口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (10): 896-900.DOI: 10.13701/j.cnki.kqyxyj.2025.10.010

• 牙体修复学研究 • 上一篇    下一篇

短冠磨牙3种修复方式的临床研究

王晓雪1, 张立亚2, 刘青1, 吴素然1, 沈文静1, 仇亚非1*   

  1. 1.河北医科大学口腔医学院·口腔医院口腔修复学教研室 河北 石家庄 050017;
    2.河北医科大学口腔医学院·口腔医院牙体牙髓科教研室,河北省口腔医学重点实验室,河北省口腔疾病临床医学研究中心 河北 石家庄 050017
  • 收稿日期:2025-02-26 发布日期:2025-10-23
  • 通讯作者: *仇亚非,E-mail:yulin8@aliyun.com
  • 作者简介:王晓雪(1985~ ),女,河北邢台人,硕士,主治医师,研究方向:微创修复、美学修复、种植修复。
  • 基金资助:
    河北省卫生健康委员会医学科学研究课题计划项目(编号:20221471)

Clinical Study on Three Restoration Methods for Short Crown Molars

WANG Xiaoxue1, ZHANG Liya2, LIU Qing1, WU Suran1, SHEN Wenjing1, QIU Yafei1*   

  1. 1. Department of Prosthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    2. Department of Endodontics, School and Hospital of Stomatology, Hebei Medical University; Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, Shijiazhuang 050017, China
  • Received:2025-02-26 Published:2025-10-23

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摘要： 目的: 前瞻性研究短冠磨牙3种修复方式的临床效果,为短冠磨牙修复方式的选择提供依据。方法: 对68颗根管治疗后的短冠磨牙分别进行二硅酸锂增强玻璃陶瓷高嵌体(A组,36颗)、纤维分体桩氧化锆高嵌体(B组,17颗)、铸造纯钛分体桩金属高嵌体(C组,15颗)修复,3年后对修复体进行临床评价。结果: A组、B组、C组的修复成功率分别是88.9%,94.1%和80.0%,修复体生存率分别是88.9%、100.0％和93.3%,基牙生存率分别是100.0%、100.0%和93.3%,三组比较差异均无统计学意义(P＞0.05)。结论: 3种方式修复根管治疗后短冠磨牙均能获得良好的临床效果,可满足不层次短冠磨牙患者的修复需求。

关键词: 短冠磨牙, 二硅酸锂增强玻璃陶瓷高嵌体, 纤维分体桩氧化锆高嵌体, 铸造纯钛分体桩金属高嵌体, 临床研究

Abstract: Objective: To prospective study the clinical efficacy of three restoration methods for short crown molars. Methods: After root canal treatment, 68 short crown molars were repaired with lithium disilicate reinforced glass ceramic onlays (group A, n=36), fiber split post zirconia onlays (group B, n=17), and cast pure titanium split post metal onlays (group C, n=15). The clinical evaluation was performed 3 years later. Results: In group A, group B, and group C, the success rate of restoration was 88.9%, 94.1%, and 80.0%, and the survival rate of prostheses was 88.9%, 100.0%, and 93.3%, respectively, and the survival rate of abutments was 100.0%, 100.0%, and 93.3%, respectively, with no statistical significance (P>0.05). Conclusion: The three methods can achieve good clinical effect after root canal treatment of short crown molars, which can meet the repair needs of patients with short crown molars of different levels.

Key words: short crown molar, lithium disilicate reinforced glass ceramic onlay, fiber split post zirconia onlay, cast pure titanium pile post metal onlay, clinical study