果:修復(fù)后3個(gè)月,實(shí)驗(yàn)組和對(duì)照組所有修復(fù)體均為“alpha”,兩組間比較P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義;修復(fù)后6個(gè)月,實(shí)驗(yàn)組有一顆牙齒透明度下降,有一顆牙齒修復(fù)體表面有凹陷,有一顆牙齒表面有砂礫感,分別記為“bravo”,對(duì)照組有一顆牙齒修復(fù)體表面有凹陷,有兩顆牙齒邊緣有裂隙,分別記為“bravo”,兩組間比較P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義;修復(fù)后12個(gè)月,實(shí)驗(yàn)組牙齒透明度下降增加至兩顆牙齒,表面有砂礫感增加至兩顆牙齒,分別記為“bravo”,對(duì)照組邊緣有裂隙增加至三顆牙齒,分別記為“bravo”,兩組間比較P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:1.Vertise Flow自粘接流動(dòng)樹脂與Filtek?Z350 Flowable Restorative流動(dòng)樹脂修復(fù)牙頸部楔狀缺損后3個(gè)月、6個(gè)月、12個(gè)月臨床效果無(wú)明顯差別。2.Vertise Flow自粘接流動(dòng)樹脂臨床采用一步法,降低了臨床操作難度,省時(shí)方便,是臨床上修復(fù)楔狀缺損的較好選擇。
[Abstract]:Objective: to study the clinical effects of Vertise Flow self-adhesive flow resin (VF) and Filtek?Z350Flowable Restorative-ZF resin in repairing wedge-shaped defect of tooth neck after 3 months, 6 months and 12 months after repair. To investigate the clinical effect of Vertise Flow self-adhesive flow resin in repairing wedge-shaped defect of tooth neck. Methods: 80 teeth of 36 patients diagnosed as wedge-shaped defect in Department of Stomatology, affiliated first Hospital of Dalian Medical University were randomly divided into two groups: the experimental group was filled with Vertise Flow self-adhesive flowing resin; The control group was filled with Adper?Easy One self-etching adhesive and Filtek?Z350 Flowable Restorative flowing resin. The defect was limited to enamel or superficial dentin. There were no obvious symptoms of pulp irritation and no history of spontaneous pain. The affected teeth had not been repaired within six months without trauma and had not been treated with periodontal or orthodontic treatment. The teeth of all wedge-shaped defects were prepared only by modified method: Emery needle grinded the wall rough and prepared small oblique surfaces at the edge of the enamel hole. This experiment, all the objects do not do bottom. After tooth preparation, spray completely with water and dry with air for 5 seconds. In the experimental group, colorimetric, wet-proof, Vertise Flow self-adhesive flow resin was used to squeeze the Vertise Flow flowing resin into the hole, and the whole wall and inclined surface of the hole was coated with Vertise Flow for 1520 seconds with the brush provided. Clean up the excess material with a small brush and light curing lamp for 20 seconds. Repeat the above steps until the defect is completely repaired, each time no more than 2 mm thick. The excess compound resin of lip and cheek was grinded with Emery wheel needle, the tooth surface was refined and polished with rubber cup dip polishing paste, the control group was colorimetric, moisturized, coated with Adper?Easy One self-etching adhesive for 20 seconds, lightly blown dry for 5 seconds, and cured by light for 10 seconds. Filtek?Z350 Flowable Restorative flow resin was then injected into wedge-shaped defect, gently pressurized, layered solidified, no more than 2 mm per layer, irradiation of light curing lamp for 20 seconds, repeated injection, solidification steps, no more than 2 mm in thickness each time, Until the defect is completely repaired, remove the excess resin from the lip and buccal surface with a Emery wheel needle, dip the rubber cup in the polishing paste to finish and polish the tooth surface. The effect of restoration was evaluated according to the improved Ryge criteria and observed at 3 months, 6 months and 12 months after restoration. Results: three months after the restoration, all the prostheses in the experimental group and the control group were "alpha", the difference between the two groups was not statistically significant (P0.05), and the transparency of one tooth in the experimental group decreased 6 months after the restoration. One tooth had a sunken surface, one had a feeling of sand and gravel on the surface of one tooth, and one in the control group had a dent on the surface of the restoration, and two teeth had a fissure on the edge of the tooth, each of which was recorded as "bravo." There was no significant difference between the two groups (P 0.05). After 12 months of repair, the transparency of the teeth in the experimental group decreased to two teeth, and the feeling of gravel on the surface increased to two teeth, which were recorded as "bravo", respectively. The margin of the control group increased to three teeth, which were recorded as "bravo". There was no significant difference between the two groups (P0.05). Conclusion: there is no significant difference in clinical effect between Vertise Flow self-adhesive flow resin and Filtek?Z350 Flowable Restorative mobile resin in the repair of wedge-shaped defect of tooth neck. 2. Vertise Flow self-adhesive flow resin is a one-step method, which reduces the difficulty of clinical operation. It is convenient to save time and is a good choice to repair wedge-shaped defect in clinic.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R783.3

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