光固化纳米树脂与光固化复合树脂在前牙间隙修复中的红白美学效果评价及咀嚼功能的比较
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闽清县总医院口腔科

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Evaluation of Red and White Aesthetic Effects and Comparison of Masticatory Function between Light-Cured Nano Resin and Light-Cured Composite Resin in the Restoration of Anterior Tooth Gaps
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    摘要:

    目的:比较光固化纳米树脂与光固化复合树脂在前牙间隙修复中的红白美学效果及咀嚼功能差异,为临床材料选择提供依据。方法:采用前瞻性随机对照研究,纳入86例前牙间隙≤3mm患者,随机分为纳米树脂组(44例,FiltekTM Supreme Ultra)和复合树脂组(42例,Herculite Ultra)。术后3个月通过改良USPHS标准评估红白美学效果(修复体形态、颜色匹配、边缘密合度、牙龈健康),采用T-ScanIII咬合力仪及标准化咀嚼效率测试评价功能恢复。结果:纳米树脂组红白美学评分显著优于对照组,其中形态匹配(1.52±0.19 vs. 1.20±0.24)、颜色匹配(1.75±0.26 vs. 1.14±0.25)及牙龈健康评分(1.68±0.33 vs. 1.29±0.28)差异显著(均P<0.05)。咀嚼功能方面,纳米树脂组咬合力提升幅度(32.43±9.75 lbs vs. 14.14±8.21 lbs)及咬合效率(91.64±5.01% vs. 86.59±6.22%)均显著更高(P<0.01)。两组总有效率无统计学差异(95.46% vs. 88.09%,P>0.05)。结论:光固化纳米树脂通过纳米级填料的光学适配性和界面力学优化,在前牙间隙修复中实现了更优的红白美学效果与咀嚼功能恢复,其优势源于填料粒径仿生性、低聚合收缩率及弹性模量与牙体组织的生物力学匹配性。

    Abstract:

    Objective: To compare the red-white aesthetic effects and masticatory function differences between light-cured nano resin and light-cured composite resin in the restoration of anterior tooth diastemas, providing a basis for clinical material selection. Methods: A prospective randomized controlled study was conducted, including 86 patients with anterior tooth diastemas ≤3mm, who were randomly divided into a nano resin group (44 cases, FiltekTM Supreme Ultra) and a composite resin group (42 cases, Herculite Ultra). Three months postoperatively, the red-white aesthetic effects (restoration morphology, color matching, marginal adaptation, gingival health) were evaluated using the modified USPHS criteria, and functional recovery was assessed using the T-ScanIII occlusal force analyzer and standardized masticatory efficiency tests. Results: The results showed that the nano resin group significantly outperformed the control group in red-white aesthetic scores, with notable differences in morphology matching (1.52±0.19 vs. 1.20±0.24), color matching (1.75±0.26 vs. 1.14±0.25), and gingival health scores (1.68±0.33 vs. 1.29±0.28) (P<0.05). Conclusion: Light-cured nano resin achieves superior red-white aesthetic effects and masticatory function recovery in the restoration of anterior tooth gaps through the optical compatibility and interfacial mechanics optimization of nanoscale fillers. Its advantages stem from the bionic nature of filler particle size, low polymerization shrinkage, and the biomechanical compatibility of the elastic modulus with dental tissues.

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黄炳霞.光固化纳米树脂与光固化复合树脂在前牙间隙修复中的红白美学效果评价及咀嚼功能的比较[J].四川生理科学杂志,2025,47(12):

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  • 收稿日期:2025-08-12
  • 最后修改日期:2025-10-16
  • 录用日期:2025-10-24
  • 在线发布日期: 2026-01-04
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