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使用三种不同的牙齿颜色修复材料对非龋性颈部病变进行术后敏感性的比较评估:一项体内分口设计研究

Comparative Evaluation of Postoperative Sensitivity Using Three Different Tooth-Colored Restorative Materials in Non-carious Cervical Lesions: A Split-Mouth Design In Vivo Study.

作者信息

Gupta Radhika, Patel Aditya, Nikhade Pradnya, Chandak Manoj, Rajnekar Rutuja, Dugar Meghna

机构信息

Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Aug 10;14(8):e27861. doi: 10.7759/cureus.27861. eCollection 2022 Aug.

Abstract

Introduction Three different tooth-colored restorative materials were evaluated and compared for postoperative sensitivity using a split-mouth design. This is a double-blinded clinical trial assessed for a one-month follow-up period in patients with non-carious cervical lesions (NCCLs). Materials and Methods A total of 60 NCCLs in 20 participants were considered in this split-mouth design study and randomly divided into three different groups: Flowable composite (n = 20), resin-modified glass ionomer cement (RMGIC) (n = 20), and Zirconomer® (n = 20). The restorations were evaluated for postoperative sensitivity at baseline (BL-day 0), three, seven, and 21 days using the Schiff cold air sensitivity scale. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States) using a post hoc test for postoperative sensitivity and one-way Anova to analyze all the groups together at the time interval of three, seven, and 21 days. Results In Group 1 (flowable composites) and Group 3 (Zirconomer), a statistically significant difference in terms of reduced postoperative sensitivity was seen after three and seven days. However, a significant reduction in postoperative sensitivity was seen after three, seven, and 21 days in Group 2 (RMGIC). Conclusion In this study, RMGIC showed reduced postoperative sensitivity after restoring NCCLs compared to Zirconomer and flowable composites. Compared with flowable composites and Zirconomer, RMGIC showed better clinical performance in terms of less postoperative sensitivity after restoring NCCLs.

摘要

引言 使用双盲设计对三种不同的牙齿颜色修复材料进行了评估,并比较了它们术后的敏感性。这是一项双盲临床试验,对非龋性颈部病变(NCCL)患者进行了为期一个月的随访评估。

材料与方法 在这项双盲设计研究中,共纳入了20名参与者的60个NCCL,并随机分为三组:流动复合树脂(n = 20)、树脂改性玻璃离子水门汀(RMGIC)(n = 20)和Zirconomer®(n = 20)。使用希夫冷空气敏感量表在基线(BL - 第0天)、第3天、第7天和第21天对修复体的术后敏感性进行评估。使用IBM SPSS Statistics for Windows 23.0版(2015年发布;IBM公司,美国纽约州阿蒙克)对数据进行分析,采用事后检验评估术后敏感性,并使用单因素方差分析在第3天、第7天和第21天的时间间隔对所有组进行综合分析。

结果 在第1组(流动复合树脂)和第3组(Zirconomer)中,术后第3天和第7天在术后敏感性降低方面存在统计学显著差异。然而,第2组(RMGIC)在术后第3天、第7天和第21天术后敏感性均显著降低。

结论 在本研究中,与Zirconomer和流动复合树脂相比,RMGIC在修复NCCL后显示出较低的术后敏感性。与流动复合树脂和Zirconomer相比,RMGIC在修复NCCL后在术后敏感性较低方面表现出更好的临床性能。

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