吴平洋

[摘要] 目的 比较椅旁制作瓷贴面和全瓷冠牙科材料修复前牙的临床效果。方法 回顾分析2014年2月—2015年2月期间在该院诊治的68例前牙修复患者临床资料，将其随机分为对照组和观察组，每组34例患者。对照组患者采用全瓷冠修复，观察组患者采用瓷贴面修复，对比两组患者临床修复效果。结果 对照组修复优良32例，观察组修复优良33例，随访2年，对照组远期修复完好31例，崩折2例，脱落1例，完好率91.17%；观察组远期修复完好29例，崩折3例，脱落2例，完好率85.29%。观察组患者修复优良率、患者满意度、并发症发生率与对照组对比，差异无统计学意义（P>0.05）。结论 瓷贴面和全瓷冠牙科材料修复前牙效果均较为显著，全瓷冠修复的远期完整性效果优于瓷贴面，临床应结合患者具体情况，合理选择使用瓷贴面和全瓷冠进行修复。以实现最佳的修复效果。

[关键词] 瓷贴面；全瓷冠；修复；前牙

[中图分类号] R783 [文献标识码] A [文章编号] 1674-0742（2017）07（a）-0118-03

Comparison of Effect of Porcelain Veneer Made by Chair Side and All-ceramic Crown Teeth Materials in Repairing the Anterior Teeth

WU Ping-yang

Department of Aesthetic Rehabilitation， Xiamen Stomatological Hospital， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To compare the clinical effect of porcelain veneer made by chair side and all-ceramic crown teeth materials in repairing the anterior teeth. Methods 68 cases of patients with anterior teeth repair diagnosed in our hospital from February 2014 to February 2015 were selected and randomly divided into two groups with 34 cases in each， the control group and the observation group respectively adopted the all-ceramic crown repair and porcelain veneer repair， and the clinical repair effect was compared between the two groups. Results In the control group， the repair of 32 cases was excellent and good， in the observation group， the repair of 33 cases was excellent and good， and after 2-year follow-up， 31 cases were complete， 2 cases were fractured and 1 case was slipped and the perfect rate was 91.17%， in the observation group， 29 cases were complete repair， 3 cases were fractured， 2 cases were fractured and the perfect rate was 85.29%， and the differences in the excellent and good rate of repair， satisfactory degree of patients and incidence rate of complications between the two groups were obvious without statistical significance（P>0.05）. Conclusion The effect of porcelain veneer made by chair side and all-ceramic crown teeth materials in repairing the anterior teeth is obvious， and the long-term integrity rate of the latter is better than that of the former， and we should rationally select the method according to the practical conditions in order to realize the best repair effect.

[Key words] Porcelain veneer； All-ceramic crown； Repair； Anterior teeth

隨着生活水平的提高，人们对于牙齿美观的追求更是与日俱增，尤其是对前牙的重视度较高。全瓷修复体是当前牙科美学修复发展的主要方向[1]。瓷贴面在保存活髓、少磨牙前提下，采用瓷修复材料粘结覆盖在牙体表面缺损、着色牙、变色牙等牙体表面，恢复牙体正常形态和改善其色泽[2]。与全瓷冠相比具有牙体预备简单、磨除牙体组织少、费用低等优点。该文方便选取2014年2月—2015年2月期间在该院诊治的68临床资料，比较瓷贴面和全瓷冠牙科材料修复前牙的效果，为临床修复前牙提供一定的参考依据，现报道如下。en……