Bioclear<sup>TM</sup>成形片用于微创治疗前牙牙体缺损及邻面间隙的临床疗效观察-现代医学

Bioclear^TM成形片用于微创治疗前牙牙体缺损及邻面间隙的临床疗效观察

单位：1. 安徽医科大学口腔医学院/安徽医科大学附属口腔医院/安徽省口腔疾病研究重点实验室, 安徽合肥 230032;
2. 南京医科大学附属口腔医院/口腔疾病研究与防治国家级重点实验室培育建设点/江苏省口腔转化医学工程研究中心, 江苏南京 210029

关键词：Bioclear^TM成形片前牙间隙前牙缺损树脂直接修复

分类号：R781

出版年·卷·期（页码）：2025·53·第九期（1437-1443）

摘要：

目的： 评价Bioclear^TM成形片用于微创治疗前牙牙体缺损及邻面间隙的临床效果，为前牙微创美容充填治疗提供新思路。方法： 纳入2021年9 月至2024年9月就诊于安徽医科大学附属口腔医院牙体牙髓科的30例患者(64颗牙齿诊断为前牙牙体缺损或邻面间隙)，采用随机数字表法将患者随机分为两组，对照组和试验组分别使用聚酯薄膜成形片和Bioclear^TM成形片辅助恢复邻面形态。记录并比较两组患者充填治疗的操作时间、充填体边缘适合性；比较两组患者术后即刻、12个月修复体充填效果。结果： 试验组操作所用时间短于对照组，修复体边缘无悬突的比例高于对照组(均P<0.001)。在边缘密合性的比较中，两组患者在术后即刻、12个月中差异均有统计学意义(均P<0.05)；在牙龈健康状况的比较中，两组患者在术后即刻比较，差异无统计学意义(P>0.05)，但在术后12个月试验组牙龈健康状况优于对照组(P<0.05)。而修复体完整性、颜色匹配、边缘着色、表面粗糙度、术后敏感和继发龋方面，两组间在术后不同时间点比较，差异均无统计学意义(均P>0.05)。结论： 使用Bioclear^TM成形片可有效减少医生临床操作时间，同时在边缘适合性、密合性及牙龈健康方面有助于提升临床效果，值得临床推广应用。

Objective: To evaluate the clinical effect of Bioclear^TM matrix systems in the minimally invasive treatment of anterior tooth defects and interdental diastema, and to provide new insights for aesthetic minimally invasive anterior restorations. Methods: Thirty patients(64 teeth diagnosed with tooth defects or interdental diastema) who presented at the Department of Endodontics, the Affiliated Stomatological Hospital of Anhui Medical University from September 2021 to September 2024 were selected and randomly divided into two groups using a random number table. The control group and the experimental group were restored using polyester matrix strips and Bioclear^TM matrix systems, respectively, to assist in reconstructing proximal contours. The operative time and marginal adaptation of the restorations were recorded and compared between the two groups. The restorative outcomes were evaluated immediately after the procedure and at 12 months postoperatively. Results: In the experimental group the operative time was significantly shorter, and the proportion of restorations without marginal overhangs was significantly higher than in the control group(all P<0.001). In terms of marginal sealing, significant differences were observed between the two groups both immediately and at 12 months postoperatively(all P<0.05). Regarding gingival health status, no significant difference was found immediately after treatment(P>0.05), but at 12 months, the experimental group showed better gingival health than the control group(P<0.05). However, there were no significant differences between the two groups at different time points in terms of restoration integrity, color match, marginal staining, surface roughness, postoperative sensitivity, or secondary caries(all P>0.05). Conclusion: The use of Bioclear^TM matrix systems can effectively reduce operative time and improve clinical outcomes in terms of marginal adaptation, sealing ability, and gingival health, making it worthy of clinical promotion and application.

