›› 2018, Vol. 38 ›› Issue (10): 956-960.

• 综述 • 上一篇    

嵌体临床疗效的影响因素

范佳燕,张玲,傅柏平   

  1. 浙江大学医学院附属口腔医院
  • 收稿日期:2017-12-21 修回日期:2018-02-04 出版日期:2018-10-28 发布日期:2018-10-30
  • 通讯作者: 傅柏平 E-mail:baipingfu@yahoo.com
  • 基金资助:
    浙江省自然科学基金

Influencing factors of clinical performance of inlays

  • Received:2017-12-21 Revised:2018-02-04 Online:2018-10-28 Published:2018-10-30

摘要: 后牙瓷及复合树脂嵌体的5年和10年的临床生存率分别为87.1%~97.6%和51.4%~85.4%。嵌体材料的选择和厚度、基牙的牙位和牙齿情况及水门汀的应用均可影响修复体的临床疗效。临床研究显示:当嵌体厚度达到2 mm时,可有效降低修复体折裂的风险;目前临床上自粘接树脂水门汀的效果已接近自酸蚀树脂水门汀及传统酸蚀-冲洗类树脂水门汀;树脂水门汀的应用以及橡皮障的使用等亦可帮助修复体取得良好的临床疗效。而对于修复体材料、牙位和牙齿情况及水门汀种类对嵌体临床效果的影响,目前尚不能得出较为统一的结论。

关键词: 嵌体, 瓷, 复合树脂, 影响因素

Abstract: The 5-year and 10-year survival rates of ceramic and composite resin inlays and onlays of posterior teeth are 87.1%~97.6% and 51.4%~85.4%, respectively. Their performances are based on several factors of the materials and thickness of restoration, the position and condition of the abutment tooth and the application of cements. Previous clinical investigations showed that the risk of fracture decreased significantly when the thickness of inlays was increased to 2 mm. Currently, self-adhesive resin cements have achieved similar clinical results for cementations of inlays and onlays compared with self-etch and etch-&-rinse resin cements. The application of resin cements and rubber dams can improve the clinical outcome of inlays and onlays. Concerning the materials used for inlay restorations, the positions and conditions of abutment tooth and the selection of cements, the limited data in the present study, a consolidated conclusion can not be drawn.

Key words: inlays, ceramic, composite resin, factors

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