双锥度玻璃纤维桩修复牙体缺损的效果评价
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摘要
目的评估双锥度玻璃纤维桩修复牙体缺损的效果。方法选择2011年3月至2013年2月在我院修复科门诊进行治疗的108例牙体缺损患者,根据随机数字表分为观察组和对照组,每组各54例,对照组采用平行玻璃纤维桩进行修复,观察组采用双锥度玻璃纤维桩进行修复。对两组患者的临床疗效、咀嚼效率、满意度等进行评估。结果修复12个月后,观察组患者牙根折裂,牙龈边缘变色发生率均显著低于对照组(P<0.05)。对照组患者修复后6个月咀嚼效率显著低于观察组(P<0.05)。观察组患者牙龈指数优于对照组(P<0.05),牙齿松动度低于对照组(P<0.05)。修复12个月后,患者对修复的满意度高于对照组(P<0.05)。结论双锥度玻璃纤维桩在修复牙体缺损时具有更好的临床疗效和美观效果,显著提高患者满意度,在牙体缺损修复中具有较好的应用前景。
Objective To evaluate the clinical effect of bipyramid glass fiber post core applied in the restoration of tooth defect.Methods 108 cases of tooth defect patients in Stomatology Department of our hospital from March 2011 to February 2013 were divided into the observation group and the control group according to the random number table,and 54 cases in each group.Patients in the control group were treated with parallel glass fiber posts,patients in the observation group were treated with bipyramid glass fiber reinforced resin composite materials.The clinical curative effects,masticatory efficiency,satisfaction in two groups were evaluated.Results The incidence of root fracture and gingival marginal discoloration in observation group after 12 months of repair were significantly lower than that of the control group(P<0.05).The masticatory efficiency after 6 months of repair in control group was significantly lower than that of the observation group(P<0.05).The gingival index in the observation group was significantly better than that in the control group(P<0.05).The tooth mobility in the observation group was significantly lower than that in the control group(P<0.05).The occurrence of satisfaction in the observation group after 12 months of repair was significantly higher than that of control group(P<0.05).Conclusion Bipyramid glass fiber post has a good clinical curative effect in repairing dental defect,and can obtain better aesthetic effects,improve patients' satisfaction,and has good application prospects in the restoration of tooth defect in clinical.
Objective To evaluate the clinical effect of bipyramid glass fiber post core applied in the restoration of tooth defect.Methods 108 cases of tooth defect patients in Stomatology Department of our hospital from March 2011 to February 2013 were divided into the observation group and the control group according to the random number table,and 54 cases in each group.Patients in the control group were treated with parallel glass fiber posts,patients in the observation group were treated with bipyramid glass fiber reinforced resin composite materials.The clinical curative effects,masticatory efficiency,satisfaction in two groups were evaluated.Results The incidence of root fracture and gingival marginal discoloration in observation group after 12 months of repair were significantly lower than that of the control group(P<0.05).The masticatory efficiency after 6 months of repair in control group was significantly lower than that of the observation group(P<0.05).The gingival index in the observation group was significantly better than that in the control group(P<0.05).The tooth mobility in the observation group was significantly lower than that in the control group(P<0.05).The occurrence of satisfaction in the observation group after 12 months of repair was significantly higher than that of control group(P<0.05).Conclusion Bipyramid glass fiber post has a good clinical curative effect in repairing dental defect,and can obtain better aesthetic effects,improve patients' satisfaction,and has good application prospects in the restoration of tooth defect in clinical.
引文
1 任守京.397例口腔修复病例临床分析.医学信息,2014,(18):595-595.
2 李先丹,麦青青,张新春.牙体缺损桩核修复的系统评价.国际口腔医学杂志,2012,39(5):575-578
3 缪羽,于蕴之,李婧.桩核对牙冠完整的上颌第一磨牙的应力影响.口腔颌面修复学杂志,2012,13(1):30-33
4 J.Massera,I.Ahmed,L.Petit,et al.Phosphatebased glass fiber vs.bulk glass:Change in fiber optical response to probe in vitro glassreactivity.Materials Science&Engineering C,2014,12(37):1071-1074.
5 姜雅萍,张海英,李恬等.多根管纤维桩联合氧化锆全瓷冠修复老年人磨牙大面积缺损的疗效.中国老年学杂志,2013,33(10):2366-2368.
6 田力丽,梁伟,李凌旻.纤维桩与金属桩核修复磨牙牙体缺损的三维有限元应力分析.口腔颌面修复学杂志,2008,9(4)280-282.
7 苏继成.玻璃纤维桩和铸造金属桩核在前牙修复中的临床疗效观察.国际口腔医学杂志,2009,36(5):519-520.
