导板与超声拆除磨牙纤维桩对比研究

doi:10.13591/j.cnki.kqyx.2024.12.009

口腔医学 ›› 2024, Vol. 44 ›› Issue (12): 927-930.doi: 10.13591/j.cnki.kqyx.2024.12.009

导板与超声拆除磨牙纤维桩对比研究

葛兵¹,黄路梅²,朱文伟¹,朱晔¹,吴雨旻³,陈晨²()

1 苏州卫生职业技术学院口腔医学院,江苏苏州(215002)
2 南京医科大学附属口腔医院牙体牙髓科,口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学),江苏省口腔转化医学工程研究中心,江苏南京(210029)
3 南京医科大学附属口腔医院修复科,口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学),江苏省口腔转化医学工程研究中心,江苏南京(210029)

收稿日期:2024-04-11 出版日期:2024-12-28 发布日期:2024-12-26
通讯作者: 陈晨 Tel:(025)69593031 E-mail:ccchicy@njmu.edu.cn
基金资助:
苏州市科技局(医疗卫生科技创新-应用基础研究)指导项目(SKJYD2021050)

A comparative study on guide access and ultrasonic access for fiber post removal

GE Bing¹,HUANG Lumei²,ZHU Wenwei¹,ZHU Ye¹,WU Yumin³,CHEN Chen²()

Stomatology School of Suzhou Vocational Health College, Suzhou 215002, China

Received:2024-04-11 Online:2024-12-28 Published:2024-12-26

摘要/Abstract

摘要：

目的使用离体牙进行体外实验,对比数字化导板和超声辅助2种纤维桩拆除方式用于磨牙纤维桩拆除的优缺点。方法将12颗人类离体磨牙随机分为导板组和超声组,进行根管治疗及纤维桩修复,分别采用导板与超声器械进行纤维桩拆除。比较两组拆桩时间及牙体组织破坏程度。结果超声组操作时间每颗牙为(11.14±1.62)min,导板组操作时间每颗牙为(5.40±0.90)min。超声组时间明显长于导板组,牙体组织冠部破坏程度也明显高于导板组。结论在导板支持下拆除纤维桩能够缩短临床操作时间,降低技术敏感性,尽可能保留剩余牙体组织。

关键词: 数字化, 导板, 超声, 纤维桩, 拆除

Abstract:

Objective To compare the advantages and disadvantages of two fiber post removal methods, guide-supported and ultrasound assisted, for the removal of fiber posts in molars using in vitro experiments. Methods Twelve human extracted molars were randomly divided into a guide group and an ultrasound group for root canal treatment and fiber post restoration. The fiber posts were removed using digital guide and ultrasound instruments, respectively. The time of removal of fiber post and the degree of tooth tissue damage was compared between two groups. Results The operation time for each tooth in the ultrasound group was (11.14±1.62) minutes, while that in the guide group was (5.40±0.90) minutes. The ultrasound group had a significantly longer duration than the guide group, and the degree of crown damage to dental tissue was also significantly higher than that of the guide group. Conclusion Removing fiber posts with the support of guide can shorten clinical operation time, reduce technical sensitivity, and preserve remaining dental tissue as much as possible.

Key words: digital, guide, ultrasonic, fiber post, removal

中图分类号:

R783.3

葛兵, 黄路梅, 朱文伟, 朱晔, 吴雨旻, 陈晨. 导板与超声拆除磨牙纤维桩对比研究[J]. 口腔医学, 2024, 44(12): 927-930.

GE Bing, HUANG Lumei, ZHU Wenwei, ZHU Ye, WU Yumin, CHEN Chen. A comparative study on guide access and ultrasonic access for fiber post removal[J]. Stomatology, 2024, 44(12): 927-930.

