本文選題：超薄不備牙貼面 + 傳統(tǒng)備牙貼面　； 參考：《安徽醫(yī)科大學(xué)》2017年碩士論文

【摘要】：人類的牙齒不僅是直接行使咀嚼的器官,而且對(duì)發(fā)音、言語(yǔ)及保持面部協(xié)調(diào)美觀均具有重要作用[1]。根據(jù)牙齒在牙列中的位置和功能可分為前牙和后牙,前牙發(fā)揮美學(xué)的功能相對(duì)后牙來(lái)說作用較大�；颊咔把肋^小牙、畸形牙、四環(huán)素牙、氟斑牙、著色牙、切端少量缺損等異常牙齒會(huì)嚴(yán)重影響患者美觀及患者自信心,甚至可能會(huì)影響患者心理健康。伴隨著生活質(zhì)量和審美觀念的提高,患者對(duì)于前牙區(qū)牙齒所展現(xiàn)的美學(xué)要求越來(lái)越高;但是對(duì)于患者前牙區(qū)的美學(xué)修復(fù)治療,一直都是口腔醫(yī)師的挑戰(zhàn)。Buonocore[2]發(fā)明的酸蝕粘結(jié)技術(shù)和Bowen[3]發(fā)明的樹脂粘結(jié)劑的臨床應(yīng)用,增加了醫(yī)師臨床上對(duì)于前牙區(qū)美學(xué)修復(fù)治療方案的選擇,這些早期研究的發(fā)明發(fā)現(xiàn),使得現(xiàn)代瓷貼面的臨床應(yīng)用變?yōu)榭赡堋Ｏ鄬?duì)于全冠、部分冠等其他修復(fù)方式,瓷貼面具有少量備牙甚至不用備牙、創(chuàng)傷最小、強(qiáng)度高、生物相容性優(yōu)及美觀性能好等優(yōu)勢(shì),目前已被臨床醫(yī)師和患者廣泛接受�，F(xiàn)代瓷貼面根據(jù)備牙量的有無(wú)可分為傳統(tǒng)備牙瓷貼面和不備牙超薄瓷貼面。傳統(tǒng)貼面應(yīng)用于臨床時(shí)間較長(zhǎng)些,其臨床效果已得到學(xué)者一致公認(rèn);隨著陶瓷材料和計(jì)算機(jī)技術(shù)的發(fā)展,貼面最薄處可達(dá)0.2毫米(mm),臨床上可無(wú)需備牙或僅去除牙體組織倒凹即可,此即超薄不備牙瓷貼面。超薄貼面應(yīng)用于臨床時(shí)間相對(duì)傳統(tǒng)貼面時(shí)間較短,但因其創(chuàng)傷最小、美觀效果好、生物相容性優(yōu)等,加之2009年Koirala學(xué)者提出“口腔微創(chuàng)美容觀念”的理念和治療方案受到臨床醫(yī)師和專家的高度評(píng)價(jià)和重視,目前超薄貼面也備受大部分臨床醫(yī)師和患者的親睞。目的本課題通過觀察比較超薄不備牙瓷貼面和傳統(tǒng)瓷貼面的臨床效果,從而分析評(píng)估超薄不備牙瓷貼面的短期臨床應(yīng)用效果。方法1、醫(yī)師電話預(yù)約一年前制作超薄瓷貼面和傳統(tǒng)貼面的34位患者,其中包括實(shí)驗(yàn)組54顆前牙進(jìn)行的超薄不備牙貼面修復(fù)和對(duì)照組57顆前牙進(jìn)行的傳統(tǒng)備牙貼面修復(fù)。所有修復(fù)體均屬于對(duì)接型,均是同一家義齒加工廠采用Ivoclar Vivadent公司推出的IPS e.max HT瓷塊加工而成,因位于前牙美學(xué)區(qū),修復(fù)體邊緣均采用齦下邊緣設(shè)計(jì);2、復(fù)診時(shí),由同一位醫(yī)師對(duì)患者基牙的敏感性、繼發(fā)齲、牙齦情況及修復(fù)體顏色的匹配性、邊緣密合性、邊際著色情況進(jìn)行檢查并記錄,評(píng)價(jià)的標(biāo)準(zhǔn)采用Kihn介紹的改良Ryge標(biāo)準(zhǔn)及Silness和Joe介紹的牙齦檢查方法,對(duì)其檢查結(jié)果采用卡方檢驗(yàn)進(jìn)行統(tǒng)計(jì)分析。結(jié)果患者修復(fù)一年后復(fù)診檢查時(shí),實(shí)驗(yàn)組超薄瓷貼面和對(duì)照組傳統(tǒng)瓷貼面均無(wú)繼發(fā)齲、術(shù)后敏感和邊緣著色情況的發(fā)生,兩組修復(fù)體的邊緣密合性、顏色滿意度及牙齦反應(yīng)復(fù)查結(jié)果均是P0.05,兩組差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論超薄不備牙貼面短期臨床修復(fù)的效果不亞于傳統(tǒng)貼面短期臨床修復(fù)效果。
[Abstract]:Human teeth are not only a direct masticatory organ, but also play an important role in pronunciation, speech and facial harmony [1]. According to the position and function of teeth in dentition, the anterior teeth can be divided into anterior teeth and posterior teeth. The aesthetic function of anterior teeth is more important than that of posterior teeth. Abnormal teeth, such as anterior teeth, deformed teeth, tetracycline teeth, fluorosis teeth, stained teeth and a few defects at the incisors, may seriously affect the beauty and confidence of the patients, and may even affect the mental health of the patients. With the improvement of quality of life and aesthetic concept, the aesthetic requirements of the anterior teeth are higher and higher, but the aesthetic restoration of the anterior teeth is more and more important. It has always been a challenge for stomatologists. Buonocore and Bowen [3] invented the acid-etching bonding technique and the clinical application of resin binders, which increased the choice of clinical treatment options for aesthetic restoration of anterior teeth. It makes the clinical application of modern porcelain veneer possible. Compared with other restoration methods, such as full crown, partial crown and so on, porcelain veneer has the advantages of little or no tooth preparation, minimal trauma, high strength, excellent biocompatibility and good aesthetic performance, and has been widely accepted by clinicians and patients. Modern porcelain veneer can be divided into traditional enamel veneer and unprepared ultra-thin porcelain veneer according to the number of teeth. With the development of ceramic materials and computer technology, the clinical effect of traditional veneer has been recognized by scholars as it has been used for a longer period of time. The thinnest part of the veneer can be up to 0.2 mm / mm, and no need to prepare teeth or just remove the inverted concave of tooth tissue can be removed clinically, which is called ultra-thin and unprepared porcelain veneer. The clinical time of ultra-thin veneer is shorter than that of traditional veneer, but because of its minimal trauma, good aesthetic effect, excellent biocompatibility, etc. In addition, in 2009, Koirala scholars put forward the concept and treatment of "oral minimally invasive beauty concept" by clinicians and experts of high praise and attention, the current ultra-thin veneer is also favored by most clinicians and patients. Objective by observing and comparing the clinical effects of ultra-thin porcelain veneer and traditional porcelain veneer, this paper analyzed and evaluated the short-term clinical application effect of ultra-thin and unprepared dental porcelain veneer. Methods 1. 34 patients with ultra-thin porcelain veneer and traditional veneer were made by telephone, including 54 unprepared teeth in the experimental group and 57 in the control group. All the prostheses are of the docking type. They are all made from the same denture factory using the IPS e.max HT porcelain from Ivoclar Vivadent. Because they are located in the aesthetic area of the anterior teeth, the edges of the restoration are all designed by the subgingival edge design. The sensitivity of abutment teeth, secondary caries, gingival conditions and color matching of prostheses, edge compactness, marginal coloring were examined and recorded by the same physician. The evaluation criteria were modified Ryge standard introduced by Kihn and gingival examination method introduced by Silness and Joe. The results were statistically analyzed by chi-square test. Results there were no secondary caries on the ultra-thin porcelain veneer in the experimental group and the traditional porcelain veneer in the control group, the sensitivity and edge coloration of the two groups were observed, and the edge tightness of the two groups was observed. The results of color satisfaction and gingival reaction were P 0.05, there was no significant difference between the two groups. Conclusion the effect of short-term clinical restoration of unprepared tooth veneer is no less than that of traditional veneer.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R783.9

