口腔医学研究 ›› 2016, Vol. 32 ›› Issue (1): 43-45.DOI: 10.11839/kqyxzh.2016.01.011

• ·临床研究论著· • 上一篇    下一篇

铸瓷髓腔固位冠修复根管治疗后牙齿的临床效果评价

曾畅,樊明文,朱玲新,许庆安*   

  1. 口腔基础医学省部共建国家重点实验室培育基地·口腔生物医学教育部重点实验室·武汉大学口腔医学院 湖北 武汉 430079
  • 收稿日期:2015-07-23 出版日期:2016-01-28 发布日期:2016-03-21
  • 通讯作者: 许庆安,E-mail:xuqingan1977@163.com
  • 作者简介:曾畅(1990~),女,湖北人,博士在读,主要从事口腔内科学的研究工作。
  • 基金资助:
    国家自然科学基金(编号:81271129)

Clinical Effect Evaluation of IPS E. max Press Ceramic Endocrown Restoring Posterior Teeth after Root Canal Therapy.

ZENG Chang, FAN Ming-wen, ZHU Ling-xin, XU Qing-an.   

  1. The State Key Laboratoty Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hopital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2015-07-23 Online:2016-01-28 Published:2016-03-21

摘要: 目的:评价IPS e. max Press铸瓷髓腔固位冠修复经根管治疗的后牙牙体缺损的效果。方法:选择由牙体牙髓专业一年级研究生完成的铸瓷髓腔固位冠修复病例26例,均为行完善根管治疗后的后牙,18~24个月后回访检查。参考美国公共健康服务(USPHS)标准,对患牙继发龋、牙龈炎、牙折、修复体边缘完整性、边缘染色、修复体折裂/脱落情况进行评估。结果:26例病例中,1例修复体折裂,2例边缘完整性轻度受损,1例咬合面轻度缺损,其余未发现明显修复体的缺陷或因修复体引起的牙体、牙周等问题。结论:铸瓷髓腔固位冠修复根管治疗后的后牙牙体缺损可以取得满意的效果。

关键词: 髓腔固位冠, 铸瓷, 临床评价

Abstract: Objective: To evaluate the clinical effect of IPS e. max press ceramic endocrown restoring posterior teeth after root canal therapy. Methods: Twenty-six posterior teeth after root canal therapy were restored by endodontic first-year graduate students with IPS e. max Press ceramic endocrown. The patients were recalled 18-24 months after the restoration and the restorations were assessed using the modified USPHS criteria including secondary caries, gingivitis, tooth fracture, marginal discoloration, marginal integrity criteria, and restoration fracture/debond. Results: Of all the 26 teeth, one restoration was found broken. Two restorations had slight damage of marginal integrity and one had slight damage of occlusal surface. Other defects of endocrowns, or tooth and gingiva problems caused by the restorations were not found. Conclusion: Endocrown is an effective method of restoring posterior tooth after root canal therapy.

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