流动复合树脂和玻璃离子水门汀修复楔状缺损的临床分析

对比分析玻璃离子水门汀与复合树脂填充法治疗后牙牙体缺损的效果钟恬1,2,3 胡道勇1,2,3（1. 南昌大学附属口腔医院儿童口腔科 南昌 330006 ；2. 江西省口腔生物医学重点实验室南昌 330006；3. 江西省口腔疾病临床医学研究中心 南昌 330006）摘 要 目的：对比分析玻璃离子水门汀（glass ionomer cement, GIC ）与复合树脂（composite resin, CR ）填充法治疗后牙牙体缺损的效果。

方法：回顾性分析80例后牙牙体缺损患者病例资料，根据不同填充方案分为对照组（n ＝40）和观察组（n ＝40），对照组接受GIC 填充法，观察组接受CR 填充法。

随访2年后比较两组填充效果、美观度、咀嚼功能和不良事件发生情况。

结果：观察组填充成功率高于对照组（62.5% vs 40.0%），不良事件发生率低于对照组（5.0% vs 25.0%）；修复后，两组咀嚼功能显著升高，且观察组咀嚼功能、美观度评分均高于对照组（均P ＜0.05）。

结论：与GIC 比较，RC 填充法治疗后牙牙体缺损可提高填充成功率，改善患者咀嚼功能，提高美观度。

关键词 牙体缺损 玻璃离子水门汀 复合树脂 填充效果 咀嚼功能 美观度中图分类号：R783.3 文献标志码：B 文章编号：1006-1533(2023)13-0044-04引用本文 钟恬, 胡道勇. 对比分析玻璃离子水门汀与复合树脂填充法治疗后牙牙体缺损的效果[J]. 上海医药, 2023, 44(13): 44-47.Comparative analysis of the effects of glass ionomer cement and compositeresin filling in the treatment of posterior tooth defectsZHONG Tian 1,2,3, HU Daoyong 1,2,3(1. Department of Pediatric Dentistry, the Affiliated Stomatological Hospital of Nanchang University, Nanchang 330006,China; 2. the Key Laboratory of Oral Biomedicine, Jiangxi Province, Nanchang 330006, China; 3. Jiangxi ProvincialClinical Research Centre for Oral Diseases, Nanchang 330006, China)ABSTRACT Objective: To compare the effect of glass ionomer cement (GIC) and composite resin (CR) filling method in the treatment of posterior tooth defects. Methods: The data from 80 cases of patients with posterior tooth defects were retrospectively analyzed and divided into a control group (n =40) and an observation group (n =40) according to the different filling protocols. The control group received the GIC filling method and the observation group received the CR filling method. The results of filling, aesthetics, masticatory function and adverse events were compared between the two groups after 2 years of follow-up. Results: The success rate of filling was higher (62.5% vs 40.0%) and the incidence of adverse events was lower (5.0% vs 25.0%) in the observation group than the control group. After restoration, the masticatory function in both groups was significantly higher, and moreover the masticatory function and aesthetic scores were higher in the observation group than the control group (all P <0.05). Conclusion: Compared with GIC, the RC filling method for the treatment of posterior tooth defects can increase the success rate of filling, improve the patient’s masticatory function and enhance the aesthetics .KEY WORDS tooth defect; glass ionomer cement; composite resin; filling effect; masticatory function; aesthetics牙体缺损是口腔科常见疾病，由多种原因导致的牙体硬组织外形及结构被破坏，牙体失去正常解剖，造成牙体形态、咬合等的破坏[1]。

深度楔状缺损两种修复方法的临床疗效观察李慧良;杨令云【期刊名称】《医学与哲学》【年(卷),期】2011(032)024【摘要】To compare the observed light-cured calcium hydroxide bottom composite Dyract after repair and the direct use of Fuji II glass ionomer cement neck deep wedge-shaped defects in dental clinical efficacy. 178 cases of tooth neck deep wedge-shaped defect in patients with 412 teeth were randomly divided into two groups. Group 1 Fuji II glass ionomer direct repair. Group 2 using light-cured calcium hydroxide bottom composite Dyract after repair. 6 -24 months follow-up after, the results were significantly different after two years (P<0. 05), six months no significant difference (P>0. 05). 2 years after the first set of edge adaptation, secondary caries and periodontal dental pulp are superior to group 2 (P<0. 05). Repair of glass ionomer cement direct treatment of wedge-shaped defects over the depth of light curing calcium hydroxide to bottom with Dyract complex repair, Fujill direct filling of glass ionomer cement is an ideal depth of wedge-shaped defect repair technology.%通过光固化氢氧化钙垫底后Dyract复合体修复和直接用Fuji Ⅱ玻璃离子水门汀分别修复牙颈部深度楔状缺损,临床观察6个月～24个月.对二者的治疗效果进行研究分析,认为玻璃离子水门汀直接修复深度楔状缺损治疗效果优于以光固化氢氧化钙垫底用Dyract复合体修复,FujiⅡ玻璃离子水门汀直接充填是一种较理想的修复深度楔状缺损技术.【总页数】2页(P27-28)【作者】李慧良;杨令云【作者单位】郑州市第一人民医院口腔科河南郑州 450000;郑州市第一人民医院口腔科河南郑州 450000【正文语种】中文【中图分类】R781.2【相关文献】1.两种方法修复牙齿楔状缺损的临床疗效观察 [J], 赵西珍;张松涛2.两种方法修复深度楔状缺损的临床观察 [J], 刘剑锋;于恩廷;王咏3.两种方法修复深度楔状缺损的疗效观察 [J], 魏爱金4.深度楔状缺损两种修复方法的临床疗效观察 [J], 李慧良;杨令云5.两种方法修复牙齿楔状缺损的临床疗效观察 [J], 赵西珍; 张松涛因版权原因，仅展示原文概要，查看原文内容请购买。

