ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-013 临床药物与手术治疗 2026, (01)

光固化复合树脂充填楔状缺损的效果及并发症影响观察

贵州省人民医院

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摘要

摘要:目的 探讨发生牙体楔状缺损时予以患者光固化复合树脂充填对牙齿功能的改善作用及总体恢复情况。方法 选取 2023 年 12 月至 2024 年 12 月本院接收的牙体楔状缺损患者 60 例为观察对象,按照不同的修复方案进行分组,将进行常规玻璃离子水门汀修复的患者纳入对照组,将进行光固化复合树脂修复的患者纳入观察组(每组 30 例),评估两组患者的牙周指数、龈沟液炎症状态、咀嚼功能、修复效果、并发症发生情况并将评估结果进行比较。结果 观察组修复后的牙龈指数(GI)、牙周袋探诊深度(PD)、探诊出血指数(BI)、菌斑指数 (PLI)、碱性磷酸酶(ALP)、天门冬氨酸转移酶(AST)均较对照组低,咀嚼效率、咬合力、修复总有效率较对照组高,差异具有统计学意义(P<0.05);观察组与对照组的并发症发生率分别为 3.33%、13.33%,差异无统计学意义(P>0.05),但观察组偏低。结论 在光固化复合树脂充填修复过程中,能够让牙体楔状缺损患者的牙周健康状态得到更好的改善,促使牙周炎症消退,同时提高牙齿咀嚼功能,总体修复效果良好。

Abstract

Abstract: Objective To explore the effect of light-cured composite resin filling and restoration in patients with wedge-shaped defects of teeth. Methods A total of 60 patients with wedge-shaped tooth defects admitted to our hospital from December 2023 to December 2024 were included. They were divided into two groups according to different restoration plans (30 cases in each group). The control group received conventional glass ion cement restoration, while the observation group received light-cured composite resin restoration. The periodontal index, gingival crevicular fluid inflammatory status, masticatory function, repair effect and occurrence of complications were compared between the two groups of patients. Results The gingival index (GI), periodontal pocket depth (PD) , bleeding index (BI), plaque index (PLI), alkaline phosphatase (ALP) and aspartate aminotransferase (AST) of the observation group after repair were all lower than those of the control group, while the mastication efficiency, bite force and total effective rate of repair were higher than those of the control group. The differences were statistically significant (P<0.05). The incidence of complications in the observation group and the control group was 3.33% and 13.33% respectively, and the difference was not statistically significant (P>0.05), but it was lower in the observation group. Conclusion Through light-cured composite resin filling restoration, the periodontal health status of patients with wedge-shaped tooth defects can be improved, periodontal inflammation can be better promoted to subside, and the chewing function of patients’ teeth can be enhanced at the same time. The restoration effect is obvious.

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[1]陈茜.光固化复合树脂充填楔状缺损的效果及并发症影响观察[J],2026,01(01):.