玻璃纤维桩与铸造金属桩在上颌前牙残冠残根修复中的效果比较

    Comparison of the effects of glass fiber and cast metal post on the repair of the maxillary anterior residual crown and root

    • 摘要: 目的:比较玻璃纤维桩和铸造金属桩在上颌前牙残冠残根修复中的临床疗效。方法:将160例(210颗)需行桩冠修复前牙的患者随机分为玻璃纤维桩制作复合树脂桩核组(A组,105颗)和铸造金属桩核粘固形成桩核组(B组,105颗)后,用烤瓷全冠进行修复,随访2年,比较其临床修复效果。结果:160例患者临床修复2年,失访15例,成功回访145例,共计185颗患牙。A组77例患者95颗患牙,成功82颗,失败13颗;B组68例患者90颗患牙,成功69颗,失败21颗,2组疗效差异无统计学意义(P0.05)。2组在牙根折裂、桩核折断、桩核松动或脱落的发生率差异均有统计学意义(P0.05);而在全冠松动或脱落、牙龈边缘变色的发生率间差异均无统计学意义(P0.05)。结论:玻璃纤维桩在防止根折、脱落等方面优于金属铸造桩。

       

      Abstract: Objective:To compare the clinical efficacy of glass fiber and cast metal post in repair of the maxillary anterior kesidual crown and root.Methods:One hundred and sixty cases(210 teeth) with requiring repair anterior teeth were randomly divided into group A(105 teeth),which were repaired with glass fiber post and group B(105 teeth),which were repaired with cast metal post and the porcelain for crown.After two-year following-up,the clinical efficacy were observed.Results:One hundred and forty-five cases(185 teeth) were followed and 15 cases failed to follow.For 95 teeth of 77 cases of group A,82 teeth recovered and 13 teeeth failed,and 69 teeth recovered and 21 teeeth failed in 90 teeth of 68 cases of group B.The clinical efficacy of two groups had no statistically significant difference(P0.05),the occurrence of root fracture,pile core break and pile core loose or fall off had statistical difference(P0.05),but no statistical difference in the occurrence of the crown mobility or fall off and gingival edge discoloration in two groups(P0.05).Conclusions:Glass fiber post for protecting root facture and fall off is better than cast metal post.

       

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