Effect and Impact on Adjacent Teeth Relationship and Occlusion of Porcelain High Inlay Restoration in the Treatment of Elderly Permanent Tooth Crown Defects
WU Song, YE Huaiguang
West China Guang'an Hospital, Sichuan University, Sichuan Guang'an 638000, China
Abstract：Objective: To explore the effectiveness of porcelain high inlay restoration in the treatment of crown defects in elderly permanent teeth and its impact on the restoration of adjacent teeth relationship and occlusion. Methods: A retrospective analysis was conducted on the clinical data of 116 elderly patients (116 affected teeth) with crown defects treated at the People's Hospital of Guang'an from September 2020 to October 2022. Based on different restoration materials, patients were divided into the resin group (57 cases, 57 affected teeth) and the porcelain high inlay group (59 cases, 59 affected teeth). The resin group underwent direct resin filling, while the porcelain high inlay group underwent porcelain high inlay restoration. Six months after restoration, the restoration effects, aesthetic outcomes, occlusion conditions immediately after restoration and 6 months later, and periodontal health (gingival index [GI], plaque index [PLI], gingival bleeding index) before and after restoration were compared between the two groups. Results: Six months after restoration, the porcelain high inlay group showed higher USPHS satisfaction, aesthetic scores, and percentage of centric occlusion on the affected side than the resin group (P<0.05). The gingival bleeding index, GI, and PLI levels were lower than those in the resin group (P<0.05). Conclusion: Porcelain high inlay restoration has a significant effect in the treatment of crown defects in elderly permanent teeth, and it is superior to direct resin filling in terms of aesthetic outcomes, occlusal function, and periodontal health.
伍松, 叶怀光. 铸瓷高嵌体修复治疗老年恒牙牙体缺损的效果及对邻牙关系恢复咬合情况的影响观察[J]. 河北医学, 2024, 30(1): 120-124.
WU Song, YE Huaiguang. Effect and Impact on Adjacent Teeth Relationship and Occlusion of Porcelain High Inlay Restoration in the Treatment of Elderly Permanent Tooth Crown Defects. HeBei Med, 2024, 30(1): 120-124.
[1] 张莉华.CAD/CAM高嵌体修复牙体缺损疗效及对患者咀嚼能力和牙龈状况的影响[J].陕西医学杂志,2021,50(8):983-986. [2] 于竞璟,程春,邹英,等.二氧化锆根管桩联合树脂修复老年前磨牙牙体缺损的效果观察[J].新疆医科大学学报,2022,45(11):1311-1315. [3] 郭岩,刘怡然,黄鑫,等.江苏省中老年人群牙齿缺失及义齿修复情况抽样调查报告[J].口腔医学,2020,40(5)74-77. [4] Ulgey M,Zan R,Hubbezoglu I,et al.Effect of different laser types on bonding strength of CAD/CAM-customized zirconia post to root canal dentin:an experimental study[J].Lasers Med Sci,2020,35(6):1385-1392. [5] 张维波,陈佳龙,曹颖.2种全瓷高嵌体修复无髓后牙牙体缺损的对比研究[J].中华全科医学,2020,18(6):938-941,1024. [6] Bayne SC,Schmalz G.Reprinting the classic article on USPHS evaluation methods for measuring the clinical research performance of restorative materials[J].Clin Oral Investig,2005,9(4):209-214. [7] 张丽霞.前牙大面积缺损修复中采用石英纤维桩的应用价值分析[J].山西医药杂志,2022,51(16):1839-1841. [8] Ge Y N,Qi Feng,Zhang J F.Study on the effect of Ceramage on the repair of dental defects[J].J clini stomat,2020,36(2):101-104 [9] 欠洪波,高荣.纳米复合树脂在前牙牙体缺损修复中的美学及牙周状况评价[J].中国美容医学,2022,31(4):133-136. [10] Sadaf D.Survival rates of endodontically treated teeth after placement of definitive coronal restoration:8-year retrospective study[J].Ther Clin Risk Manag,2020,16(2):125-131. [11] Wang Y J,Wei Z L.Application of CAD/CAM ceramic inlay in the restoration of posterior denture defect[J].Chin Aesth Med,2020,29(8):119-121.
2024, Vol. 30 
冀公网安备13080202000677号