排龈线技术预防老年牙体楔状缺损充填治疗后炎症及悬突的临床效果

发布时间：2018-03-29 11:39

本文选题：排龈线技术　切入点：牙体楔状缺损　出处：《中国老年学杂志》2017年17期

【摘要】：目的分析排龈线技术预防老年牙体楔状缺损充填治疗后炎症及悬突的临床效果。方法接受充填修复治疗的老年牙体楔状缺损患者依据治疗方法分为观察组49例98颗患牙(排龈处理+充填治疗)及对照组50例100颗患牙(充填治疗)。比较两组术后1个月牙沟液中炎症介质水平和术后1年填充物脱落及悬突发生情况。结果术后1个月,两组牙沟液中白细胞介素(IL)-6及肿瘤坏死因子(TNF)-α水平均显著高于本组术前(P0.05),观察组均显著低于对照组(P0.05)。观察组术后1年牙体楔形缺损填充物保留率显著高于对照组(P=0.028)。观察组术后1年牙体楔形缺损充填后悬突累积发生率显著低于对照组(P=0.041)。结论排龈线技术预防老年牙体楔状缺损充填治疗后炎症及悬突疗效确切。
[Abstract]:Objective to analyze the clinical effect of gingival line technique on prevention of inflammation and suspension after filling with wedge-shaped defect in the elderly. Methods according to the treatment method, the elderly patients with wedge-shaped defect were divided into observation group (n = 49) and observation group (n = 98). The level of inflammatory mediators in crescent crevicular fluid and the occurrence of filling and suspending in 1 month after operation were compared between the two groups and 50 cases (100 teeth) in the control group. Results 1 month after operation, 1 month after operation, 1 month after operation, 1 month after operation, the inflammatory mediators in the crescent crevicular fluid of the two groups were compared with those in the control group. The levels of IL-6 and TNF- 伪 in crevicular fluid in both groups were significantly higher than those in preoperatively (P 0.05), and those in the observation group were significantly lower than those in the control group (P 0.05). The retention rate of wedge-shaped defect fillers in the observation group was significantly higher than that in the control group one year after operation. The cumulative rate of suspension process in the observation group was significantly lower than that in the control group (P < 0.041). Conclusion gingival line technique is effective in preventing inflammation and suspending process after filling with wedge-shaped defect in the elderly.
【作者单位】：上海交通大学医学院附属第九人民医院上海市口腔医学重点实验室口腔综合科;
【基金】：国家自然科学基金项目(No.81300867)
【分类号】：R783.3

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