国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (4): 375-387.doi: 10.7518/gjkq.2023061

• 专家笔谈 •    下一篇

基于循证实践的Ⅱ类洞复合树脂修复的操作要点

薛晶(),杨静   

  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
  • 收稿日期:2023-02-25 修回日期:2023-04-25 出版日期:2023-07-01 发布日期:2023-06-21
  • 通讯作者: 薛晶
  • 作者简介:薛晶，国家临床重点专科——四川大学华西口腔医院牙体牙髓病科副主任医师。2009 年毕业于四川大学华西口腔医学院，获口腔医学博士学位，曾赴澳大利亚悉尼大学牙学院、美国加州大学洛杉矶分校牙学院、美国华盛顿克雷格研究所、日本北海道大学牙学院、香港大学牙学院及瑞士日内瓦大学牙学院等机构研修。长期致力于牙体牙髓疾病的基础与临床研究，口腔微生物菌群研究及牙体硬组织早期病变的修复研究。已在国内外相关牙体牙髓病学术刊物发表论著20 余篇，参编牙体牙髓相关专著7 部，主译《流动复合树脂修复》《实用牙体修复临床操作指南》《牙髓病诊疗：原理与实践》。为中华口腔医学会牙体牙髓专业委员会青年委员，四川省口腔医学会牙体牙髓专业委员会委员，四川省口腔医学会口腔镇静镇痛专业委员会常务委员，四川省口腔医学会口腔美学专业委员会常务委员。在牙体牙髓病学领域一直致力于医、教、研工作，对牙髓病的诊治和龋病有较深入的研究和丰富的临床经验。Email：jing_xue_scu@163.com
  • 基金资助:
    四川大学华西口腔医院临床医学研究项目(LCYJ2023-YY-3)

Key points of evidence-based practice for the Class Ⅱ cavity composite resin restoration

Xue Jing(),Yang Jing.   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and En-dodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-02-25 Revised:2023-04-25 Online:2023-07-01 Published:2023-06-21
  • Contact: Jing Xue
  • Supported by:
    Clinical Medical Research Project of West China Hospital of Stomatology, Sichuan University(LCYJ2023-YY-3)

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摘要：

邻面龋是临床上的常见问题，对后牙邻面龋备洞后行Ⅱ类洞修复是临床日常性操作，复合树脂充填修复已成为Ⅱ类洞修复的首选方式。随着复合树脂、粘接技术和成形工具的发展，Ⅱ类洞复合树脂修复的理念与技术已出现很多新的进展，本文基于近期的文献证据，从受力分析、术区隔离、窝洞预备、护髓处理、成形系统的选择与放置、粘接方案、充填方案以及修形与抛光8个方面对Ⅱ类洞复合树脂修复操作要点进行阐述，为Ⅱ类洞复合树脂修复临床实践提供循证医学指导。

关键词: 循证实践, Ⅱ类洞, 复合树脂, 邻面成形, 粘接

Abstract:

Proximal caries are common clinical problems. Restoring proximal caries after cavity preparation with Class Ⅱ cavity restoration is a routine clinical procedure. The composite resin filling has become the preferred method for Class Ⅱ cavity restoration. With the development of composite resins, bonding techniques and matrix systems, the concepts and technologies of Class Ⅱ composite resin restorations have made various new progresses. Based on the latest li-terature evidence, this article elaborates on the key points of Class Ⅱ cavity composite resin restoration operation from eight aspects, including stress analysis, field isolation, cavity preparation, pulp protection, selection and placement of matrix system, bonding protocol, filling protocol, and finishing and polishing, to provide evidence-based medical guidelines for clinical practice of Class Ⅱ cavity composite resin restoration.

Key words: evidence-based practice, Class Ⅱ cavity, composite resin, proximal contouring, bonding

中图分类号: 

  • R 781.1
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