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 沈聞慶;關(guān)于預(yù)成瓷貼面的修復(fù)[J];黑龍江醫(yī)學(xué);2002年08期

2 趙鋼,李萍;全瓷貼面的臨床應(yīng)用[J];牙體牙髓牙周病學(xué)雜志;2003年05期

3 庾英姿;玻璃瓷貼面的臨床應(yīng)用[J];實(shí)用口腔醫(yī)學(xué)雜志;2001年06期

4 蔣滔,王貽寧;瓷貼面臨床應(yīng)用及研究進(jìn)展[J];口腔頜面修復(fù)學(xué)雜志;2001年01期

5 徐維寧,岳斌;瓷貼面與瓷聚合體貼面的色澤效果比較[J];上�？谇会t(yī)學(xué);2001年02期

6 王少萍,趙玉珍,孫璞胤;烤瓷貼面的臨床應(yīng)用[J];現(xiàn)代口腔醫(yī)學(xué)雜志;2001年04期

7 趙鋼,李萍;全瓷貼面的臨床應(yīng)用[J];口腔頜面修復(fù)學(xué)雜志;2002年03期

8 楊征 ,牟雁東 ,羅云 ,巢永烈;薄型瓷貼面顏色效果的臨床應(yīng)用研究[J];華西口腔醫(yī)學(xué)雜志;2002年03期

9 屠兆京;126顆烤瓷貼面牙的臨床效果觀察[J];華夏醫(yī)學(xué);2003年03期

10 陸支越,章非敏,殷新民;厚度對(duì)烤瓷貼面顏色的影響(英)[J];Journal of Nanjing Medical University;2003年02期

