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祝秀娟1 袁 颖2 王海燕1.牙冠延长术联合牙周基础治疗前牙不良冠修复体所致牙周病的美观效果探讨[J].中国现代医生,2021,59(27):74-77
牙冠延长术联合牙周基础治疗前牙不良冠修复体所致牙周病的美观效果探讨
Aesthetic effect of crown lengthening combined with periodontal non-surgical treatment in treating periodontal disease caused by bad crown restoration of anterior teeth
  
DOI:
中文关键词:  牙冠延长术  牙周基础  前牙不良冠修复体  牙周病  美观
英文关键词:Crown lengthening  Periodontal non-surgical treatment  Bad crown restoration of anterior teeth  Periodontal disease  Aesthetics
基金项目:浙江省中医药科技计划项目(2021ZB063)
作者单位
祝秀娟1 袁 颖2 王海燕1 1.浙江省绿城心血管病医院口腔科浙江杭州 3100002.浙江省立同德医院口腔科浙江杭州 310000 
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中文摘要:
      目的 分析牙冠延长术联合牙周基础治疗前牙不良冠修复体所致牙周病的美观效果。方法 选取浙江绿城心血管病医院与浙江省立同德医院2018 年1 月至2020 年1 月期间收取的84例前牙不良冠修复体所致牙周病患者,按随机数字表法分为两组,即对照组42例,采用牙周基础治疗;观察组42例,基于对照组采用牙冠延长术。比较两组牙周健康状况、修复有效率及美观度。结果 两组患者未出现相关并发症或不良反应,观察组修复总有效率为100.00%,高于对照组的84.00%(P<0.05)。观察组术后3 个月微笑线分类、GZL 分类改善程度高于对照组,出血指数、菌斑指数以及牙周探诊深度均低于对照组(P<0.05)。结论 牙冠延长术联合牙周基础可改善前牙不良冠修复体所致牙周患者牙周健康状况,改善患者美观度,具有较高临床价值。
英文摘要:
      Objective To analyze the aesthetic effect of crown lengthening combined with periodontal non-surgical treatment in the treatment of periodontal disease caused by bad crown restoration of anterior teeth.Methods A total of 84 patients with periodontal disease caused by bad crown restoration of anterior teeth were selected from Zhejiang Lvcheng Cardiovascular Hospital and Zhejiang Tongde Hospital from January 2018 to January 2020.They were divided into two groups according to the numerical random table method.Forty-two patients in the control group were treated with periodontal non-surgical treatment.Forty-two patients in the observation group,based on the control group,were treated with crown lengthening.The periodontal health status,repair efficiency and aesthetics of the two groups were compared.Results No related complications or adverse reactions were observed in the two groups,and the total effective rate in the observation group was 100.00% which was higher than that in the control group (84.00%) (P<0.05).Three months after operation,the improvement of smile line classification and the improvement of GZL classification in the observation group were higher than those in the control group,and the bleeding index,plaque index and periodontal probing depth in the observation group were lower than those in the control group (P<0.05).Conclusion Crown lengthening combined with periodontal non-surgical treatment can improve the periodontal health and aesthetics of patients with bad crown restoration of anterior teeth,which has high clinical significance.
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