口腔医学研究

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (10): 957-960.DOI: 10.13701/j.cnki.kqyxyj.2019.10.012

• 口腔种植修复学研究 • 上一篇    下一篇

玻璃纤维桩与纯钛金属桩桩冠修复的临床效果分析

任桂芳   

  1. 北京市和平里医院口腔科 北京 100013
  • 收稿日期:2019-06-20 出版日期:2019-10-28 发布日期:2019-10-22

Clinical Effect Analysis of Glass Fiber Post Crown and Pure Titanium Post Crown

REN Guifang   

  1. Department of Stomatology, Beijing Hepingli Hospital. Beijing 100013, China.
  • Received:2019-06-20 Online:2019-10-28 Published:2019-10-22

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摘要： 目的:分析比较玻璃纤维桩与纯钛金属桩修复残冠残根的效果。方法:选取2013年9月~2017年3月235例(334颗牙)残冠残根患者,按就诊顺序并经患者同意分为两组,进行桩冠修复,追踪观察3年。临床疗效评价为成功与失败,采用Excel软件对结果进行对比统计Z检验XIS,假设重要性水平为5%(原假设两组成功率相等)。结果:两组总成功率、两组前牙、两组前磨牙及金属桩组前、后牙之间成功率均没有显著差异(P>5%),只有纤维桩组前后牙之间和两组后牙之间成功率有显著差异(P<5%);对于两组前牙成功病例美观舒适度调查,“非常满意”纤维桩组占94.54%优于金属桩组。结论:目前使用玻璃纤维桩和纯钛金属桩修复残冠残根是医患均认可的较为理想的方法,应按照适应症选择合适的材料进行治疗。

关键词: 玻璃纤维桩, 纯钛金属桩, 修复残冠残根, 粘接, 全瓷冠

Abstract: Objective: To analyze and compare the effect of residual crown and root's repairment by glass fiber post and pure titanium post. Methods: 235 patients (334 teeth) with residual crown or residual root in the time period of September, 2013 to March, 2017 were selected. In accordance to the admission time and patient's will, patients were divided into two teams. Patients' defect were repaired by crown and tracked by 3 years. Results: No significant difference was found on the general success rates, anterior teeth success rates, premolar success rates, and metal team's success rate (P>0.05). There was a significant difference on the anterior teeth success rate and the posterior teeth success rate of fiber team (P<0.05). On the basis of the appearance and comfort survey which responded by patients from successful cases, 94.55% patients from fiber team had feedbacks of "strongly satisfied". Such satisfaction rate was higher to the metal team. Conclusion: At current time, repairment of residual crown and root by glass fiber post and titanium post were ideal treatments.

Key words: glass fiber post, pure titanium post, repair residual crown and root, bond, ceramic full crown