摘要
儿童第一恒磨牙大面积缺损的永久修复时机和方式选择一直是临床上面临的一个难题。目前临床上常用的永久修复方式主要有两种:直接充填修复和以嵌体、全冠为代表的间接修复方式。传统的树脂充填治疗强度不足、耐磨性差、易脱落,难以满足大面积缺损患牙永久修复的要求。嵌体、全冠等间接修复能有效地保护剩余牙体组织,但由于患儿处在混合牙列期,需要综合考虑软硬组织发育和咬合改建等因素,其永久修复治疗的时机一直存在争议。本文就近年来儿童第一恒磨牙永久修复时机的相关观点进行总结及探讨,以供临床参考。
The timing and method of permanent restoration of children with severe tooth defects have always been clinical problems.The two main types of permanent restorations commonly used in clinical practice are direct restorations represented by resin filling and indirect restorations such as inlays and crowns.Traditional filling treatments have insufficient strength,poor abrasion resistance,and are easy to fall off,so they have difficulty in meeting the requirements for permanent restoration of severe dental defects.Indirect repairs such as onlays and full crowns can effectively protect the remaining dental tissues.However,given that children are in the mixed dentition period,the timing of their permanent repair treatment needs to comprehensively consider factors such as soft and hard tissue development and occlusal remodeling,which has been controversial.This article summarizes recent mainstream views and considerations of the timing of the first permanent molar permanent restoration in children for clinical reference.
作者
陈宸
田雨婷
程立
王国松
胡涛
Chen Chen;Tian Yuting;Cheng Li;Wang Guosong;Hu Tao(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Preventive Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)
出处
《国际口腔医学杂志》
CAS
CSCD
2021年第2期129-134,共6页
International Journal of Stomatology
基金
国家自然科学基金(81771068)。
关键词
第一恒磨牙
大面积缺损
永久修复
时机
the first permanent molar
large area defect
permanent restoration
timing
