|
|
Clinical effect of zirconia endocrown in repairing of low occlusal gingival distance molar |
CHEN Weiwei |
Department of Stomatology, Shunyi Hospital, Beijing Hospital Traditional Chinese Medicine, Beijing 101300, China |
|
|
Abstract Objective To investigate the clinical effect of zirconia endocrown in repairing of low occlusal gingival distance molar. Methods From January 2017 to March 2018, 38 patients (40 affected teeth) admitted to the Department of Stomatology, Shunyi Hospital, Beijing Hospital Traditional Chinese Medicine were selected. All patients were treated with zirconia endocrown. At two weeks, six months, and twelve months after restoration, the edge closeness, restoration integrity, adjacency, abutment loosening or fracture, secondary caries, and gingival condition were assessed. Results After two weeks of reexamination, all the evaluation indexes of 40 low occlusal gingival distance molars after restoration reached the clinically acceptable level. After six months of reexamination, the gingival hyperemia of two affected teeth was mild, no bleeding was found by probe, and no problems of the prosthesis or abutment teeth were found in the rest. At twelve months of reexamination, one affected tooth had poor adjacency relationship; one affected tooth had mild gingival hyperemia and no bleeding was observed by probe; one affected tooth had gingival hyperemia and bleeding was observed by probe, and the rest had no problems with the prosthesis and abutment teeth. Conclusion Zirconia endocrown has a good clinical effect in repairing the defect of molar with low occlusal gingival distance, and it is safe, reliable, beautiful and practical.
|
|
|
|
|
[1] Sevimli G,Cengiz S,Oruc MS. Endocrowns:review [J]. J Istanb Univ Fac Dent,2015,49(2):57-63.
[2] Belleflamme MM,Geerts SO,Louwette MM,et al. No post-no core approach to restore severely damaged posterior teeth:An up to 10- year retrospective study of documented en-docrown cases [J]. J Dent,2017,63:1-7.
[3] Fages M,Bennasar B. The endocrown:a different type of all- ceramic reconstruction for molars [J]. J Can Dent Assoc,2013,79:d140.
[4] 包旭东.椅旁计算机辅助设计与辅助制作嵌体冠粘接修复大面积缺损根管治疗牙的利与弊[J].中华口腔医学杂志,2018,53(4):221-225.
[5] Goodacre CJ,Campaghi WV,Aquilino SA. Tooth preparations forcomplete crowns;an art form based on scientific principles [J]. J Prosthet Dent,2011,85(4):363-376.
[6] Reeh ES,Messer HH,Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures [J]. J Endod,1989,15(11):512-516.
[7] Dammaschke T,Nykiel K,Sagheri D,et al. Influence of coronal restorations on the fracture resistance of root canal-treated premolar and molar teeth:a retrospective study [J]. Aust Endod J,2013,39(2):48-56.
[8] Bindl A,M?觟rmann WH. Clinical evaluation of adhesively placed Cerec endo crowns after 2 years- preliminary results [J]. J Adhes Dent,1999,1(3):255-265.
[9] Biacchi GR,Basting RT. Comparison of fracture strength of endocrowns and glass fiber post- retained conventional crowns [J]. Oper Dent,2012,37(2):130-136.
[10] 赵光洁,胡楠,李鸿波,等.金合金烤瓷髓腔固位冠修复老年患者后牙牙体缺损的研究[J].中华老年口腔医学杂志,2018,16(6):339-341,346.
[11] 何文丹.口龈距离不足的磨牙应用两种材质嵌体冠修复的效果分析[J].临床口腔医学杂志,2018,34(8):498-501.
[12] 王志刚,吉雅丽.髓腔固位冠修复低牙合龈距磨牙重度牙体缺损的临床疗效观察[J].口腔颌面修复学杂志,2019,20(4):230-233.
[13] 张君侠,陈怡丹,程大光,等.铸瓷髓腔固位冠修复大面积缺损磨牙的疗效观察[J].口腔颌面修复学杂志,2019, 20(2):75-76.
[14] 吴娴,丁凤,许建辉,等.三种嵌体冠修复短冠磨牙的临床研究[J].临床医药实践,2018,27(10):723-725.
[15] 曾百进,王婷婷,韩建民,等.洞形深度对髓腔固位冠边缘和内部适合性影响的体外研究[J].口腔颌面修复学杂志,2018,19(1):39-43.
[16] 陈智,陈瑞甜.髓腔固位冠[J].口腔医学研究,2018,34(1):1-5.
[17] 冯娟,郭慧慧,申晋斌,等.磨牙髓室底垫底厚度对全瓷嵌体冠应力分布的影响[J].牙体牙髓牙周病学杂志,2017,27(1):16-21.
[18] Conrad HJ,Seong WJ,Pesun IJ. Current ceramic materials and systems with clinical recommendations:a systematic review [J]. J Prosthet Dent,2007,98(5):389-404.
[19] Syrek A,Reich G,Ranftl D,et al. Clinical evaluation of all-ceramic crowns fabricated from intraoral digital impressions based on the principle of active wavefront sampling [J]. J Dent,2010,38(7):553-559.
[20] Rosenstiel SF,Land MF,Crispin BJ. Dental luting agents:A review of the current literature [J]. J Prosthet Dent,1998,80(3):280-301.
[21] 郭靖,王潇宇,李学盛,等.不同边缘设不同边缘设计的髓腔固位冠修复下颌前磨牙的应力分析计的髓腔固位冠修复下颌前磨牙的应力分析[J].南方医科大学学报,2016,36(2):200-204.
[22] 陈智,陈彬文.根管治疗后牙体修复的治疗方案选择[J].华西口腔医学杂志,2015,33(2):115-120.
[23] 张莉华.纤维桩核与铸造金属桩核、二氧化锆全锆桩核修复上颌前磨牙残冠残根对比研究[J].陕西医学杂志,2016,45(6):703-704,725.
[21] 孙硕,梁锐英,任婧,等.抛光和上釉对氧化锆修复体与牙釉质磨损性能的影响[J].中华口腔医学杂志,2016, 51(6): 300-304.
[25] 姜涛,关晶.二氧化锆髓腔固位冠修复低牙合龈距磨牙临床效果的体会[J].现代口腔医学杂志,2019,33(4):249-250. |
|
|
|