涂涛 刘潞磷 程静

【摘 要】目的 比较楔状切损患者采用三种不同补牙材料充填的效果。方法 选取2019年9月-2022年9月于我院进行治疗的200例楔状切损患者作为研究对象，随机分为A组（n=67）、B组（n=67）、C组（n=66）。A组采用一般树脂，B组采用光固化复合树脂，C组采用玻璃离子作为补牙充填材料，比较三组的临床疗效以及患者满意度。结果 C组修复成功率高于A组、B组，B组修复成功率高于A组，差异有统计学意义（P<0.05）；C组总满意度高于A组及B组，B组高于A组，差异有统计学意义（P<0.05）。结论 楔状切损患者的治疗中，采用玻璃离子作为补牙充填材料的临床疗效优于一般树脂以及光固化复合树脂，充填成功率及患者满意度较高，值得临床应用。

【关键词】楔状切损；光固化复合树脂；玻璃离子

中图分类号：R783.3 文献标识码：A 文章编号：1004-4949（2023）14-0174-04

Comparison of the Effects of Three Different Filling Materials in Patients with Wedgeshaped Incision

TU Tao， LIU Lu-lin， CHENG Jing

（Department of Stomatology， Nancheng Haomei Dental Clinic， Dongguan 523000， Guangdong， China）

【Abstract】 Objective To compare the effectiveness of three different filling materials for patients with wedge-shaped incisions. Methods A total of 200 patients with wedge-shaped incision treated in our hospital from September 2019 to September 2022 were randomly divided into group A （n=67）， group B （n=67） and group C （n=66）. Group A was treated with general resin， group B was treated with light-cured composite resin， and group C was treated with glass ionomer as filling material. The clinical efficacy and patient satisfaction of the three groups were compared. Results The success rate of repair in group C was higher than that in group A and group B， and the success rate of repair in group B was higher than that in group A， the difference was statistically significant（P<0.05）. The total satisfaction of group C was higher than that of group A and group B， and that of group B was higher than that of group A， the difference was statistically significant （P<0.05）. Conclusion In the treatment of patients with wedge-shaped incision， the clinical efficacy of glass ionomer as filling material is better than that of general resin and light-cured composite resin. The success rate of filling and patient satisfaction are high， which is worthy of clinical application.

【Key words】Wedge-shaped incisions； Light-cured composite resin； Glass ionomer

楔狀切损（wedge-shaped incisions）属于非龋性疾病，是由牙体唇（颊）侧近颈部硬组织的缓慢消耗导致，呈现为楔形，主要在中老年人群及口腔卫生意识淡薄人群发病率较高。其导致的因素与个人的刷牙习惯、饮食习惯、牙体颈部的结构等有关[1]。牙体楔状切损一般多发于前牙，不仅影响患者的日常饮食，还会对患者牙齿的美观造成破坏，切损严重时甚至还会引发其他疾病[2]。由于楔状切损病情不会自愈，因此需要医护人员对切损部位进行修复充填，常用充填材料有一般树脂、光固化复合树脂和玻璃离子。但三者的填充效果均不相同，基于此，本研究结合2019年9月-2022年9月我院收治的200例楔状切损患者的临床资料资，探讨不同补牙材料的充填效果，现报道如下。

1 资料与方法

1.1 一般资料 选择2019年9月-2022年9月东莞南城皓美口腔门诊部口腔科收治的200例楔状切损患者作为研究对象，随机分为分为A组（n=67）、B组（n=67）、C组（n=66）。A组男33例，女34例；楔状切损类型：中型楔状切损31例，深型楔状切损36例；……