预成纤维桩在上前牙缺损修复中的应用效果
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摘要
目的探讨预成纤维桩在上前牙缺损修复中的应用效果。方法选取102例上前牙缺损需修复患者,随机分为研究组和对照组,每组51例。对照组应用可塑纤维桩修复,研究组应用预成纤维桩修复。比较两组患者疗效、咀嚼功能、修复情况以及并发症发生率。结果研究组疗效优于对照组,治疗有效率高于对照组(均P <0. 05)。修复后两组咀嚼效率、咬合力均高于修复前,且研究组高于对照组(均P <0. 05);研究组边缘适合性、颜色匹配度、修复体完整度均优于对照组,并发症总发生率低于对照组(均P <0. 05)。结论采用预成纤维桩修复上前牙缺损的修复效果良好,利于咀嚼功能恢复,安全性较好,有助于改善患者生活质量。
Objective To investigate the application efficacy of prefabricated fiber post in the restoration for upper anterior teeth defect. Methods A total of 102 patients with upper anterior teeth defect requiring dental restoration were randomly divided into study group and control group,with 51 cases in each group. The control group used plastic fiber post for dental restoration,while the study group used prefabricated fiber post. Efficacy,masticatory function,restoration results,and incidence rate of complications were compared between the two groups. Results The study group achieved a better efficacy and a higher effective rate for treatment compared with the control group( all P < 0. 05);after dental restoration,masticatory efficiency and occlusal force were higher in both groups compared with those before restoration,the indices above in the study group were higher than those in the control group( all P < 0. 05); the study group represented superior marginal adaptation,color-matching degree and restoration integrity,as well as a lower total incidence rate of complications,than the control group( all P < 0. 05). Conclusion The use of prefabricated fiber post achieves a favorable restorative efficacy for upper anterior teeth defect,which is beneficial to masticatory function recovery and has a better safety,it might contribute to improving patients' quality of life.
Objective To investigate the application efficacy of prefabricated fiber post in the restoration for upper anterior teeth defect. Methods A total of 102 patients with upper anterior teeth defect requiring dental restoration were randomly divided into study group and control group,with 51 cases in each group. The control group used plastic fiber post for dental restoration,while the study group used prefabricated fiber post. Efficacy,masticatory function,restoration results,and incidence rate of complications were compared between the two groups. Results The study group achieved a better efficacy and a higher effective rate for treatment compared with the control group( all P < 0. 05);after dental restoration,masticatory efficiency and occlusal force were higher in both groups compared with those before restoration,the indices above in the study group were higher than those in the control group( all P < 0. 05); the study group represented superior marginal adaptation,color-matching degree and restoration integrity,as well as a lower total incidence rate of complications,than the control group( all P < 0. 05). Conclusion The use of prefabricated fiber post achieves a favorable restorative efficacy for upper anterior teeth defect,which is beneficial to masticatory function recovery and has a better safety,it might contribute to improving patients' quality of life.
引文
[1]田雪辉,赵敏.比较预成纤维桩与可塑纤维桩在口腔修复患者中的临床效果[J].重庆医学,2017,46(A03):399-400.
[2]戎婷婷,郑红军.口腔种植修复和常规修复在牙列缺损治疗中的效果观察[J].中国地方病防治杂志,2016,8(10):1 183.
[3] Fueki K,Igarashi Y,Maeda Y,et al. Effect of prosthetic restoration on masticatory function in patients with shortened dental arches:a multicentre study[J]. J Oral Rehabil,2016,43(7):534-542.
[4]王瑶,刘俊红,邢轶旻,等.口腔修复治疗先天性缺牙的临床效果浅析[J].中国地方病防治杂志,2016,31(8):937.
[5]周蕾,王传江,魏玉华.两种材质改良高嵌体/冠修复中重度后牙缺损的疗效研究[J].口腔医学研究,2016,32(8):877-880.
[6]徐革英,米振林.金属桩和纤维桩用于前牙残根残冠修复的比较研究[J].中国现代医学杂志,2016,26(18):100-103.
[7] Amiri EM,Balouch F,Atri F. Effect of self-adhesive and separate etch adhesive dual cure resin cements on the bond strength of fiber post to dentin at different parts of the root[J]. J Dent(Tehran),2017,14(3):153-158.
[8]孙真.活动和固定义齿在牙周病伴牙列缺损修复治疗中的临床疗效[J].中国地方病防治杂志,2017,8(3):350.
[9]魏蔚.无牙颌患者口腔固有条件对全口义齿修复效果的影响评价[J].重庆医学,2017,46(A02):358-359.
[10] Abduljawad M,Samran A,Kadour J,et al. Effect of fiber posts on the fracture resistance of endodontically treated anterior teeth with cervical cavities:an in vitro study[J]. J Prosthet Dent,2016,116(1):80-84.
[11]徐革英,米振林.金属桩和纤维桩用于前牙残根残冠修复的比较研究[J].中国现代医学杂志,2016,26(18):100-103.
[12]赵倩,刘岩. 2种非金属桩核修复上前牙残冠临床效果的比较[J].国际口腔医学杂志,2016,43(4):383-386.
[13]董沁媛,周毅.短牙弓对口腔余留牙的影响[J].口腔医学研究,2018,34(4):353-355.
[14] Kul E,Yeter KY,Aladag LI,et al. Effect of different post space irrigation procedures on the bond strength of a fiber post attached with a self-adhesive resin cement[J]. J Prosthet Dent,2016,115(5):601-605.
