Cheng Yawen, Li Deli, Zhao Yan, Xia Bin, Liu Yunsong
Second Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2025 Feb 18;57(1):208-213. doi: 10.19723/j.issn.1671-167X.2025.01.031.
Adolescence is defined as a population ranging from ten to nineteen years old. Permanent teeth in adolescents are of critical significance as they are actively involved in mastication, contribute to aesthetic appearance, play a role in pronunciation, and are integral to the growth and development of the stomatognathic system. Specifically, permanent teeth in adolescents comprise those with incomplete root development and those with complete root development but unstable gingival margin positions. However, the prevalence of permanent tooth defects among adolescents remains high, primarily due to their insufficient awareness of oral health care and poor compliance with preventive measures. Therefore, it is very important to emphasize the necessity for timely and appropriate restoration of permanent tooth defects in adolescents. Given the distinct physiological characteristics of adolescent permanent teeth compared with mature permanent teeth, interim restoration approaches are required. The field of adolescent permanent tooth restoration is an interdisciplinary area, involving both prosthodontics and pediatric dentistry. Currently, a comprehensive and standardized principle for the selection of restoration indications is lacking, which poses challenges for clinicians in making optimal treatment decisions. Therefore, this article aims to comprehensively summarize the clinical dilemmas associated with the restoration of adolescent permanent teeth, and propose a set of principles for the selection of restoration methods and materials, aiming to offer practical clinical guidelines for dentists when dealing with permanent tooth defects in adolescent patients. In particular, because of the different restoration dilemmas of anterior and posterior permanent teeth, a variety of interim restoration methods, their applicable conditions, advantages, and disadvantages are introduced respectively. Additionally, it provides an in-depth discussion of different interim restoration materials, including direct restoration materials like light-cured composite resin and dual-cured temporary crown resin, as well as indirect restoration materials such as polymeric porcelain and CAD/CAM resin-matrix ceramics. The goal of this research is to provide a foundation for the development of evidence-based restoration plans in clinical practice and to contribute to the establishment of future standards in the field of adolescent permanent tooth restoration. This will enhance the quality of dental care for adolescents and promote better oral health outcomes in this population.
青春期被定义为年龄在10至19岁的人群。青少年的恒牙具有至关重要的意义，因为它们积极参与咀嚼、有助于美观、在发音中起作用，并且对口颌系统的生长发育不可或缺。具体而言，青少年的恒牙包括牙根发育不完全的牙齿以及牙根发育完全但牙龈边缘位置不稳定的牙齿。然而，青少年恒牙缺损的患病率仍然很高，主要是由于他们对口腔保健的认识不足以及对预防措施的依从性差。因此，强调及时、适当地修复青少年恒牙缺损的必要性非常重要。鉴于青少年恒牙与成熟恒牙相比具有独特的生理特征，需要采用临时修复方法。青少年恒牙修复领域是一个跨学科领域，涉及口腔修复学和儿童牙科学。目前，缺乏全面、标准化的修复适应证选择原则，这给临床医生做出最佳治疗决策带来了挑战。因此，本文旨在全面总结青少年恒牙修复相关的临床困境，并提出一套修复方法和材料的选择原则，旨在为牙医处理青少年患者的恒牙缺损提供实用的临床指南。特别是，由于前牙和后牙恒牙的修复困境不同，分别介绍了多种临时修复方法、其适用情况、优缺点。此外，还对不同的临时修复材料进行了深入讨论，包括光固化复合树脂和双固化临时冠树脂等直接修复材料，以及聚合瓷和CAD/CAM树脂基陶瓷等间接修复材料。本研究的目的是为临床实践中基于证据的修复计划的制定提供基础，并为青少年恒牙修复领域未来标准的建立做出贡献。这将提高青少年的牙科护理质量，并促进该人群更好的口腔健康结果。
