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采用生物学导向制备技术制备并临时冠修复的牙齿周围软硬组织愈合:一项体内实验研究。

Hard and soft tissue healing around teeth prepared with the biologically oriented preparation technique and restored with provisional crowns: An in vivo experimental investigation.

机构信息

Section of Periodontology, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.

Department of Biomaterials, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Norway.

出版信息

J Clin Periodontol. 2023 Sep;50(9):1217-1238. doi: 10.1111/jcpe.13825. Epub 2023 May 30.

Abstract

AIM

To evaluate the hard and soft tissues healing around teeth prepared with the biologically oriented preparation technique (BOPT) versus the chamfer technique versus non-prepared teeth.

MATERIALS AND METHODS

Thirty-two teeth in eight beagle dogs were randomly prepared with the BOPT (test = 16) or chamfer (control = 16) techniques and covered with polymethylmethacrylate crowns as provisional restorations. Sixteen negative controls (non-prepared teeth) were also used for comparison. Histological description and histomorphometrical measurements of the periodontal tissues were collected at 4 and 12 weeks in 7 out of 8 dogs, including the soft tissue height and thickness, and the horizontal and vertical bone dimensions.

RESULTS

When compared with negative controls, test and control preparation techniques exhibited a more apical location of the free gingival margin with respect to the cement-enamel junction (∆ = 1.1 mm for both groups at 4 weeks (p < .05), 0.99 mm for the test group (p = .043) and 0.20 mm for control group (p = 1.000) at 12 weeks). There were no significant differences between test and control groups with respect to vertical and horizontal histometric measurements.

CONCLUSIONS

The BOPT and chamfer tooth preparation protocols induced similar qualitative and quantitative changes in the healing of the supra-crestal soft tissue complex, when compared with non-prepared teeth. Despite the limited amount of power, it appeared that differences between the tested preparation techniques were not statistically significant.

摘要

目的

评估采用生物学导向制备技术(BOPT)、斜面预备法和未预备牙备牙后牙齿的软硬组织愈合情况。

材料和方法

8 只比格犬的 32 颗牙随机采用 BOPT(试验组=16 颗牙)或斜面预备法(对照组=16 颗牙)进行预备,并使用聚甲基丙烯酸甲酯冠作为临时修复体覆盖。还使用 16 颗未预备牙作为阴性对照进行比较。7 只犬中的 4 只和 12 只在 4 周和 12 周时收集牙周组织的组织学描述和组织形态计量学测量,包括软组织高度和厚度,以及水平和垂直骨尺寸。

结果

与阴性对照组相比,试验组和对照组预备技术使游离龈缘相对于牙釉质牙骨质界的位置更向根尖方移动(4 周时两组均为 1.1mm(p<0.05),试验组为 0.99mm(p=0.043),对照组为 0.20mm(p=1.000))。在垂直和水平组织学测量方面,试验组和对照组之间无显著差异。

结论

与未预备牙相比,BOPT 和斜面预备方案在龈上软组织复合体的愈合方面引起了相似的定性和定量变化。尽管效力有限,但似乎两种测试预备技术之间的差异无统计学意义。

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