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两种用于乳前牙的美学全冠修复材料的对比评估

Comparative Evaluation of Two Esthetic Full Coronal Restorative Materials for Primary Incisors.

作者信息

Dhaker Kanchan Kumari, Tandon Sandeep, Rathore Ambika S, Mathur Rinku, Rai Tripti S, Sharma Surbhi

机构信息

Department of Pediatric and Preventive Dentistry, RUHS College of Dental Science, Rajasthan University of Health Sciences (RUHS), Jaipur, Rajasthan, India.

出版信息

Int J Clin Pediatr Dent. 2024 Mar;17(3):321-327. doi: 10.5005/jp-journals-10005-2787.

Abstract

AIM

This study was designed to compare the clinical efficacy of two esthetic restorative materials, nanoceramic (Magma NT®) and giomer (Beautifil II®), as full coronal restoration in primary maxillary incisors.

MATERIALS AND METHODS

A total of 15 patients aged 3-5 years presenting with mutilated primary maxillary incisors due to caries or trauma were selected for the study using randomized simple sampling. A total of 40 maxillary incisors were randomly divided into two equal groups, with 20 teeth in each group. Teeth in group I (GP I) were restored with nanoceramic (Magma NT®) and group II (GP II) with giomer (Beautifil II®). The full coronal restorations were done using strip crowns (3M ESPE). The restorations were evaluated for gross fracture, marginal integrity, and secondary caries according to modified Ryge's criteria [United States Public Health Service (USPHS)] at baseline (immediate postoperative), 3, 6, and 9 months. Parental satisfaction with each type of restoration was also evaluated using the Likert 5-point scale.

RESULTS

The data obtained was statistically analyzed using the Chi-squared test, and the level of significance, that is, the -value, was determined. The Chi-squared test showed no significant changes to all modified USPHS criteria for each material at baseline and 3-month evaluation period. The changes recorded were after a 3-month follow-up between the two materials; nanoceramic (Magma NT®) restoration demonstrated marginally better than giomer (Beautifil II®) in terms of gross fracture and marginal integrity; however, there was no statically significant difference between them ( > 0.05), while giomer (Beautifil II®) was better than nanoceramic in terms of secondary caries ( < 0.05). Parental satisfaction for both entities was comparable in terms of color and durability; however, they were cost-ineffective.

CONCLUSION

Nanoceramic restoration demonstrated better results in terms of gross fracture and marginal integrity, while giomer was better in terms of secondary caries.

CLINICAL SIGNIFICANCE

Nanoceramics and giomers can serve as an alternative to conventional restorative materials in primary anterior teeth because of their improved qualities.

HOW TO CITE THIS ARTICLE

Dhaker KK, Tandon S, Rathore AS, Comparative Evaluation of Two Esthetic Full Coronal Restorative Materials for Primary Incisors. Int J Clin Pediatr Dent 2024;17(3):321-327.

摘要

目的

本研究旨在比较两种美学修复材料,即纳米陶瓷(Magma NT®)和聚酸改性复合树脂(Beautifil II®)作为上颌乳切牙全冠修复的临床疗效。

材料与方法

采用随机简单抽样法,选取15例年龄在3至5岁、因龋齿或外伤导致上颌乳切牙残损的患者进行研究。总共40颗上颌乳切牙被随机分为两组,每组20颗牙。第一组(GP I)的牙齿用纳米陶瓷(Magma NT®)修复,第二组(GP II)用聚酸改性复合树脂(Beautifil II®)修复。全冠修复采用条带冠(3M ESPE)完成。根据改良的Ryge标准[美国公共卫生服务部(USPHS)],在基线(术后即刻)、3个月、6个月和9个月时对修复体进行总体骨折、边缘完整性和继发龋的评估。还使用Likert 5级量表评估家长对每种修复类型的满意度。

结果

对获得的数据使用卡方检验进行统计分析,并确定显著性水平,即P值。卡方检验显示,在基线和3个月评估期,每种材料的所有改良USPHS标准均无显著变化。记录的变化是在两种材料随访3个月后;纳米陶瓷(Magma NT®)修复体在总体骨折和边缘完整性方面略优于聚酸改性复合树脂(Beautifil II®);然而,它们之间没有统计学上的显著差异(P>0.05),而聚酸改性复合树脂(Beautifil II®)在继发龋方面优于纳米陶瓷(P<0.05)。家长对两种修复体在颜色和耐用性方面的满意度相当;然而,它们性价比不高。

结论

纳米陶瓷修复体在总体骨折和边缘完整性方面表现出更好的效果,而聚酸改性复合树脂在继发龋方面表现更好。

临床意义

纳米陶瓷和聚酸改性复合树脂因其改良的性能,可作为乳牙前牙传统修复材料的替代品。

如何引用本文

Dhaker KK, Tandon S, Rathore AS, 两种美学全冠修复材料用于乳切牙的比较评价。《国际临床儿科牙科学杂志》2024;17(3):321 - 327。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4d/11320800/56b8b73a8d18/ijcpd-17-321-g001.jpg

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