›› 2013, Vol. 33 ›› Issue (6): 407-409.

• 基础与临床研究 • 上一篇    下一篇

两种纤维桩核修复方案的临床效果比较

吴文生,闵敏,张献芳,徐培成   

  1. 上海市徐汇区牙病防治所
  • 收稿日期:2012-05-21 修回日期:2012-12-20 出版日期:2013-06-28 发布日期:2013-07-12
  • 通讯作者: 徐培成 E-mail:xpc1238@126.com

A comparison of clinical effects of two fiber post-core buildup strategies for restoration of teeth

  • Received:2012-05-21 Revised:2012-12-20 Online:2013-06-28 Published:2013-07-12

摘要: [摘要] 目的 比较在纤维桩修复中,自酸蚀粘接系统和自粘接桩核树脂水门汀临床修复效果。方法 选取100例患者220 颗需要桩核冠修复的前磨牙或前牙,随机分为两组,分别采用玻璃纤维桩+自粘接桩核树脂水门汀修复方案和玻璃纤维桩+自酸蚀粘接系统+桩核树脂修复方案,两组患牙均用金属熔附烤瓷全冠或全瓷冠修复牙体外形。36 个月后复查,统计两组修复的成功率,并用χ2 检验。结果 自粘接组有103颗牙(46例)得到评价,无桩核脱落颗,无纤维桩折断、牙根折裂,桩核修复成功率100%;自酸蚀粘接组有98颗牙(48例)得到评价,桩核脱落1颗,无发生纤维桩折断、牙根折裂,桩核修复成功率98.99%,两者差别无统计学意义。结论 在玻璃纤维桩桩核修复中,采用自粘接桩核树脂水门汀和自酸蚀粘接系统+桩核树脂均能取得良好的临床效果。

关键词: 纤维桩, 桩核材料, 自粘接树脂水门汀, 自酸蚀粘接剂, 临床评价, fiber post, post-core material, self-adhesive resin cement, self-etch adhesive, clinical evaluation

Abstract: Abstract: Objective The aim of this study was to compare the clinical performance of glass-fiber posts in combination with either self-adhesive resin cements or self-etch adhesives over up to 3 years in restoration of teeth. Methods 220 premolar teeth and anterior teeth (from 100 cases) that needed post-core crown restoration were allocated into 2 groups randomly. Group A were restored with glass fiber posts in combination with self-adhesive resin cements. Group B were restored with glass fiber posts in combination with self-etch adhesives. Two groups were restored with porcelain fused metal crowns or full-ceramic crowns. The success rates of two groups were observed 36 months later. The data was statistically analyzed by χ2 test. Results 103 teeth (from 46 cases) in group A and 98 teeth (from 48 cases) in group B were evaluated after 36 months. There was no fiber post fracture, root fracture, and post debonding in group A. Its success rate was 100%. There was one post debonding and no root fracture or fiber post fracture In group B. Its success rate was 98.99%. The difference in the success rates between two groups was no statistically significant. Conclusion In fiber post-core restoration, clinical performance of glass-fiber posts in combination with either self-adhesive resin cements or self-etch adhesives was favorable.

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