口腔數碼攝影聯合診斷模型和常規比色法在前牙美學修復中的應用效果比較

[摘 要]目的 分析在前牙美學修復患者中應用口腔數碼攝影聯合診斷模型和常規比色法的效果。方法 選取2022年4月-2023年4月于邯鄲市永健麗華口腔門診部口腔科行前牙美學修復的90例前牙缺失患者為研究對象，按照修復方法不同分為對照組和觀察組，每組45例。對照組給予常規比色法，觀察組給予口腔數碼攝影聯合診斷模型，比較兩組修復效果、美學效果、美觀滿意度及并發癥發生情況。結果 觀察組修復后3個月外形美觀、顏色匹配、牙面質地、邊緣適應性能力評分均高于對照組（P<0.05）；觀察組修復后3個月近中齦乳頭、牙槽突外形、遠中齦乳頭、唇側齦緣水平、軟組織顏色、軟組織形態、軟組織質地評分均高于對照組（P<0.05）；觀察組舒適性、美觀性、牙齦邊緣、色澤、形態、個性化美觀滿意度評分均高于對照組（P<0.05）；觀察組并發癥發生率為4.44%，低于對照組的20.00%（P<0.05）。結論 相較于常規比色法，在前牙美學修復中應用口腔數碼攝影聯合診斷模型可有效提高修復效果，并減少并發癥的發生，有利于提高美觀滿意度。

[關鍵詞] 前牙缺失；口腔數碼攝影；診斷模型；常規比色法

[中圖分類號] R783 [文獻標識碼] A [文章編號] 1004-4949（2024）23-0044-04

Comparison of the Application Effect of Oral Digital Photography Combined with Diagnostic Model and Conventional Colorimetry in Aesthetic Restoration of Anterior Teeth

ZHANG Lihua

（Department of Stomatology， Yongjian Lihua Dental Clinic， Handan 056002， Hebei， China）

[Abstract]Objective To analyze the effect of oral digital photography combined with diagnostic model and conventional colorimetry in patients with aesthetic restoration of anterior teeth. Methods From April 2022 to April 2023， 90 patients with anterior teeth loss who underwent aesthetic restoration of anterior teeth in the Department of Stomatology， Yongjian Lihua Dental Clinic， Handan City were selected as the research objects. According to different repair methods， they were divided into control group and observation group， with 45 patients in each group. The control group was given conventional colorimetry， and the observation group was given oral digital photography combined with diagnostic model. The repair effect， aesthetic effect， aesthetic satisfaction and complications were compared between the two groups. Results The scores of aesthetic appearance， color matching， tooth texture and edge adaptability in the observation group were higher than those in the control group at 3 months after repair（P<0.05）. The scores of mesial gingival papilla， alveolar process shape， distal gingival papilla， labial gingival margin level， soft tissue color， soft tissue shape and soft tissue texture in the observation group were higher than those in the control group at 3 months after repair （P<0.05）. The satisfaction scores of comfort， aesthetics， gingival margin， color， shape and personalized aesthetics in the observation group were higher than those in the control group （P<0.05）. The incidence of complications in the observation group was 4.44%， which was lower than 20.00% in the control group （P<0.05）. Conclusion Compared with the conventional colorimetric method， the application of oral digital photography combined with diagnostic model in the aesthetic restoration of anterior teeth can effectively improve the repair effect， reduce the occurrence of complications， and improve the aesthetic satisfaction.

[Key words] Anterior teeth missing； Oral digital photography； Diagnostic model； Conventional colorimetric method

前牙缺失（anterior teeth missing）作為口腔科常見疾病之一，導致患者牙體生理解剖外形與質地受損，不僅降低了其口腔功能，還嚴重影響其面部美觀度[1]。既往單純前牙美學修復技術雖取得了一定效果，但因缺乏與患者溝通，常因修復后與鄰近牙齒存在較為明顯差異而導致部分患者對修復效果不滿，增加了醫患糾紛發生概率[2]。……