钴铬合金桩核和everStick纤维桩修复唇、舌向倾斜上颌中切牙疗效比较

doi:10.19439/j.sjos.2017.01.019

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (1): 89-93.doi: 10.19439/j.sjos.2017.01.019

钴铬合金桩核和everStick纤维桩修复唇、舌向倾斜上颌中切牙疗效比较

钱玉梅, 钟群, 陈霜

上海市口腔病防治院·
上海市口腔医院口腔修复科,上海 200031

收稿日期:2016-08-05 修回日期:2016-11-07 出版日期:2017-02-25 发布日期:2017-03-20
通讯作者: 钟群,E-mail: zhongqun681115@qq.com
作者简介:钱玉梅（1985-）,女,硕士,主治医师,E-mail: graceyumei@163.com
基金资助:
上海市口腔病防治院院基金（SSDC-2013-14)

Comparison of clinical effects of Co-Cr alloy cast post-core and everStick fiber post in restoration of labially or lingually inclined maxillary central incisor

QIAN Yu-mei, ZHONG Qun, CHEN Shuang

Department of Prosthodontics, Shanghai Stomatological Disease Center, Shanghai Stomatological Hospital. Shanghai 200031, China

Received:2016-08-05 Revised:2016-11-07 Online:2017-02-25 Published:2017-03-20

摘要/Abstract

摘要： 目的比较钴铬合金铸造桩核和everStick纤维桩在唇、舌向倾斜上颌中切牙改向修复中的临床疗效,为临床应用提供理论基础。方法选择2012年3月—2014年3月治疗的唇、舌向倾斜上颌中切牙患者80例（97颗患牙）,随机分为A组和B组,A组49颗,B组48颗。2组患者均进行改向桩核冠修复,A组患者桩核修复材料为钴铬合金,B组患者修复材料为everStick纤维桩。随访2 a,采用SPSS 19.0软件包对2种材料改向修复上颌中切牙后的牙根折裂、桩核折裂、冠或桩核松动脱落率、牙龈变色等指标进行对比分析。结果 χ²检验表明,2组患者修复成功率差异显著（P<0.05）。钴铬合金桩核组牙根折裂、牙龈变色显著高于everStick纤维桩组（P<0.05）。桩核折裂、冠或桩核松动方面2组相比差异无显著性（P>0.05）。结论 everStick纤维桩核在防止根折、牙龈边缘变色等方面优于钴铬合金铸造桩核。其断裂模式多为可修复性折裂,有利于患牙的保存。

关键词: 钴铬合金, EverStick纤维桩, 唇、舌向倾斜, 上颌中切牙, 抗折裂强度

Abstract: PURPOSE: To compare the clinical effect of Co-Cr alloy cast post-core and everStick fiber post in restoration of maxillary central incisor with labial or lingual inclination, and provide theoretical basis for clinical application. METHODS: Ninety-seven labially or lingually inclined maxillary central incisors were treated in our hospital from March 2012 to March 2014. The patients were randomly divided into group A (n=49) and group B (n=48), and received post -core and crown restoration. Patients in group A underwent Co-Cr alloy cast post and core restoration and patients in group B underwent everStick fiber post and core restoration. After two-year of follow-up, root fracture, post break, crown or post dislodgment and gingival marginal discoloration were recorded and analyzed using SPSS 19.0 software package. RESULTS: Chi-square test showed that the success rate of restoration was significantly different between 2 groups (P<0.05). The incidence of root fracture and gingival marginal discoloration of Co-Cr alloy cast post-core was higher than that of everStick fiber post, but there was no significant difference in the incidence of post break, crown or post dislodgment. CONCLTSIONS: EverStick fiber post is better than Co-Cr alloy cast post and core to prevent root fracture and gingival marginal discoloration. Its fracture pattern is repairable and favorable for preserving tooth.

Key words: Co-Cr alloy, EverStick Fiber post, Labial or lingual inclination, Maxillary central incisor, Fracture resistance

中图分类号:

R783.3

钱玉梅, 钟群, 陈霜. 钴铬合金桩核和everStick纤维桩修复唇、舌向倾斜上颌中切牙疗效比较[J]. 上海口腔医学, 2017, 26(1): 89-93.

