›› 2013, Vol. 33 ›› Issue (5): 303-306.

• 基础与临床研究 • 上一篇    下一篇

不同位置和高度的单壁箍结构对牙根抗力影响的实验研究

苏恩典1,吴凤鸣2   

  1. 1. 南京医科大学口腔医学研究所,南京医科大学附属口腔医院修复科
    2.
  • 收稿日期:2013-01-10 修回日期:2013-01-24 出版日期:2013-05-28 发布日期:2013-06-20
  • 通讯作者: 苏恩典 E-mail:sedno1st@sina.com

The effect of one-wall ferrule with different location and height on fracture resistance of endodontically treated teeth restored with fiber posts, composite cores, and full-metal crowns

  • Received:2013-01-10 Revised:2013-01-24 Online:2013-05-28 Published:2013-06-20
  • Contact: En-Dian SU E-mail:sedno1st@sina.com

摘要: 目的 研究单壁箍结构的位置和高度对牙根抗力的影响。方法 将35颗离体完整下颌第一前磨牙随机分为7组。第1-3组:分别仅保留颊侧、舌侧、邻面高度1 mm的箍结构;第4-6组:分别仅保留颊侧、舌侧、邻面高度2 mm的箍结构;第7组:无箍结构。所有离体牙均用纤维桩、树脂核、Ni-Cr合金全冠修复。电子万能试验机以与牙长轴成135°于颊尖顶加载、横梁位移速度1.0 mm/min,直至试件出现断裂,并对折裂强度进行统计分析。结果 箍结构的位置对牙齿抗力存在明显影响(P<0.025),颊侧组抗力大于舌侧组(P<0.025)。第4组的折裂强度最高(395.06±50.17) N,明显高于第2、3、5、7组(P<0.025),其余组间未见统计学差异。所有试件均未发生不可再修复性破坏。结论 单壁箍结构的位置离受力侧越近,牙齿的抗力越大;主要受力侧保留至少2 mm高度的单壁箍结构,相比无箍结构者可明显提高牙齿抗力。

关键词: 箍结构, 抗力, 桩核, Ferrule, Fracture resistance, Post and core

Abstract: Objective To evaluate the effect of one-wall ferrule with different location and height. Methods 35 mandibular first premolars were divided into seven groups: Group 1 to Group 3: teeth with a 1 mm ferrule only in the buccal, lingual or proximal region; Group 4 to Group 6: teeth with a 2 mm ferrule only in the buccal, lingual or proximal region; and Group 7: teeth with no ferrule. All the teeth were restored with fiber posts, composite cores and full-metal crowns. Each specimen was subjected to an increasing compressive force at 135 degrees from the long axis in a universal testing machine with a crosshead speed of 1.0 mm/min until fracture. Data were recorded and analyzed using One-way and Two-way ANOVA tests. Results The fracture resistance of teeth was significantly affected by the location of ferrule(P<0.025), and the mean failure strength of the buccal group was significantly higher than the lingual group(P<0.025). Group 4 demonstrated the highest mean failure strength value in all groups, and the value was significantly higher than group 2, group 3, group 5, and group 7(P<0.025). The remaining groups showed no statistical significance. All the fracture mode of specimens were repairable. Conclusion The fracture strength was higher when the dentin wall of ferrule was closer to the loading force. Compared with the no ferrule group, to provide a one-wall ferrule with at least 2 mm high on the main loading force side could improve the fracture strength of teeth.

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