纤维桩系统在切牙残冠、残根修复中的应用效果

    The effect of fiber post system in the repair of residual crown and root of incisor

    • 摘要: 目的:评价纤维桩系统联合全瓷冠在切牙残冠、残根修复中的临床应用效果。方法:选择30例患者的52颗切牙作为研究对象,对所有患者进行详细的口腔检查,拆除不良修复体,完善根管治疗、牙周治疗及必要的外科手术等。观察1周无不适症状且X线片示牙周状况良好者,按桩预备原则进行预备,尽量保存健康的牙本质,黏桩、成核,按全冠预备原则,牙体预备联合全瓷冠修复。30例患者均获随访,随访6~12个月,通过影像学方法及临床检查评估临床效果。结果:1例修复体出现桩脱落,1例修复体出现桩折断,牙龈充血,其余修复体边缘适合性良好,色泽稳定,牙龈情况良好,X根尖片示牙根、纤维桩无异常,均未出现继发性根尖周炎。结论:纤维桩系统在切牙残冠、残根修复中可获得良好的临床效果,对于剩余牙体组织较少无法获得足够牙本质肩领的薄弱根管,应慎重选择修复方式。

       

      Abstract: Objective: To evaluate the effects of the fiber post system in the repair of residual crowns and roots of incisor. Methods: Fifty-two incisor teeth in 30 patients were treated with oral examinatin,removing the bad restoration,completing root canal therapy, periodontical treatment and necessary surgery. The patients with healthy periodontal condition and without discomfort within one week were prepared,then they were treated with tooth preparation combined with all-ceramic crown restoration according to the principle of full crown preparation( including trying to save the health of dentin,sticking post and nucleation). Thirty patients were followed up for 6 to 12 months,the effects were evaluated by radiology and clinical examination. Results: Post detaching in 1 case and post fracture and gingival congestion in 1 case were found,the good restoration margin,stable colour,good healthy gingiva,no abnormal root and post and secondary periapical paradentitis in other patients were found. Conclusions: The effects of fiber post on repairing the residual roots and crowns of incisor teeth are good. The fiber post should be carefully selected in the treatment of root canal with less residual tooth tissue and no enough dentin shoulder collar.

       

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