国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (2): 129-134.doi: 10.7518/gjkq.2021042

• 儿童口腔专栏 • 上一篇    下一篇

儿童第一恒磨牙大面积缺损永久修复时机的考量和展望

陈宸1(),田雨婷1,程立2,王国松2,胡涛1,2()   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
    2.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院预防科 成都 610041
  • 收稿日期:2020-07-10 修回日期:2020-09-20 出版日期:2021-03-01 发布日期:2021-03-17
  • 通讯作者: 胡涛
  • 作者简介:陈宸,硕士,Email： 903100675@qq.com
  • 基金资助:
    国家自然科学基金(81771068)

Consideration and prospect of the timing for permanent restoration of children's first permanent molar with large area defects

Chen Chen1(),Tian Yuting1,Cheng Li2,Wang Guosong2,Hu Tao1,2()   

  1. 1. 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
    2. 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
  • Received:2020-07-10 Revised:2020-09-20 Online:2021-03-01 Published:2021-03-17
  • Contact: Tao Hu
  • Supported by:
    National Natural Science Foundation of China(81771068)

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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。

关键词: 第一恒磨牙, 大面积缺损, 永久修复, 时机

Abstract:

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.

Key words: the first permanent molar, large area defect, permanent restoration, timing

中图分类号: 

  • R788

图1

儿童第一恒磨牙大面积缺损的修复治疗方案"

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