[1]王 雪,安 民.纤维桩树脂核冠修复上颌前磨牙缺损临床效果及抗折性能研究[J].陕西医学杂志,2023,52(2):180-183.[doi:DOI:10.3969/j.issn.1000-7377.2023.02.014]
 WANG Xue,AN Min.Clinical effect and fracture resistance of nickel-chromium metal casting post-core crown in repair of maxillary premolar defects[J].,2023,52(2):180-183.[doi:DOI:10.3969/j.issn.1000-7377.2023.02.014]
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纤维桩树脂核冠修复上颌前磨牙缺损临床效果及抗折性能研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
52
期数:
2023年2期
页码:
180-183
栏目:
临床研究
出版日期:
2023-02-05

文章信息/Info

Title:
Clinical effect and fracture resistance of nickel-chromium metal casting post-core crown in repair of maxillary premolar defects
作者:
王 雪安 民
(咸阳市第一人民医院口腔科,陕西 咸阳 712000)
Author(s):
WANG XueAN Min
(Department of Stomatology,the First People's Hospital of Xianyang,Xianyang 712000,China)
关键词:
镍铬金属铸造桩核 上颌前磨牙 抗折性 牙周 纤维桩树脂核
Keywords:
Nickel-chromium metal cast post-core crown Maxillary premolars Fracture resistance Periodontal Fiber post resin core
分类号:
R 783.3
DOI:
DOI:10.3969/j.issn.1000-7377.2023.02.014
文献标志码:
A
摘要:
目的:比较镍铬金属铸造桩核冠和纤维桩树脂核冠修复上颌前磨牙缺损的临床效果和抗折性能。方法:选取上颌前磨牙缺损患者86例,共计86颗上颌前磨牙,随机分为纤维桩树脂核组(纤维桩树脂核冠修复)和铸造金属核组(镍铬金属铸造桩核冠修复),每组43例。比较两组患者修复成功率、美国公共健康部制定的充填体评定系统(USPHS)各指标分级满意度、修复前后牙周相关生化指标以及牙体抗折性能。结果:纤维桩树脂核组修复成功率显著高于铸造金属核组(93.01% 与74.42%,P<0.05)。两组患者修复后USPHS各项指标满意度比较无统计学差异(均P>0.05)。修复前,两组患者龈沟出血指数、菌斑指数、探诊深度以及龈沟中AST和ALP含量比较均无统计学差异(均P>0.05); 修复后,纤维桩树脂核组患者龈沟出血指数、菌斑指数、探诊深度以及龈沟中AST和ALP含量均低于铸造金属核组(均P<0.05); 铸造金属核组患者修复后牙体最大压缩载荷和断面最低点至釉牙骨质界距离均显著低于纤维桩树脂组患者(均P<0.05)。结论:纤维桩树脂核冠修复上颌前磨牙缺损在修复成功率、修复后满意度和牙周以及修复后牙体的抗折性能均优于镍铬金属铸造核冠修复。
Abstract:
Objective:To compare the clinical effect and fracture resistance of nickel-chromium metal casting post-core crown and fiber post resin-core crown in the restoration of maxillary premolar defects.Methods:A total of 86 patients with maxillary premolar defects(86 maxillar premolars)were divided into fiber post resin core group(fiber post resin-core crown repair)and cast metal core group(nickel-chromium metal casting post-core crown repair),43 cases in each group.The restoration success rate,the satisfaction of each index in USPHS,the periodontal-related biochemical indicators before and after restoration,and the tooth fracture resistance were compared between two groups.Results:The repair success rate of the fiber post resin core group was significantly higher than that of the cast metal core group(93.01% vs 74.42%,P<0.05).There was no significant difference in the satisfaction of each index in USPHS between two groups after repair(all P>0.05).Before repair,there were no significant differences in the gingival sulcus bleeding index,plaque index,probing depth,and AST and ALP contents in the gingival sulcus between two groups(all P>0.05).After repair,the gingival sulcus bleeding index,plaque index,probing depth,and AST and ALP contents in the gingival sulcus in the fiber post resin core group were lower than those in the cast metal core group(all P<0.05).In addition,the maximum compressive load and the distance from the lowest point of the section to the cementoenamel boundary in the cast metal core group were significantly higher than those in the fiber post resin group(all P<0.05).Conclusion:The restoration of maxillary premolar defects with fiber post resin-core crown was superior to that of nickel-chromium metal casting post-core crown in restoration success rate,post-restoration satisfaction,periodontal,and post-restoration tooth fracture resistance.