相關(guān)會(huì)議論文 前10條

1 劉天爽;陳小冬;;瓷貼面基底燒結(jié)飾面瓷的臨床應(yīng)用研究[A];2009“牙齒顏色的識(shí)別與美學(xué)再現(xiàn)”專題研討會(huì)論文匯編[C];2009年

2 于海洋;杜傳詩(shī);巢永烈;鄭弟澤;;三型瓷貼面的三維有限元分析[A];中華口腔醫(yī)學(xué)會(huì)第三次全國(guó)口腔修復(fù)學(xué)術(shù)會(huì)議論文集[C];1997年

3 陳卓凡;鄧飛龍;;烤瓷貼面的臨床應(yīng)用及效果評(píng)價(jià)[A];中華口腔醫(yī)學(xué)會(huì)第三次全國(guó)口腔修復(fù)學(xué)術(shù)會(huì)議論文集[C];1997年

4 鄧瓊;;前牙鑄瓷貼面粘結(jié)修復(fù)四手操作的護(hù)理配合[A];全國(guó)口腔護(hù)理新進(jìn)展研討會(huì)論文匯編[C];2012年

5 張春利;趙雯;賈珍;;全瓷貼面粘結(jié)修復(fù)的護(hù)理配合[A];全國(guó)口腔護(hù)理新進(jìn)展研討會(huì)論文匯編[C];2010年

6 米乃元;鄧飛龍;陳卓凡;;瓷貼面的臨床設(shè)計(jì)[A];中華口腔醫(yī)學(xué)會(huì)第三次全國(guó)口腔修復(fù)學(xué)術(shù)會(huì)議論文集[C];1997年

7 林重華;陳卓凡;;瓷貼面的臨床應(yīng)用[A];中華口腔醫(yī)學(xué)會(huì)第三次全國(guó)口腔修復(fù)學(xué)術(shù)會(huì)議論文集[C];1997年

8 杜英慧;;烤瓷貼面的臨床應(yīng)用及制作[A];中華口腔醫(yī)學(xué)會(huì)第三次全國(guó)口腔修復(fù)學(xué)術(shù)會(huì)議論文集[C];1997年

9 范丹妮;杜瑞鈿;;烤瓷貼面臨床效果的回顧研究[A];第六次全國(guó)口腔修復(fù)學(xué)學(xué)術(shù)會(huì)議論文摘要匯編[C];2009年

10 車道闖;;增加“OP”層使間接烤瓷貼面色彩穩(wěn)定[A];海南省口腔醫(yī)學(xué)會(huì)第二次會(huì)員代表大會(huì)暨學(xué)術(shù)會(huì)議論文匯編[C];2004年

相關(guān)重要報(bào)紙文章 前1條

1 ;補(bǔ)牙瓷貼面更美觀[N];健康時(shí)報(bào);2008年

相關(guān)博士學(xué)位論文 前1條

1 陳小冬;瓷貼面美學(xué)效果的實(shí)驗(yàn)研究[D];武漢大學(xué);2015年

相關(guān)碩士學(xué)位論文 前10條

1 聶廷洪;瓷貼面厚度及粘接劑對(duì)IPS e.max鑄瓷貼面色彩效果的影響[D];天津醫(yī)科大學(xué);2015年

2 劉絲雨;全瓷貼面的臨床應(yīng)用現(xiàn)狀[D];河北醫(yī)科大學(xué);2017年

3 毛勝男;不同切端設(shè)計(jì)全瓷貼面抗壓強(qiáng)度分析[D];遼寧醫(yī)學(xué)院;2012年

4 姜雅萍;上中切牙瓷貼面不同修復(fù)設(shè)計(jì)的三維有限元應(yīng)力分析[D];吉林大學(xué);2013年

5 王彬;三種常見環(huán)境因素對(duì)瓷貼面結(jié)劑顏色影響的實(shí)驗(yàn)研究[D];第四軍醫(yī)大學(xué);2006年

6 胡柏;前牙烤瓷貼面的修復(fù)應(yīng)用及臨床觀察[D];武漢大學(xué);2004年

7 唐媛媛;紫外線照射和唾液浸泡對(duì)瓷貼面顏色穩(wěn)定性的研究[D];安徽醫(yī)科大學(xué);2014年

8 潘祁;模擬四環(huán)素牙瓷貼面修復(fù)體的色彩學(xué)實(shí)驗(yàn)研究[D];第四軍醫(yī)大學(xué);2010年

9 關(guān)昌俊;CEREC Ⅲ CAD/CAM三種貼面材料色差的試驗(yàn)研究[D];大連醫(yī)科大學(xué);2012年

10 張顏;對(duì)瓷貼面不同粘結(jié)層的三維有限元應(yīng)力分析[D];中國(guó)人民解放軍醫(yī)學(xué)院;2014年

，

本文編號(hào)：1861176