玻璃纤维桩联合双固化树脂水门汀修复前牙残根残冠.doc

玻璃纤维桩联合双固化树脂水门汀修复前牙残根残冠[摘要]目的:评价玻璃纤维桩联合双固化树脂水门汀(RelyX unicem)修复前牙残根残冠的临床效果。方法:选择80颗已行根管治疗的前牙残根残冠,利用双固化树脂水门汀将Fibra-post玻璃纤维桩粘结于根管内,再在纤维桩上用复合树脂堆核,最后全冠修复。治疗完成后6、12个月复诊,观察临床效果。结果:6个月后复查,成功率为100%。12个月时,成功率98.7%,3颗患牙失访,1颗残根的纤维桩折断,其余76颗患牙无不适,桩核冠稳固无松动,均修复成功。结论:玻璃纤维桩联合双固化树脂水门汀修复残根残冠疗效好,可满足临床需要。 [关键词]玻璃纤维桩;桩核;牙修复 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2010)02-0263-02 Restoration of residual root and crown by glassfiber post and self-adhesive universal resin cement WANG Lin-hu1,LIU Shu-ping2,GUO Jia-ping1,DONG Qing-shan1,WANG Zao-tang1 (1.Department of Stomatology,Wuhan General Hospital of Guangzhou Command,Wuhan 430070,Hubei,China;2.Department of Stomatology,The 161st Hospital of People’s Liberation Army) Abstract:ObjectiveTo evaluate the effects of glassfiber Post and self-adhesive universal resin cement in restoration of residual root and crown on anterior teeth. Methods 80 residual roots and crowns after endodontically treatment were selected.Glassfilber post and self-adhesive universal resin cement combinated to fabricate post,and then restored with full crown.patients were followed up in 6 months and 12months after treatments.ResultsAfter observation for 6 months.the success rate of 80 restorations reached 100%.After 6 months. the success rate reached 98.7%.3 teeth failed to visit.One broken postwas found,restorations of the rest 76 teeth were firm and no dentine fracture was found in all restored teeth. ConclusionGlassfiber post and self-adhesive universal resin cement were be considered as good material to restore residual root and crown ofanterior teeth. Key words:classfiber post;post and core;dental restoration 残根残冠的保存一直是口腔修复学研究的重点。和金属桩核修复相比,纤维桩具有生物相容性好、耐腐蚀、美观性佳,且因其弹性模量与牙本质相当,可减少根折的发生率[1],逐渐被应用在牙齿残根残冠的保存方面。然而,纤维桩的粘结步骤较复杂、涉及材料较多、技术敏感性强,修复后失败模式主要为桩粘结失败[2]。因而简化临床操作、加强纤维桩粘结成为研究焦点。自粘结树脂水门汀粘结玻璃纤维桩,临床只需要一步,大大简化了临床操作步骤[2]。本研究对二者在临床上的联合运用作一回顾性探讨,以便更好的指导临床工作。 1材料和方法 1.1 一般资料:选择2006年8月～2008年10月在广州军区武汉总医院口腔科就诊的残根残冠患者50例,平均年龄40 岁,其中中切牙65颗,侧切牙15颗。根面断