8 O uzhan Keletemur,Erdin Ar c,Servet Y ld z,etal.Performance evaluation of cement mortarscontaining marble dust and glass fiberexposed to hightemperature by using Taguchi metho.Construction and Building Materials,2014,21(33):782-786.
9 董海涛,任卫红,张振庭等.一侧上颌骨缺损赝复体修复前后咀嚼效率的变化.北京口腔医学,2011,19(1):35-37.
10 杨翔文.3种不同材料瓷贴面临床修复效果的文献分析.口腔材料器械杂志,2016,25(3):153-156.
11 吴伟,杨丽丽,金雪梅,等.下颌磨牙残冠纤维桩核冠修复的有限元应力分析.口腔材料器械杂志,2016,25(4):183-188.
12 吴伟,杨丽丽,张晟颀,等.纤维桩和金属桩全冠修复后下颌第一磨牙残根的有限元应力分析.口腔材料器械杂志,2016,25(2):66-70.
13 张海云.铸造金属桩和玻璃纤维桩在上颌前牙牙体缺损中的临床比较.山东医学高等专科学校学报,2015,37(2):117-118.
14 徐雄均,卢惠冰,刁惠波,等.高强度玻璃纤维复合树脂桩核与IPS E.Max全瓷冠修复前牙缺损:80例回顾分析.中国组织工程研究与临床康复,2009,13(21):4177-4180.
15 李鸿飞.不同桩冠预防重度楔状缺损牙冠折的疗效比较研究.口腔医学,2011,31(8),474-475.
16 刘菁彧,日孜瓦古力·阿木提,黄庆丰.2种形态纤维桩修复前磨牙残冠的效果评价.上海口腔医学,2016,25(2):245-247.
2 李先丹,麦青青,张新春.牙体缺损桩核修复的系统评价.国际口腔医学杂志,2012,39(5):575-578
3 缪羽,于蕴之,李婧.桩核对牙冠完整的上颌第一磨牙的应力影响.口腔颌面修复学杂志,2012,13(1):30-33
4 J.Massera,I.Ahmed,L.Petit,et al.Phosphatebased glass fiber vs.bulk glass:Change in fiber optical response to probe in vitro glassreactivity.Materials Science&Engineering C,2014,12(37):1071-1074.
5 姜雅萍,张海英,李恬等.多根管纤维桩联合氧化锆全瓷冠修复老年人磨牙大面积缺损的疗效.中国老年学杂志,2013,33(10):2366-2368.
6 田力丽,梁伟,李凌旻.纤维桩与金属桩核修复磨牙牙体缺损的三维有限元应力分析.口腔颌面修复学杂志,2008,9(4)280-282.
7 苏继成.玻璃纤维桩和铸造金属桩核在前牙修复中的临床疗效观察.国际口腔医学杂志,2009,36(5):519-520.
8 O uzhan Keletemur,Erdin Ar c,Servet Y ld z,etal.Performance evaluation of cement mortarscontaining marble dust and glass fiberexposed to hightemperature by using Taguchi metho.Construction and Building Materials,2014,21(33):782-786.
9 董海涛,任卫红,张振庭等.一侧上颌骨缺损赝复体修复前后咀嚼效率的变化.北京口腔医学,2011,19(1):35-37.
10 杨翔文.3种不同材料瓷贴面临床修复效果的文献分析.口腔材料器械杂志,2016,25(3):153-156.
11 吴伟,杨丽丽,金雪梅,等.下颌磨牙残冠纤维桩核冠修复的有限元应力分析.口腔材料器械杂志,2016,25(4):183-188.
12 吴伟,杨丽丽,张晟颀,等.纤维桩和金属桩全冠修复后下颌第一磨牙残根的有限元应力分析.口腔材料器械杂志,2016,25(2):66-70.
13 张海云.铸造金属桩和玻璃纤维桩在上颌前牙牙体缺损中的临床比较.山东医学高等专科学校学报,2015,37(2):117-118.
14 徐雄均,卢惠冰,刁惠波,等.高强度玻璃纤维复合树脂桩核与IPS E.Max全瓷冠修复前牙缺损:80例回顾分析.中国组织工程研究与临床康复,2009,13(21):4177-4180.
15 李鸿飞.不同桩冠预防重度楔状缺损牙冠折的疗效比较研究.口腔医学,2011,31(8),474-475.
16 刘菁彧,日孜瓦古力·阿木提,黄庆丰.2种形态纤维桩修复前磨牙残冠的效果评价.上海口腔医学,2016,25(2):245-247.