纤维桩与铸造金属桩在大面积牙体缺损修复中的疗效比较

发布时间：2018-02-01 03:27

本文关键词： 牙体缺损纤维桩铸造金属桩咀嚼功能　出处：《中国现代医学杂志》2014年28期 　论文类型：期刊论文

【摘要】：目的研究纤维桩与铸造金属桩在大面积牙体缺损修复中的疗效。方法将2011年6月-2013年6月该院收治的大面积牙体缺损患者纳入研究,根据桩核修复的方法不同分为接受纤维桩修复的观察组以及铸造金属冠修复的对照组,比较两组患者的咬合力及咀嚼功能、修复效果以及龈沟液中炎症因子含量。结果观察组患者的咬合力及咀嚼效率均高于对照组,观察组患者发生桩核松动、脱落、折断以及牙根折断、牙龈变色的例数均少于对照组,观察组患者龈沟液中IL-6和IL-8含量均低于对照组。结论纤维桩修复能够取得理想的修复效果、改善咀嚼功能、减少牙周组织受到的刺激,整体疗效优于铸造金属桩,是大面积牙体缺损理想的修复方法。
[Abstract]:Objective to study the effect of fiber post and cast metal post in the restoration of large area tooth defect. Methods from June 2011 to June 2013, the patients with large area tooth defect were included in the study. According to the methods of post and core restoration, the patients were divided into two groups: the observation group treated with fiber post and the control group treated with cast metal crown. The bite force and masticatory function of the two groups were compared. Results the bite force and masticatory efficiency of the patients in the observation group were higher than those in the control group. The number of cases of gingival discoloration was less than that of the control group, and the contents of IL-6 and IL-8 in gingival crevicular fluid in the observation group were lower than those in the control group. Conclusion Fiber-post repair can achieve ideal repair effect and improve masticatory function. The overall curative effect is better than that of cast metal post in reducing the stimulation of periodontal tissue, so it is an ideal method to repair large area tooth defect.
【作者单位】：青海省第五人民医院口腔科;
【分类号】：R783.3
【正文快照】： 当发生牙体大面积缺损时,首先需要进行完善的根管治疗,并在此基础上进行填充治疗、全冠修复或桩核修复。铸造金属桩具有良好的物理机械性能,且加工成型较为容易,被广泛应用于桩核修复。但是,铸造金属桩在应用时也存在一定的局限性。一方面,由于铸造金属桩的弹性模量远高于牙本

【参考文献】