| 马江敏,许曼,郭滨.美学牙冠延长术结合数字化辅助修复上前牙疗效及影响因素分析[J].实用中西医结合临床,2025,25(16): |
| 美学牙冠延长术结合数字化辅助修复上前牙疗效及影响因素分析 |
| Analysis of the therapeutic effect and influencing factors of aesthetic crown lengthening surgery combined with digital assisted restoration of anterior teeth |
| 投稿时间：2025-03-14 修订日期：2025-05-06 |
| DOI： |
| 中文关键词: 数字化技术 美学牙冠延长术 前牙缺损 微笑美学 影响因素 |
| 英文关键词: Digital technology Aesthetic crown lengthening Anterior tooth loss Smile aesthetics Influencing factors |
| 基金项目: |
|
| 摘要点击次数: 424 |
| 全文下载次数: 58 |
| 中文摘要: |
| 目的：探讨美学牙冠延长术结合数字化辅助在上前牙缺损中修复方面的疗效及其影响因素。方法：选取2022年8月至2024年1月本院收治的85例上前牙缺损患者（共187颗患牙），采用美学牙冠延长术结合数字化辅助治疗，分析术前、术后3个月及6个月的牙周指数、美学评分及修复体情况，影响患牙修复效果的因素通过多因素Logistic回归分析。结果：与术前相比，患者术后3、6个月的菌斑指数、探诊深度、出血指数、白色美学评分及红色美学评分均显著改善（P<0.05），且术后6个月的改善效果最为明显。术后6个月修复体颈缘适合性优良率为98.93%（185/187）显著高于术前的14.97%（P<0.05）。单因素分析结果可以观察到，患牙修复效果良好组在吸烟、口腔卫生不良习惯、菌斑控制情况及断端形态方面与效果一般组存在显著差异（P<0.05）。多因素Logistics回归分析结果可以观察到，吸烟（OR=2.653，P=0.005）、口腔卫生不良习惯（OR=4.665，P<0.001）、菌斑控制欠佳（OR=3.872，P=0.001）、台阶状断裂（OR=2.163，P=0.023）是影响患牙修复效果的独立危险因素。结论：美学牙冠延长术结合数字化辅助在修复上前牙缺损中具有较好的疗效，其修复效果会受患者吸烟、口腔卫生不良习惯、菌斑控制效果欠佳及患牙台阶状断裂影响，临床中需综合考虑并定制个性化的治疗方案。 |
| 英文摘要: |
| Objective Exploring the efficacy and influencing factors of aesthetic crown lengthening surgery combined with digital assistance in the restoration of anterior tooth defects. Methods Eighty-five patients with anterior tooth defects (a total of 187 affected teeth) admitted to our hospital from August 2022 to January 2024 were selected. Aesthetic crown lengthening surgery combined with digital assisted treatment was used to analyze the periodontal index, aesthetic score, and restoration status before surgery, 3 months after surgery, and 6 months after surgery. The factors affecting the restoration effect of affected teeth were analyzed through multiple logistic regression analysis.Results Compared with the preoperative period, the patients" plaque index, probing depth, bleeding index, white esthetic score and red esthetic score were significantly improved at 3 and 6 months postoperatively (P<0.05), and the improvement was most obvious at 6 months postoperatively. The restoration recovery was examined at 6 months postoperatively, and the excellent restoration recovery rate at 6 months postoperatively was 98.93% (185/187) significantly higher than the preoperative rate of 14.97% (P<0.05). The results of univariate analysis showed that there were significant differences between the group with good restorations of affected teeth and the group with average results in terms of smoking, poor oral hygiene habits, plaque control and fracture morphology (P<0.05). The results of multifactorial Logistic regression analysis showed that smoking (OR=2.653, P=0.005), poor oral hygiene habits (OR=4.665, P<0.001), poor plaque control (OR=3.872, P=0.001), and step fracture (OR=2.163, P=0.023) were independent Risk factors. Conclusion The combination of aesthetic crown lengthening surgery and digital assistance has shown good efficacy in repairing anterior tooth defects. However, the restoration effect may be affected by patients" smoking habits, poor oral hygiene habits, poor plaque control, and stepped fracture of the affected teeth. In clinical practice, it is necessary to comprehensively consider and customize personalized treatment plans. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