[15]李菊,黎媛媛.老年牙列缺损伴重度磨耗自酸蚀粘接系统修复后对牙本质敏感性的影响[J].广东医学,2016,37(6):859-862.
[16]王莉莉,宋洪广,孙鹏.牙周炎致牙列缺失行All-on-4即刻种植修复的短期疗效观察[J].口腔医学研究,2018,34(8):862-865.
[17]刘林,夏德林,孙黎波,等.个性化预成型重建板技术联合血管化髂骨肌瓣在下颌骨修复重建中的应用[J].中华整形外科杂志,2016,32(4):258-263.
[18]严齐会,徐雅君,范优敏,等.纤维桩加强对穿髓型颈部缺损尖牙抗折性的效果观察[J].重庆医学,2018,47(8):1 098-1 100.
[19] Durski M,Metz M,Crim G,et al. Effect of chlorhexidine treatment prior to fiber post cementation on long-term resin cement bond strength[J]. Oper Dent,2018,43(2):E72-E80.
[20]范茜茜,王楠,侯爱兵.单侧下颌第一磨牙缺失对咀嚼肌肌电的影响[J].安徽医科大学学报,2016,51(5):703-707.
[21]方圆圆,陈杰,张静亚,等.牙本质肩领厚度和高度对前磨牙抗折性的影响[J].安徽医科大学学报,2017,52(10):1 559-1 563.
[22]殷家悦.前牙不良修复体的再次修复与牙周治疗对策[J].中国实用口腔科杂志,2017,10(7):407-410.
[2]戎婷婷,郑红军.口腔种植修复和常规修复在牙列缺损治疗中的效果观察[J].中国地方病防治杂志,2016,8(10):1 183.
[3] Fueki K,Igarashi Y,Maeda Y,et al. Effect of prosthetic restoration on masticatory function in patients with shortened dental arches:a multicentre study[J]. J Oral Rehabil,2016,43(7):534-542.
[4]王瑶,刘俊红,邢轶旻,等.口腔修复治疗先天性缺牙的临床效果浅析[J].中国地方病防治杂志,2016,31(8):937.
[5]周蕾,王传江,魏玉华.两种材质改良高嵌体/冠修复中重度后牙缺损的疗效研究[J].口腔医学研究,2016,32(8):877-880.
[6]徐革英,米振林.金属桩和纤维桩用于前牙残根残冠修复的比较研究[J].中国现代医学杂志,2016,26(18):100-103.
[7] Amiri EM,Balouch F,Atri F. Effect of self-adhesive and separate etch adhesive dual cure resin cements on the bond strength of fiber post to dentin at different parts of the root[J]. J Dent(Tehran),2017,14(3):153-158.
[8]孙真.活动和固定义齿在牙周病伴牙列缺损修复治疗中的临床疗效[J].中国地方病防治杂志,2017,8(3):350.
[9]魏蔚.无牙颌患者口腔固有条件对全口义齿修复效果的影响评价[J].重庆医学,2017,46(A02):358-359.
[10] Abduljawad M,Samran A,Kadour J,et al. Effect of fiber posts on the fracture resistance of endodontically treated anterior teeth with cervical cavities:an in vitro study[J]. J Prosthet Dent,2016,116(1):80-84.
[11]徐革英,米振林.金属桩和纤维桩用于前牙残根残冠修复的比较研究[J].中国现代医学杂志,2016,26(18):100-103.
[12]赵倩,刘岩. 2种非金属桩核修复上前牙残冠临床效果的比较[J].国际口腔医学杂志,2016,43(4):383-386.
[13]董沁媛,周毅.短牙弓对口腔余留牙的影响[J].口腔医学研究,2018,34(4):353-355.
[14] Kul E,Yeter KY,Aladag LI,et al. Effect of different post space irrigation procedures on the bond strength of a fiber post attached with a self-adhesive resin cement[J]. J Prosthet Dent,2016,115(5):601-605.
[15]李菊,黎媛媛.老年牙列缺损伴重度磨耗自酸蚀粘接系统修复后对牙本质敏感性的影响[J].广东医学,2016,37(6):859-862.
[16]王莉莉,宋洪广,孙鹏.牙周炎致牙列缺失行All-on-4即刻种植修复的短期疗效观察[J].口腔医学研究,2018,34(8):862-865.
[17]刘林,夏德林,孙黎波,等.个性化预成型重建板技术联合血管化髂骨肌瓣在下颌骨修复重建中的应用[J].中华整形外科杂志,2016,32(4):258-263.
[18]严齐会,徐雅君,范优敏,等.纤维桩加强对穿髓型颈部缺损尖牙抗折性的效果观察[J].重庆医学,2018,47(8):1 098-1 100.
[19] Durski M,Metz M,Crim G,et al. Effect of chlorhexidine treatment prior to fiber post cementation on long-term resin cement bond strength[J]. Oper Dent,2018,43(2):E72-E80.
[20]范茜茜,王楠,侯爱兵.单侧下颌第一磨牙缺失对咀嚼肌肌电的影响[J].安徽医科大学学报,2016,51(5):703-707.
[21]方圆圆,陈杰,张静亚,等.牙本质肩领厚度和高度对前磨牙抗折性的影响[J].安徽医科大学学报,2017,52(10):1 559-1 563.
[22]殷家悦.前牙不良修复体的再次修复与牙周治疗对策[J].中国实用口腔科杂志,2017,10(7):407-410.