改良复合树脂联合根管钉法修复中重度磨牙缺损的疗效观察.docVIP

改良复合树脂联合根管钉法修复中重度磨牙缺损的疗效观察 　　[摘要]目的：观察改良复合树脂联合根管钉法修复中重度磨牙缺损的临床疗效。方法：收集中重度缺损的磨牙120颗，60颗采用铸造金属桩核冠修复，60颗采用改良复合树脂联合根管钉法修复，修复完成后1年进行回访观察。结果：改良复合树脂联合根管钉修复组成功率为96.6%，铸造金属桩核冠组成功率为98.3%，两组间差异无统计学意义（P＞0.05）。结论：改良复合树脂联合根管钉法用于修复中重度缺损磨牙效果良好，具有费用低，疗程短的优点。但由于本研究观察期较短，远期效果有待进一步观察。 　　[关键词]改良复合树脂联合根管钉法；铸造金属桩核冠；中重度磨牙缺损 　　[中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2014）05-0408-03 　　 　　Clinical evaluation of improved method with composite resin andcanal pin restoration in the seriously damaged molar 　　GONG Ren-guo,QUE Jia-jia,WEI Wei,SONG Xu,XIAO Hai-ying,LI Zhuo-jun,LUO Chun-rui 　　(Deptment of Stomatology, The Hospital Affiliated to Panzhihua University, Panzhihua 617000,Sichuan China) 　　 　　Abstract: ObjectiveTo evaluate the clinical effect of improved method with composite resin andcanal pin restoration in the seriously damaged molar. Methods60 teeth were restored with cast metal post and core crown and 60 teeth with improved method with composite resin and canal pin. The recall were done 1 year later. ResultsThe success rate of improved method with composite resin and canal pin group was 96.6%, while the cast metal post and core crown group was 98.3%.There was no obvious difference between the two groups（P＞0.05）. Conclusion Improved method with composite resin and canal pin provides the dentist with another treatment choice for the seriously damaged molar, but longer time observation of restoration is necessary. 　　Key words:improved method with composite resin and canal pin;cast metal post and core crown;seriously damaged molar磨牙因龋坏或外伤造成患牙中重度牙体缺损时，为避免咀嚼时牙齿发生纵折，临床常采用根管治疗后桩核加全冠或嵌体进行修复[1]。但这种修复方法技术要求高、疗程长、费用高，磨除牙体组织较多，有时难以被患者接受[2]。随着树脂粘结系统和复合树脂材料性能的不断改善，复合树脂已成为磨牙主要的修复材料[3]。传统的复合树脂联合根管钉修复中重度磨牙缺损容易出现牙-修复体界面折裂的问题，本研究对传统的复合树脂修复方法进行了改良，并与铸造金属桩核冠的修复效果进行对比。为临床磨牙严重牙体缺损修复提供参考。 　　 　　1资料和方法 　　1.1一般资料：收集2011年9月～2012年9月在我科门诊就诊并接受治疗的磨牙中重度缺损的患者为研究对象。纳入标准：①因牙髓炎或根尖周炎需行根管治疗的单个磨牙，未经治疗；②牙体缺损为Nagasiri分型的Ⅲ或Ⅳ型[4]；③牙根有足够的长度和粗度，根尖无明显暗影，牙根吸收＜2/3；④未用作固定或活动修复的基牙。排除标准：①磨牙中重度缺损，无牙髓炎及根尖周炎症状不需做根管治疗的患牙；②伴明显根