再接修复术在中切牙牙冠折断修复中疗效分析.docVIP

再接修复术在中切牙牙冠折断修复中疗效分析 　　[摘要]目的：探讨再接修复术在中切牙牙冠折断修复中的疗效。方法：根据患者具体情况及意愿，对2011-2013年我院收治的中切牙牙冠折断患者根据患采用了单纯再接术和纤维桩修复术。结果：术后纤维桩修复术和单纯再接术患者修复满意度均较高。3个月的随访结果显示，所有患者患牙状况良好、修复牢固、咀嚼功能良好、牙龈无明显炎症。6个月的随访结果显示，纤维桩修复患者各有1例出现桩折断和牙周炎，单纯再接术患者出现牙冠再次折断。1年后随访结果显示，纤维桩修复术和单纯再接术患者修复成功率分别为84.0%和60.0%（χ2=1.500，P=0.221）。结论：纤维桩修复术和单纯再接术均适用于中切牙牙冠折断修复，但是纤维桩修复术成功率更高。 　　[关键词]再接修复术；纤维桩修复术；单纯再接术；中切牙牙冠 　　[中图分类号]R783 [文献标志码]A [文章编号]1008-6455（2015）19-0064-03 　　Clinical efficacy of restoration repair in incisor crown fracture patients 　　PENG Yuan 　　（Stomatology Hospital of Zhengzhou City，Zhengzhou 450052，Henan，China） 　　Abstract： Objective To evaluate the clinical efficacy of restoration repair in incisor crown fracture patients. Methods According to patientsspecific circumstances and wishes，we took simple repair and fiber post surgery in incisor crown fracture patients which were received in our hospital from 2011-2013. Results Patients who underwent simple repair and fiber post surgery both had good satisfaction.3-month follow-up showed that all patientsteeth were in good condition，firmly repaired， functional chewing and without obvious inflammation on gums.Then， 6-month follow-up showed that patients took fiber post treatment had each one case of pile breaking off and periodontitis，however，one case of patients who undertook simple repair surgery had crown broken again.One year follow-up results showed that the successful rates of simple repair and fiber post surgery were 84.0% and 60.0%，respectively（χ2=1.500，P=0.221）. Conclusion Both simple repair and fiber post surgery can be used in the treatment of incisor crown fracture repair. But the fiber post repair had higher successful rate. 　　Key words：repair；fiber post repair；simple repair surgery；incisor crown 　　冠折后的修复方法主要包括复合树脂、烤瓷贴面、烤瓷冠、断冠再接修复等[1]，其中断冠再接是指前牙冠折后采用粘结材料将冠折牙重新粘结复位，具有形态色泽逼真、患者咬合自然、操作简便、费用较低等优点。目前，临床上断冠再接术主要包括：单纯再接术、纤维桩修复术和斜面再接术等，其中单纯再接术具有操作简单，操作时间短和无需制备固定沟等；纤维桩修复术能够增加全冠修复体的固位和支持，具有生物相容性良好、抗腐蚀强和缓解牙齿集中应力等，而得到了临床的广泛应用[2]。本研究根据患者具体情况及意愿，对20