参考文献：

[1] 程倩,张欣泽,王昊.微创烤瓷贴面关闭前牙间隙的临床效果评价[J].口腔颌面修复学杂志,2022,23(2):101-105.
[2] 邓小林,袁爽,朱丹婷,等.瓷贴面修复发育性前牙间隙的红白美学效果评价[J].上海口腔医学,2023,32(3):276-279.
[3] 杨鑫,范晓川,马琳莎,等.复合树脂层塑技术关闭前牙间隙的临床效果观察[J].口腔颌面修复学杂志,2023,24(4):266-270,275.
[4] IOANNIDIS A,BOMZE D,HÄMMERLE C H F,et al.Load-bearing capacity of CAD/CAM 3D-printed zirconia,CAD/CAM milled zirconia,and heat-pressed lithium disilicate ultra-thin occlusal veneers on molars[J].Dent Mater,2020,36(4):e109-e116.
[5] 张隽婧,张煜强,范琳,等.应用数字化流体树脂注射导板快速关闭正畸后前牙间隙1例[J].华西口腔医学杂志,2023,41(1):114-120.
[6] 于海洋,税钰森,蒋青松.关闭前牙牙间隙的口腔门诊多科室合作临床决策[J].华西口腔医学杂志,2024,42(3):277-285.
[7] 项闫颜,宋东升,王绍泰,等.口腔治疗中前牙区美学的考量因素[J].口腔医学,2022,42(9):838-841.
[8] 韦宁,危伊萍,邱淑婷,等.美学区牙冠延长术联合树脂修复改善露龈笑并关闭牙间隙的初步探索[J].中国实用口腔科杂志,2021,14(4):398-404.
[9] SANTOS OLIVEIRA VALENTE M,NETO C F,OBEID A T,et al.Direct vs indirect restorations for Diastema closure:determining the suitable approach[J].Gen Dent,2023,71(5):53-57.
[10] CHAVES P R B,KARAM A M,MACHADO A W.Does the presence of maxillary midline Diastema influence the perception of dentofacial esthetics in video analysis[J].Angle Orthod,2021,91(1):54-60.
[11] SABRI N M,RIDZWAN S B,SOO S Y,et al.Smile attractiveness and treatment needs of maxillary midline diastema with various widths:perception among laypersons,dental students,and dentists in Malaysia[J].Int J Dent,2023,2023:9977868.
[12] 王晓东,赵克.局部瓷贴面治疗上颌中线间隙的临床要点[J].中华口腔医学杂志,2023,58(5):404-408.
[13] CHEN C T,YANG B,YIN Y X,et al.Maxillary midline Diastema closure with sectional feldspathic porcelain veneers:a case series followed 1 to 4 years[J].J Esthet Restor Dent,2023,35(7):1022-1029.
[14] VASQUES W F,SÁ T A,MARTINS F V,et al.Composite resin CAD-CAM restorations for a midline Diastema closure:a clinical report[J].J Prosthet Dent,2022,127(2):206-209.
[15] WU J,ZHU J,YANG X,et al.Technique to restore the midline space of central incisors using a two-in-one template:a clinical report[J].J Prosthodont,2023,32(5):375-381.
[16] ZHANG Y,ZHANG J,FAN L,et al.Closing post-orthodontic spaces between anterior teeth using sequential 3D-printed direct composite injection guides[J].Oper Dent,2022,47(6):612-619.
[17] RATHOD P,PATEL A,MANKAR N,et al.Enhancing aesthetics and functionality of the teeth using injectable composite resin technique[J].Cureus,2024,16(5):e59974.
[18] 李慧,孙卫国.瓷贴面与树脂修复前牙间隙的近远期美学效果比较[J].中国美容医学,2023,32(12):145-148.
[19] 阿尔达克·阿曼,谢思静,汤旭娜,等.牙体牙髓病科成人患者牙科焦虑症患病情况及相关影响因素调查[J].东南大学学报(医学版),2022,41(6):863-868.
[20] 田茂磊,王志华,王春宇,等.遵义市红花岗区6～12岁儿童第一恒磨牙龋齿流行病学调查[J].现代医学,2023,51(1):69-73.
[21] HUSSIEN A O T,IBRAHIM S H,EL SAIED ESSA M,et al.Restoring black triangle with bioclear matrix versus conventional celluloid matrix method:a randomized clinical trial[J].BMC Oral Health,2023,23(1):402.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录