上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (5): 508-512.doi: 10.19439/j.sjos.2025.05.010

• 论著 • 上一篇    下一篇

预成纤维桩与纯钛金属桩对前牙牙体缺损修复美学效果、牙周指数及口腔功能的影响

闵皓博, 董建伟, 岳鹏   

  1. 商洛市中心医院 口腔科,陕西 商洛 726000
  • 收稿日期:2025-01-06 修回日期:2025-02-28 出版日期:2025-10-25 发布日期:2025-10-31
  • 通讯作者: 岳鹏,E-mail：845742395@qq.com
  • 作者简介:闵皓博（1982-）,女,本科,主治医师,E-mail：Mhb_2019@163.com
  • 基金资助:
    陕西省重点研发计划项目（2021SF-049）

Effects of prefabricated fiber post and pure titanium post on aesthetic effect, periodontal index and oral function after anterior tooth defect repair

Min Haobo, Dong Jianwei, Yue Peng   

  1. Department of Stomatology, Shangluo Central Hospital. Shangluo 726000, Shaanxi Province, China
  • Received:2025-01-06 Revised:2025-02-28 Online:2025-10-25 Published:2025-10-31

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摘要： 目的:探讨预成纤维桩与纯钛金属桩对前牙牙体缺损修复美学效果、牙周指数及口腔功能的影响。方法:选择2019年3月—2023年3月收治的108例前牙牙体缺损患者,采用随机数字表法分为对照组（n=54,纯钛金属桩修复）和试验组（n=54,预成纤维桩修复）。比较两组患者的修复情况、口腔功能、牙周健康指标、炎性因子指标及美学效果。结果:治疗后1年,试验组患者的修复成功率显著高于对照组（P<0.05）。治疗后6个月,试验组患者菌斑指数（plaque index,PLI）、牙龈出血指数（bleeding index,BI）、牙周袋深度（probing depth,PD）显著低于对照组（P<0.05）。治疗后3个月,试验组白细胞介素1（IL-17）、白细胞介素23（IL-23）和白细胞介素6（IL-6）水平显著低于对照组（P<0.05）。治疗后1年,试验组患者颜色匹配、边缘着色、边缘适合性评分显著低于对照组（P<0.05）,试验组患者修复满意率为96.3%（52/54）,显著高于对照组的85.18%（46/54）（P<0.05）。结论:预成纤维桩用于前牙牙体缺损修复可显著提高美学效果,改善牙周健康和口腔功能,患者满意度良好。

关键词: 预成纤维桩, 纯钛金属桩, 牙体缺损修复, 美学效果, 牙周指数

Abstract: PURPOSE: To investigate the effects of prefabricated fiber post and pure titanium post on aesthetic effect, periodontal index and oral function after anterior tooth defect repair. METHODS: A total of 108 patients with anterior tooth defect treated from March 2019 to March 2023 were selected and randomly divided into the control group (n=54, treated with pure titanium metal posts) and the experimental group (n=54, treated with prefabricated fiber posts) using a random number table. The restoration outcomes, oral function, periodontal health indices, inflammatory cytokine levels and aesthetic outcomes were compared between the two groups. RESULTS: At 1 year post-treatment, the restoration success rate in the experimental group was significantly higher than that in the control group (P<0.05). At 6 months post-treatment; the plaque index (PLI), bleeding index (BI), probing depth (PD) in the experimental group were significantly lower than those in the control group (P<0.05). The levels of interleukin-17 (IL-17), interleukin-23 (IL-23) and interleukin-6 (IL-6) levels in the experimental group were significantly lower than those in the control group(P<0.05). At 1 year post-treatment, the scores for color matching, marginal staining and marginal adaptation in the experimental group were significantly lower than those in the control group(P<0.05), the satisfaction rate in the experimental group was 96.3%(52/54), significantly higher than that in the control group (85.18%, 46/54) (P<0.05). CONCLUSIONS: The use of prefabricated fiber posts for the repair of anterior tooth defect can significantly improve the aesthetic effect, periodontal health and oral function, and achieves high patients' satisfaction.

Key words: Prefabricated fiber posts, Pure titanium posts, Dental defect repair, Aesthetic outcomes, Periodontal indices

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