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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81196完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 楊宗傑(Tsung-Chieh Yang),林立德(Li-Deh Lin) | |
| dc.contributor.author | Chun-Min Shen | en |
| dc.contributor.author | 沈峻民 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:35:36Z | - |
| dc.date.available | 2021-08-31 | |
| dc.date.available | 2022-11-24T03:35:36Z | - |
| dc.date.copyright | 2021-08-31 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-08-04 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81196 | - |
| dc.description.abstract | 實驗目的： 本研究旨在評估彈性奈米陶瓷使用在牙齒磨耗的病人口中的臨床表現及使用狀況，觀察材料的長期穩定性、成功率以及存活率。 材料與方法： 本研究包含27名有牙齒磨耗的病人(贋復體 n=67個)。在進行診斷評估並確認需要贋復體修復後，進行臨床試驗。受試者經過口內黏著彈性奈米陶瓷之後定期回診（黏著後第一次追蹤、黏著後三個月、黏著後六個月），並在術前以及術後每次回診讓受試者填寫VAS主觀調查問卷。術後每次的回診也會由本研究的研究醫師依據修正過的FDI criteria進行客觀條件評估。此外，本實驗也會探討彈性奈米陶瓷在六個月的觀察期間在受試者咀嚼過程中的總平均磨耗量，並與其對咬牙，以及受試者自然對咬齒質磨耗的總平均量作比較。 在得到各追蹤時間的主觀性的VAS分數以及客觀性的FDI分數之後，會以統計軟體（SAS 9.4）計算分析，以Sample Paired t-Test將VAS scale中6個評估項目及FDI critiera的15個評估項目在不同時間點的分數去作比較。最後再將FDI分數以Kaplan-Meier Analysis統計整體贋復體的成功率以及存活率；並以存活曲線來呈現這六個月追蹤期的成功率以及存活率變化。 實驗結果： 27名受試者中，大部分造成齒質磨耗的原因為咬硬物習慣以及磨牙症。在六個月的回診期間中，受試者填寫主觀問卷在術後的分數比起術前在各評估項目中皆有顯著增加。術後六個月受試者給予最高分數的項目是咀嚼效率；最低分為顏色表現。從客觀條件的分析下的FDI評估，少數贋復體在顏色表現上呈現掉色而需要補染色的情形。從整體的磨耗量平均值來看，贋復體、對咬牙，以及參考對咬自然齒質的磨耗量無太大差異。兩個贋復體在觀察期間斷裂，但範圍均不大皆可以於口內修復。Kaplan-Meier分析整體存活率為100%；而在三個月時的成功率為97.06%，在六個月時成功率為93.93%。 結論： 以彈性奈米陶瓷修復於牙齒磨耗的患者，在六個月的觀察期中表現出了臨床可接受的成功率以及高的存活率。受試者在修復贋復體過後的主觀評估項目，與術前相比皆明顯較滿意。然而，在患者贋復空間不足或異常咀嚼功能習慣等情況下，彈性奈米陶瓷使用於牙齒磨耗患者，仍可能會有輕微斷裂的情形。但由於其材料特性易於在口內修復。此外，也需要注意材料的顏色穩定度，使用的染色劑可能會較容易掉色或被磨耗掉。而以總磨耗量的平均值來看，彈性奈米陶瓷、對咬自然齒質、自然對咬齒質的磨耗量相近。因此基於本實驗的結果，彈性奈米陶瓷不會磨損太多對咬牙齒質，本身磨耗的狀況也與自然齒質類似，對於使用在牙齒磨耗患者身上比其他材料更具優勢。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-24T03:35:36Z (GMT). No. of bitstreams: 1 U0001-0208202122360700.pdf: 6038004 bytes, checksum: fc51c36602dd4d70af1914cb4704787a (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | 國立臺灣大學碩士學位論文口試委員會審定書 I 中文摘要 II Abstract IV 目錄 VII 圖表目錄 IX 第一章、 文獻回顧 1 1. 牙齒磨耗 1 2. 用於牙齒磨耗的贋復體材料選擇 9 第二章、 研究動機與目的 28 第三章、 材料與方法 29 1. 實驗設計 29 2. 病例登記 31 3. 受試者選擇 31 4. 磨耗定量化調查 32 5. 臨床步驟 33 6. 後續觀察與追蹤 35 7. 贋復體主觀性臨床結果綜觀評估（Subjective evaluation） 35 8. 贋復體客觀性臨床結果綜觀評估（Objective evaluation） 36 9. 贋復體咬合面磨耗測量 37 10. 統計分析 40 第四章、 實驗結果 41 1. 受試者臨床資料 41 2. 贋復體臨床資訊 41 3. 主觀性問卷統計分析 42 4. 客觀性評估統計分析 45 第五章、 討論 51 1. 磨耗評估方法選定 52 2. 綜觀主觀問卷及客觀分析 54 3. 成功率及存活率 58 4. 實驗誤差與限制 63 第六章、 結論 65 第七章、 未來展望 66 圖表 67 參考文獻 116 | |
| dc.language.iso | zh-TW | |
| dc.subject | VAS量表 | zh_TW |
| dc.subject | 牙齒磨耗 | zh_TW |
| dc.subject | 複合陶瓷 | zh_TW |
| dc.subject | FDI標準 | zh_TW |
| dc.subject | Kaplan Meier存活曲線 | zh_TW |
| dc.subject | 磨耗量 | zh_TW |
| dc.subject | 彈性奈米陶瓷 | zh_TW |
| dc.subject | Kaplan Meier survival curve | en |
| dc.subject | Flexible nano ceramic | en |
| dc.subject | Cerasmart | en |
| dc.subject | tooth wear | en |
| dc.subject | worn dentition | en |
| dc.subject | Quantitative measurement of wear | en |
| dc.subject | VAS scale | en |
| dc.subject | FDI criteria | en |
| dc.title | 彈性奈米陶瓷在齒質磨耗病人中臨床使用之評估─臨床研究 | zh_TW |
| dc.title | Evaluation of Flexible Nano Ceramic on material characteristic and clinical use over tooth wear patients-a clinical study | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 洪志遠(Hsin-Tsai Liu),(Chih-Yang Tseng) | |
| dc.subject.keyword | 彈性奈米陶瓷,複合陶瓷,牙齒磨耗,磨耗量,VAS量表,FDI標準,Kaplan Meier存活曲線, | zh_TW |
| dc.subject.keyword | Flexible nano ceramic,Cerasmart,tooth wear,worn dentition,Quantitative measurement of wear,VAS scale,FDI criteria,Kaplan Meier survival curve, | en |
| dc.relation.page | 134 | |
| dc.identifier.doi | 10.6342/NTU202102014 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2021-08-05 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
| 顯示於系所單位： | 臨床牙醫學研究所 | |
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