两种树脂修复老年人楔状缺损的临床观察[摘要]目的：研究流体树脂和复合树脂修复老年人楔状缺损的临床疗效。

方法：选择98例（103对共206颗）患者，采用自身对照设计方法，分别应用流体树脂和复合树脂进行充填修复，6个月、1年后比较二者的临床疗效。

结果：两组6个月成功率比较，两种修复方法效果相似(p＞0.05)；1年成功率比较，流体树脂在修复楔状缺损时优于复合树脂（p＜0.01）。

结论：流体树脂在修复楔状缺损时优于复合树脂，具有良好临床效果，是一种较理想的充填材料。

[关键词]楔状缺损；流体树脂；复合树脂[中图分类号]r783 [文献标识码]a [文章编号]1008-6455（2012）05-0837-02the comparison of clinical curative effect in the cure of wedge-shaped defects in elderly people:using two different resinsliu qi-liang,shao hai-bin,li bi-e(district of stomatology,huzhong hospital,guangzhou 510800,guangdong,china)abstract: objective to observe the clinical curative effect of using fluid resin and composite resin in the cure of wedge-shaped defects in elderly. methods select a total of 206 teeth,using the self-controlled study methods. usingfluid resin and composite resin to restore thedefects,respectively.clinical examinations were made after 6,12 months of treatment. results the clinical effect were similar after 6 months, without statistically significant(p ＞0.05);but 1 years later,the fluid resin is much better than composite resin,the difference being statistically significant (p＜0.01). conclusion the fluid resin could achieve good clinical effect,would be an ideal filling material.key words:wedge shaped defect;fluid resin;resin composite 楔状缺损是牙齿颈部硬组织在咀嚼应力作用下发生疲劳并与外部机械和化学因素长期协同作用下，发生的慢性进行性丧失的疾病[1]。

两种树脂修复老年人楔状缺损的临床观察作者：刘琪亮,邵海宾,李碧娥来源：《中国美容医学》2012年第05期[摘要]目的：研究流体树脂和复合树脂修复老年人楔状缺损的临床疗效。

方法：选择98例（103对共206颗）患者，采用自身对照设计方法，分别应用流体树脂和复合树脂进行充填修复，6个月、1年后比较二者的临床疗效。

结果：两组6个月成功率比较，两种修复方法效果相似(P＞0.05)；1年成功率比较，流体树脂在修复楔状缺损时优于复合树脂（P＜0.01）。

结论：流体树脂在修复楔状缺损时优于复合树脂，具有良好临床效果，是一种较理想的充填材料。

[关键词]楔状缺损；流体树脂；复合树脂[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2012）05-0837-02The comparison of clinical curative effect in the cure of wedge-shaped defects in elderly people:using two different resinsLIU Qi-liang,SHAO Hai-bin,LI Bi-e(District of Stomatology,Huzhong Hospital,Guangzhou 510800,Guangdong,China)Abstract: Objective To observe the clinical curative effect of using fluid resin and composite resin in the cure of wedge-shaped defects in elderly. Methods Select a total of 206 teeth,using the self-controlled study methods. Using fluid resin and composite resin to restore thedefects,respectively.Clinical examinations were made after 6,12 months of treatment. Results The clinical effect were similar after 6 months, without statistically significant(P＞0.05);but 1 years later,the fluid resin is much better than composite resin,the difference being statistically significant (P ＜0.01). Conclusion The fluid resin could achieve good clinical effect,would be an ideal filling material.Key words:wedge shaped defect;fluid resin;resin composite楔状缺损是牙齿颈部硬组织在咀嚼应力作用下发生疲劳并与外部机械和化学因素长期协同作用下，发生的慢性进行性丧失的疾病[1]。