图/表 6

图1

图2

图3

图4

表1

图5

参考文献 22

[1]	Lindemann M, Yaman P, Dennison JB, et al. Comparison of the efficiency and effectiveness of various techniques for removal of fiber posts[J]. J Endod, 2005, 31(7):520-522.
[2]	Qing H, Zhu ZM, Chao YL, et al. In vitro evaluation of the fracture resistance of anterior endodontically treated teeth restored with glass fiber and zircon posts[J]. J Prosthet Dent, 2007, 97(2):93-98. doi: 10.1016/j.prosdent.2006.12.008 pmid: 17341377
[3]	Akkayan B, Gülmez T. Resistance to fracture of endodontically treated teeth restored with different post systems[J]. J Prosthet Dent, 2002, 87(4):431-437. doi: 10.1067/mpr.2002.123227 pmid: 12011860
[4]	李萍, 朱智敏. 循环加载对不同桩核修复后牙体抗折强度的影响[J]. 华西口腔医学杂志, 2015, 33(2):206-208.
[5]	Parisi C, Valandro LF, Ciocca L, et al. Clinical outcomes and success rates of quartz fiber post restorations: A retrospective study[J]. J Prosthet Dent, 2015, 114(3):367-372. doi: 10.1016/j.prosdent.2015.03.011 pmid: 26013066
[6]	Stamos DE, Gutmann JL. Survey of endodontic retreatment methods used to remove intraradicular posts[J]. J Endod, 1993, 19(7):366-369.
[7]	Giok KC, Veettil SK, Menon RK. Comparative effectiveness of fiber and metal posts in the restoration of endodontically treated teeth: A systematic review with network meta-analysis[J]. J Prosthet Dent, 2023: S0022 -S3913(23)00569-3.
[8]	Scotti N, Bergantin E, Alovisi M, et al. Evaluation of a simplified fiber post removal system[J]. J Endod, 2013, 39(11):1431-1434. doi: 10.1016/j.joen.2013.08.005 pmid: 24139268
[9]	Zhang WL, Wu WQ, Liao SH, et al. Fabrication of guide and removal of fiber post by tetrahedron positioning technology at the chair side: A case report and literature review[J]. J Prevt Treat Stomatol Dis, 2021, 29(7):479-484.
[10]	Schwindling FS, Tasaka A, Hilgenfeld T, et al. Three-dimensional-guided removal and preparation of dental root posts-concept and feasibility[J]. J Prosthodont Res, 2020, 64(1):104-108. doi: S1883-1958(18)30403-1 pmid: 31104945
[11]	Maia LM, Moreira Júnior G, Albuquerque RC, et al. Three-dimensional endodontic guide for adhesive fiber post removal: A dental technique[J]. J Prosthet Dent, 2019, 121(3):387-390. doi: S0022-3913(18)30634-6 pmid: 30477921
[12]	Perez C, Finelle G, Couvrechel C. Optimisation of a guided endodontics protocol for removal of fibre-reinforced posts[J]. Aust Endod J, 2020, 46(1):107-114. doi: 10.1111/aej.12379 pmid: 31603599
[13]	张威龙, 吴婉淇, 廖珊华, 等. 椅旁四面体定位技术制作导板拆除纤维桩1例及文献复习[J]. 口腔疾病防治, 2021, 29(7):479-484. doi: 10.12016/j.issn.2096-1456.2021.07.008
[14]	Angnanon W, Thammajaruk P, Guazzato M. Effective luting agents for glass-fiber posts: A network meta-analysis[J]. Dent Mater, 2023, 39(12):1180-1189. doi: 10.1016/j.dental.2023.10.015 pmid: 37845166
[15]	Anderson GC, Perdigão J, Hodges JS, et al. Efficiency and effectiveness of fiber post removal using 3 techniques[J]. Quintessence Int, 2007, 38(8):663-670. pmid: 17823684
[16]	Kim JJ, Alapati S, Knoernschild KL, et al. Micro-computed tomography of tooth volume changes following post removal[J]. J Prosthodont, 2017, 26(6):522-528. doi: 10.1111/jopr.12442 pmid: 26849024
[17]	Aydemir S, Arukaslan G, Sarıdağ S, et al. Comparing fracture resistance and the time required for two different fiber post removal systems[J]. J Prosthodont, 2018, 27(8):771-774. doi: 10.1111/jopr.12575 pmid: 28067979
[18]	Touré B, Faye B, Kane AW, et al. Analysis of reasons for extraction of endodontically treated teeth: A prospective study[J]. J Endod, 2011, 37(11):1512-1515. doi: 10.1016/j.joen.2011.07.002 pmid: 22000453
[19]	Alfredo E, Garrido AD, Souza-Filho CB, et al. In vitro evaluation of the effect of core diameter for removing radicular post with ultrasound[J]. J Oral Rehabil, 2004, 31(6):590-594. pmid: 15189318
[20]	Bergeron BE, Murchison DF, Schindler WG, et al. Effect of ultrasonic vibration and various sealer and cement combinations on titanium post removal[J]. J Endod, 2001, 27(1):13-17.
[21]	Garrido ADB, Oliveira AG, Osório JEV, et al. Evaluation of several protocols for the application of ultrasound during the removal of cast intraradicular posts cemented with zinc phosphate cement[J]. Int Endod J, 2009, 42(7):609-613. doi: 10.1111/j.1365-2591.2009.01555.x pmid: 19467051
[22]	Hauman CH, Chandler NP, Purton DG. Factors influencing the removal of posts[J]. Int Endod J, 2003, 36(10):687-690. doi: 10.1046/j.1365-2591.2003.00715.x pmid: 14511226

