摘要
目的 通过调查前牙瓷贴面修复患者术后护理宣教及贴面修复远期效果,探讨两者间的关系。方法 对在我科修复 专业进行前牙瓷贴面修复的69例患者(共196个全瓷贴面),进行问卷调查和口腔检查,获取术后护理宣教、日常维 护措施及瓷贴面远期状况的原始数据,进行统计学分析。结果 前牙瓷贴面修复治疗术后,与医生口头医嘱相比, 经护士个性化护理宣教的刷牙评分、牙线使用频率均高于前者,而咬硬物习惯及带颜色饮料饮用习惯上两者无明显 差别。修复体远期评估前者较后者存在更多的修复体脱落、崩瓷、继发龋、贴面着色等不良事件发生的情况。结论 前牙瓷贴面修复术后护士个性化的护理宣教有利于患者养成更好的日常维护习惯,降低修复体脱落、崩瓷、继发 龋、着色等不良事件的发生率,提高贴面修复的远期效果。
Objectives To survey on the nursing instruction after veneer restoration of anterior teeth and long term restorative effect, and analyze their relationships. Methods We investigated 69 patients with 196 veneer restorations of anterior teeth via questionnaire and oral examination to gather data on nursing instruction, daily maintenance measure and long term restorative effect of veneer. These data were statistically analyzed by SPSS. Results Comparing with doctors' oral advices, patients with nursing instruction after veneer restoration presented higher teeth brushing and dental floss score. There was no difference on hard food masticating and color drinks drinking hobbits. Long term evaluation of veneers showed lower adhesive failure, ceramic fracture, secondary caries and staining of restoration on nursing instructed patients. Conclusion Nursing instruction after veneer restoration of anterior teeth could help to developing better daily maintenance measures, reducing the rate of adhesive failure, ceramic fracture, secondary caries and staining of restoration, and promote the long term restorative effects.
【关键词】瓷贴面,护理,远期效果,临床研究
【中图分类号】R248.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2015.02.011
前言
发育异常、龋齿、外伤等原因导致的前牙缺损、 变色等不美观往往是患者迫切希望解决的问题。瓷贴 面具有磨除牙体组织少、对牙髓影响小、美观效果 好、色泽稳定等优点,是牙体美容修复中最受欢迎的 治疗方案[1]。瓷贴面的修复治疗需要医师、护士和患 者三者的共同配合,其中修复治疗过程最主要受医师 和护士的主导,而在修复后的日常维护中,患者自身 是最重要的参与者[2]。
罕少疾病杂志
第22卷, 第 2 期
2019年11月
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