上切牙金属桩冠根折原因分析-现代仪器与医疗.PDF

《现代仪器与医疗》 2013 年 第 19 卷 第 6 期 经验交流 上切牙金属桩冠根折原因分析* Analysis of the causes of root fracture in upper incisors with metal dowel crown 摘  要  目的 分析上切牙金属桩冠修复患者根折的原因。方法 对2008~2011 年 叶莲妹1 2   徐佳蕊 **  上切牙桩冠因根折而拔除金属桩冠及牙根的368 例病例进行回顾性分析，按照根桩 高久瑜3*** 1 2 与牙根长度关系和冠修复方式进行分析。结果 金属桩在骨内的长度小于牙根在牙 Ye Lianmei Xu Jiarui 3 槽骨总长度的 1/2 牙折病例数多于金属桩在骨内的长度大于牙根在牙槽骨总长度的 Gao Jiuyu 1/2 牙折病例数，单个桩冠根折病例数多于联冠桩冠根折病例数。结论 金属桩核冠 修复中除要保证桩的长度不短于临床冠的高度外，桩在骨内的长度是否达到牙根在 （1.福建省南平市第一医院口 腔科  南平  353000；2.四川 牙槽骨总长度的1/2，单冠相对于联冠修复均可能是根折发生的相关因素。 大学华西口腔医院修复科  成 关键词  桩冠 金属铸造桩核 桩长度 单冠 联冠 都  610041；3.山西省人民医 院口腔科  太原  030012） Abstract Objective To analyze the causes of root fracture in upper incisors with metal (1.Department of Stomatology, the first post-core crown. Methods Statistical analysis of the 368 cases of root fracture in upper hospital of Nanping City, Fujian Prov- incisors with metal post-core crown for which the metal post-core crown and the root were ince Nanping 353000;2.Department extracted in our department in 2008~2011. Results The length of metal post which is of Prosthetics, West China School less than the 1/2 of the total length of the root in the alveolar bone and which is greater of Stomatology, Sichuan Univer- than 1/2 have difference in the number of fractured cases, the former is more than the latter. sity Chengdu 610041;3.Department of Stomatology, Shanxi Province People There are also more cases of root fracture with single post-core crown than that with com- Hospital Taiyuan 030012) bined crowns. Co