参考文献/References:

[1] 张莉华.CAD/CAM高嵌体修复牙体缺损疗效及对患者咀嚼能力和牙龈状况的影响[J].陕西医学杂志,2021,50(8):983-986.[2] Tawil PZ,Arnarsdottir EK,Phillips C,et al.Periapical microsurgery:Do root canal-retreated teeth have more dentinal defects [J].J Endod,2018,44(10):1487-1491.[3] Agrawal VS,Kapoor S.Management of root canal stenosis and external inflammatory resorption by surgical root reconstruction using biodentine [J].J Conserv Dent,2020,23(1):102-106.[4] Li X,Kang T,Zhan D,et al.Biomechanical behavior of endocrowns vs fiber post-core-crown vs cast post-core-crown for the restoration of maxillary central incisors with 1 mm and 2 mm ferrule height:A 3D static linear finite element analysis [J].Medicine(Baltimore),2020,99(43):22648.[5] Stein-Lausnitz M,Mehnert A,Bruhnke M,et al.Direct or indirect restoration of endodontically treated maxillary central incisors with class Ⅲ defects:Composite vs veneer or crown restoration [J].J Adhes Dent,2018,20(6):519-526.[6] Jia H,Zhuang L,Zhang N,et al.Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage [J].Angle Orthod,2021,91(1):36-45.[7] Zhang CX,Tan XM,Wu W,et al.Reliability of 2 methods in maxillary transverse deficiency diagnosis [J].Am J Orthod Dentofacial Orthop,2021,159(6):758-765.[8] Araújo TM,Caldas LD.Tooth extractions in orthodontics:First or second premolars? [J].Dental Press J Orthod,2019,24(3):88-98.[9] Dai FF,Xu TM,Shu G.Comparison of achieved and predicted tooth movement of maxillary first molars and central incisors:First premolar extraction treatment with Invisalign[J].Angle Orthod,2019,89(5):679-687.[10] 龙 飒,龙 武.老年上颌前磨牙楔状缺损修复中充填材料的选择及其效果[J].中国老年学杂志,2021,41(19):4315-4317.[11] Arriola-Guillén LE,Rodríguez-Cárdenas YA,Aliaga-Del CA,et al.Inter-premolar width changes related to the orthodontic traction of maxillary impacted canines in adolescents and young adults:A retrospective CBCT study[J].Int Orthod,2020,18(3):480-489.[12] Orabi N,Flores-Mir C,Elshebiny T,et al.Pharyngeal airway dimensional changes after orthodontic treatment with premolar extractions:A systematic review with meta-analysis [J].Am J Orthod Dentofacial Orthop,2021,160(4):503-515.[13] Donald L,Zanjir M,Laghapour LN,et al.Efficacy and safety of different interventions to accelerate maxillary canine retraction following premolar extraction:A systematic review and network meta-analysis [J].Orthod Craniofac Res,2021,24(1):17-38.[14] 李丽霞.金属桩口腔修复、预成纤维桩在口腔修复中的作用[J].实用临床医药杂志,2019,23(11):93-95.[15] Alshouibi E,Alaqil F.Masking a metal cast post and core using high opacity e.max ceramic coping:A case report [J].J Int Soc Prev Community Dent,2019,9(6):646-651.[16] 何莉君,陈 能,代 露.铸造合金桩核冠在磨牙残根残冠中的临床效果评估[J].成都医学院学报,2019,14(5):646-649.[17] Ottl P,Hahn L,Lauer HCH,et al.Fracture characteristics of carbon fiber,ceramic and non-palladium endodontic post systems at monotonously increasing loads [J].J Oral Rehabil,2020,(29):175-183.[18] Wang X,Shu X,Zhang Y,et al.Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth:A systematic review and meta-analysis [J].Quintessence Int,2019,50(1):8-20.[19] 雎 洋,符海峰.不同类型桩核冠修复上颌前磨牙腭尖缺损后的牙体抗折强度对比分析[J].贵州医药,2022,46(4):581-583.[20] Iaculli F,Rengo C,Lodato V,et al.Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth:A systematic review and meta-analysis [J].Quintessence Int,2019,50(1):8-20.[19] 雎 洋,符海峰.不同类型桩核冠修复上颌前磨牙腭尖缺损后的牙体抗折强度对比分析[J].贵州医药,2022,46(4):581-583.[20] Iaculli F,Rengo C,Lodato V,acture resistance of endodontically-treated maxillary premolars restored with different type of posts and direct composite reconstructions:A systematic review and meta-analysis of in vitro studies [J].Dent Mater,2021,37(9):455-484.

备注/Memo

备注/Memo:
基金项目:陕西省咸阳市重点研发计划项目(2019K02-115)
更新日期/Last Update: 2023-02-06