中国实用口腔科杂志

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应用数字化印模结合3D打印技术修复根管治疗后前牙的临床效果评价

李颐颀张桂荣   

  • 出版日期:2020-02-15 发布日期:2020-03-06

  • Online:2020-02-15 Published:2020-03-06

摘要: 目的 评价数字化印模结合3D打印技术在根管治疗后前牙修复中应用的临床效果。方法 选取2018年5月至2019年5月于沈阳市口腔医院修复科就诊的前牙根管治疗后需行修复治疗的患者34例,根据制作修复体方式的不同随机均分为2组,其中使用3shape Trios口内扫描仪取模制作内冠并3D打印模型,手工上饰瓷制作氧化锆单冠患者17例(ZC组);使用CEREC Omnicam口内扫描仪取模制作玻璃陶瓷单冠患者17例(LD组)。采用改良美国公共卫生署(United States Public Health Service,USPHS)评价标准对修复体进行评价,修复后1个月嘱患者复诊并填写满意度调查表。结果 两组修复体临床效果评价除颜色外差异均无统计学意义(P > 0.05)。修复后1个月,两组患者对修复体外形、舒适度、费用以及满意度的评价无明显区别(P > 0.05),且均评价较高。ZC组修复体颜色的评价优于LD组,差异有统计学意义(P < 0.05)。结论 两种方式制作的修复体均能达到良好的临床效果并获得患者满意,其中在3D打印模型上制作的修复体有更好的仿真效果和遮色能力。

关键词: 计算机辅助设计与制造, 口内扫描仪, 3D打印技术

Abstract: Objective To evaluate the clinical effects of anterior teeth restoration by digital impression technology combining 3D printing technology after root canal treatment. Methods Totally 34 patients whose single anterior teeth needed crown restoration visited the Department of Prosthetic Dentistry from May 2018 to May 2019. They were enrolled and divided into two groups;17 zirconium dioxide crowns(group ZC)were scanned by 3shape Trios and 3D print moulage was made;17 lithium disilicate glass-ceramic crowns(group LD)were scanned and made by CEREC Omnicam. The restoration quality was evaluated using modified USPHS standard. The satisfaction form was filled by patients one month later. Results There were no statistically significant differences between the clinical effects (expect the color) of the two groups(P > 0.05). After one month,there were no statistically significant differences in the evaluations of the shape,comfort level,expenses,and satisfaction between the two groups(P > 0.05),and most of the evaluations were good. The color matching in group ZC was higher than in group LD(P < 0.05). Conclusion The two kinds of treatment methods both gain good clinical effect and satisfaction in the patients. The restorations using 3D printing technology have a better appearance.

Key words: computer aided design and computer aided manufacturing, CAD/CAM;intraoral scanner;3D printing technology