试样	1	2	3	4	5	6	$\bar{x}±s$
超声组	12.86	10.5	11.25	13.16	9.05	10.03	11.14±1.62
导板组	4.91	6.7	5.25	4.32	6.42	4.82	5.40±0.90

导板与超声拆除磨牙纤维桩对比研究

A comparative study on guide access and ultrasonic access for fiber post removal

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

图/表 6

参考文献 22

相关文章 15

编辑推荐

Metrics

本文评价

[1]	刘安琪, 夏伦果. 错𬌗畸形数字化早期干预与多学科联合治疗[J]. 口腔医学, 2024, 44(8): 576-580.
[2]	钱雨馨, 李建, 张建兰, 张施璇, 顾洋乾, 路萌萌, 汤春波. 骨质情况对计算机辅助设计种植导板应用精确性的影响分析[J]. 口腔医学, 2024, 44(7): 508-514.
[3]	王友金, 魏斌. 数字化印模技术在可摘局部义齿中的应用现状[J]. 口腔医学, 2024, 44(6): 462-468.
[4]	胡帅, 方晴, 陆麒元, 陶建祥. 数字化印模与传统压力印模制取的上颌牙列缺损模型的精确度比较[J]. 口腔医学, 2024, 44(6): 433-437.
[5]	丁成芳, 卡地里亚·吐尔逊江, 艾力麦尔旦·艾尼瓦尔, 木拉地力·买合木提, 地力胡马尔·库尔班, 王玲. 数字化导板在即刻自体牙移植术中的初步应用研究[J]. 口腔医学, 2024, 44(5): 381-385.
[6]	王辽辽, 杨尧瑶, 吴江. 数字化印模技术在可摘局部义齿中的应用及其准确度的影响因素[J]. 口腔医学, 2024, 44(4): 312-315.
[7]	王胤霖, 张馨月, 李明星, 傅柏平. 前牙瓷贴面美学修复体比色的影响因素[J]. 口腔医学, 2024, 44(3): 203-208.
[8]	王涵, 胡建. 种植修复数字化印模准确性影响因素的研究进展[J]. 口腔医学, 2024, 44(3): 221-226.
[9]	蒲奕名, 周静, 刘清辉, 吕红, 卜鸿鹄, 李倩, 唐荣穗. 数字化导板引导下拔除上颌埋伏牙后同期种植1例[J]. 口腔医学, 2024, 44(2): 121-125.
[10]	郑悦, 张森林. 计算机辅助种植技术在颧种植中的应用研究进展[J]. 口腔医学, 2024, 44(12): 957-960.
[11]	赵飘, 管晓燕, 刘建国, 向明丽, 肖琳琳. LIPUS的协同作用及在口腔中的运用[J]. 口腔医学, 2024, 44(10): 780-785.
[12]	史雨林, 李刚, 侯晓冲, 白石柱, 赵铱民. 我国数字化口腔医学教育发展现状研究[J]. 口腔医学, 2024, 44(1): 1-5.
[13]	谢玉庆, 张扬, 汪磊. 同步根测预备法结合超声荡洗在糖尿病患者根管治疗中的临床疗效评价[J]. 口腔医学, 2023, 43(8): 711-716.
[14]	张震宇, 赵彬, 马艳宁. 基于数字化影像学的导板与导航技术在口腔医学中的应用[J]. 口腔医学, 2023, 43(7): 667-672.
[15]	于海洋, 张呐, 贺子敬, 方婷露, 韩立. 弱人工智能数字化时代下的医技关系[J]. 口腔医学, 2023, 43(7): 577-583.