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全锆前牙树脂粘结固定局部义齿的两年临床观察

[Two years clinical observation of anterior all zirconia ceramic resin bonded fixed partial dentures].

作者信息

Zhou Tuan-Feng, Zhang Gui-Rong, Wang Xin-Zhi

机构信息

Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2010 Mar;45(3):160-2.

Abstract

OBJECTIVE

To observe the restoration effect of anterior all zirconia ceramic resin bonded fixed partial dentures, and to find a new fixed restorative method for restoring one or two missing anterior teeth.

METHODS

Twenty-nine missing anterior teeth from twenty-three patients were restored with all zirconia ceramic resin bonded fixed partial dentures, and restorations were devided in to two groups according to the number of retainers, i.e. the single-retainer group and the two-retainer group. The integrity, secondary caries, marginal shade and color match of the restorations were evaluated with the standard of American Public Health Association (APHA). The average period of observation was 22 months.

RESULTS

One restoration from the two-retainer group failed, two restorations from the single-retainer group failed. The shade of two restorations were evaluated as discernable whiter compared to adjacent teeth. There was no secondary caries and marginal shade. The two year success rate of anterior all zirconia ceramic resin bonded fixed partial dentures was 90% (26/29).

CONCLUSIONS

All zirconia ceramic resin bonded fixed partial dentures used for less than two anterior missing teeth can achieved definite aesthetic effect and physiologic function. It was a new type of fixed restoration for anterior missing teeth. However, to determine long-term result of this restoration more data are needed.

摘要

目的

观察全锆瓷树脂粘结固定局部义齿的修复效果,寻找一种修复单个或两个上前牙缺失的新型固定修复方法。

方法

采用全锆瓷树脂粘结固定局部义齿修复23例患者的29颗上前牙缺失,修复体根据固位体数量分为两组,即单固位体组和双固位体组。按照美国公共卫生协会(APHA)标准评估修复体的完整性、继发龋、边缘色泽及颜色匹配情况。平均观察期为22个月。

结果

双固位体组有1个修复体失败,单固位体组有2个修复体失败。有2个修复体的色泽与相邻牙齿相比被评估为明显更白。无继发龋及边缘色泽问题。全锆瓷树脂粘结固定局部义齿的两年成功率为90%(26/29)。

结论

全锆瓷树脂粘结固定局部义齿用于修复少于两颗上前牙缺失可获得确切的美学效果和生理功能。它是一种修复上前牙缺失的新型固定修复方法。然而,需要更多数据来确定该修复方法的长期效果。

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