Department of Prosthetic Dentistry and Oral Function, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Clin Exp Dent Res. 2020 Feb;6(1):16-23. doi: 10.1002/cre2.243. Epub 2019 Aug 30.
The aim of this retrospective study was to evaluate clinical success and satisfaction of patients with amelogenesis imperfecta treated with three different types of bonded restorations at a university clinic.
One hundred fifty-four restorations in 15 subjects with mean age of 17.3 years (SD 8.2) were evaluated after treatment with three different types of bonded restorations: all ceramic enamel-dentin bonded restorations, prefabricated composite veneers, and direct composite resin restorations. A modified version of the Californian Dental Association system for quality evaluation of dental care and a questionnaire assessing patient satisfaction were used for classification. The restorations were evaluated with respect to patient satisfaction, esthetics, technical, and biological complications.
Mean observation period for the restorations was 42.5 months (SD 35.6). All restorations were in place at the time of the examination. Surface and color calibration showed a success of 95% for the ceramic enamel-dentin bonded restorations, 44% for the direct composite resin restorations, and 0% for the prefabricated composite veneers. The same pattern was evident for anatomy and marginal integrity. The subjects reported a high degree of satisfaction with both the esthetics and function of their restorations.
The results indicated that all ceramic restorations demonstrated the best results for patients with amelogenesis imperfecta.
本回顾性研究旨在评估在大学诊所中，3 种不同粘结修复体治疗牙釉质发育不全患者的临床成功率和满意度。
对 15 名年龄为 17.3 岁（SD 8.2）的患者的 154 个修复体进行评估，这些患者接受了 3 种不同粘结修复体的治疗：全陶瓷牙本质粘结修复体、预制复合贴面和直接复合树脂修复体。采用改良版加利福尼亚牙科协会（CDA）口腔保健质量评估系统和问卷调查评估患者满意度进行分类。评估修复体的患者满意度、美观、技术和生物学并发症。
修复体的平均观察期为 42.5 个月（SD 35.6）。检查时所有修复体均在位。表面和颜色校准显示，陶瓷牙本质粘结修复体的成功率为 95%，直接复合树脂修复体为 44%，预制复合贴面为 0%。解剖学和边缘完整性也呈现出相同的模式。患者对其修复体的美观和功能均高度满意。
结果表明，全陶瓷修复体为牙釉质发育不全患者提供了最佳效果。
