纤维桩与插销桩修复磨牙严重缺损的临床研究.pdfVIP

.537. 广东牙病防治 2∞8 年 12 月第16 卷第12 期 ·基础与应用研究· 纤维桩与插销桩修复磨牙严囊缺损的临床研究 余万奎\ 也俊木 江门市口胶鼠院，广东江门(529仪)()) [摘要】 目的 比校2 种桩核材料用于磨牙严重缺损的修复效果。方法 80 颗磨牙缺损患牙随机分为2 组，分 别进行玻璃纤维桩核冠修复和铸造插销式分体桩核冠修复， 2 年后对修复敷果进行评价。结果 玻璃纤维桩翻 出现 l 颗冠忻;插销式分体桩组所有患牙均未出现冠松动脱落、冠桩脱略、冠折、根折、桩折， 2 组整异冗统计学意 义(P0.05)o 结论对于膺严熏牙缺损患者，选用玻璃纤维杭核冠修复或铸造插销式桩核冠修复均可，但对于 缺损严建合并牙根条件楚的患牙，选用玻璃纤维樵需慎囊。 [关键词] 磨牙缺损; 铸造桩核; 玻璃纤维桩 {申图分类号] R783.3 [文献标识码] A [文章编号] 1∞6 -5245(2∞8) 12 -537 -03 CHnical S切dy on GIass Fiber p.ωtand C郎t Metal Post in Rωtorat1on of Severely Defected Molars SUO Wan- k旧， MAO Jun-mu. Jiangmen Stomatological Hospital , Jiangmen 529∞0 ， China [ Abstract] Object1ve To comp酣the effect of glass fiber post and cast metal post in restoration of 附erely defected molars. Methods A total of 80 severely defected molars were selected , and divided into two groups randomly and re- stored with glass fiber post-and-core crown and cωt metal 阳t-and-core crown. Then the clinical outp脚 were evaluated two years after re5to刚ion. ltωults Only one 刷出岳阳ture was foωld in the group re5tored with glas5 fiber 阳5t and the succωs rate w剧 97.5%.ηle group restored with cωt metal p俯t-a时-core crown achieved a success rate of 1ω% and no crown l08t , post debonding ，阳th fracture. root fracture and post fracture were found. No clinical si伊ificant difference wωnoticed between two groups (P O. 05). Concluslon Rωtoration of severely defected molars with glass fiber pωt唰 and-core crown and cast metal post-and-core crown are both acceptable. But to the 8everely defected molars combined with weakened root c削巾， selection of glass fiber post should be considered carefulnes8. [Key words] Molar 伽fect; Cast metal 阳t-and-core; Glass fiber 阳t 目前对于牙髓根尖周病造成的靡牙残冠、残棍， 分体桩核冠修复。 经过完静的根管治疗，多采用铸造桩核冠修复，因l临