QIAN Yu-mei, ZHONG Qun, CHEN Shuang. Comparison of clinical effects of Co-Cr alloy cast post-core and everStick fiber post in restoration of labially or lingually inclined maxillary central incisor[J]. Shanghai Journal of Stomatology, 2017, 26(1): 89-93.

参考文献

[1] 李焕云, 熊曦州, 李晓红. 改向铸造桩核烤瓷冠修复个别前牙错的美学探讨[J]. 中国美容医学, 2005, 14(3): 338-339.
[2] 叶莲妹, 林萍, 孟玉坤, 等. 176例纤维桩与金属铸造桩桩核冠修复病例的短期临床效果比较研究[J]. 重庆医学, 2015, 44(32):4512-4513.
[3] 薛雯, 李娟. 纤维桩与金属桩行桩核冠修复的临床疗效观察 [J]. 医学综述, 2013, 19(12): 2288-2289.
[4] 郭宏亮, 张磊, 蒋艺, 等. 改良铸造金属桩与纤维增强树脂桩在磨牙牙体缺损桩核冠修复中的疗效对比[J]. 全科口腔医学电子杂志, 2015, 2(11): 64-65.
[5] 李慧, 崔广, 伍小臻, 等. 不同材质桩核冠在前牙美学区修复的临床研究 [J].中华临床医师杂志(电子版), 2013, 7(22): 9980-9983.
[6] 刘光雪, 潘小波, 彭利辉, 等. everStick高强度可塑纤维桩对前牙残根残冠的临床修复效果观察[J]. 口腔医学, 2010, 30(1): 57-59.
[7] Toksavul S, Zor M, Toman M, et al. Analysis of dentinal stress distribution of maxillary central incisors subjected to various post and core applications [J]. Oper Dent, 2006, 31(1): 89-96.
[8] 彭利辉, 钟爱喜, 刘光雪, 等. 高强度纤维桩在前牙改向修复中的美学评价 [J]. 中国临床新医学, 2009, 2(11): 1129-1131.
[9] 张保卫, 潘炜娟, 叶少波. 不同角度桩核的应力分析[J]. 上海口腔医学, 2000, 9(1): 8-10.
[10] 齐景, 郭长军, 陈树国, 等. 不同角度桩核冠桩牙本质界面应力分布的三维有限元分析[J]. 中国美容医学, 2015, 24(22): 72-74.
[11] 葛绵, 吴国锋, 梁猛猛, 等. 角度纤维桩核对牙根抗折能力影响的实验研究[J]. 牙体牙髓牙周病学杂志, 2012, 22(4): 215-218.
[12] 童庆春, 吕凯歌, 张志敏, 等. 玻璃纤维桩修复后牙残冠、残根的疗效评价[J].上海口腔医学, 2009, 18(1): 44-47.
[13] 聂二民, 姜瑞, 张春元, 等. 四种不同桩核材料对Cercon CAD/CAM全瓷冠颜色的影响[J]. 中山大学学报(医学科学版), 2015, 36(3): 461-464.
[14] 努力帕·阿布来, 吐尔洪阿依·塔西甫拉提, 顾敏, 等. 纤维树脂桩核修复体力学性能与不同牙体剩余量的关系 [J].中国组织工程研究, 2015, 19(25): 4038-4042.
[15] Alharbi FA, Nathanson D, Morgano SM, et al. Fracture resistance and failure mode of fatigued endodontically treated teeth restored with fiber-reinforced resin posts and metallic posts in vitro [J].Dent Traumatol, 2014, 30(4): 317-325.
[16] 甄敏, 胡文杰, 荣起国, 等. 上颌中切牙冠根折行冠延长术并桩核冠修复的三维有限元分析 [J]. 北京大学学报医学版, 2015, 47(6): 1015-1021.
[17] 陈湘涛, 李晓娜, 关振群, 等. 桩核材料对牙本质应力分布的影响 [J]. 中华口腔医学杂志, 2004, 39(4): 302-305.
[18] Hamza TA, Rosentiel SF, Elhosary MM, et al. The effect of fiber reinforcement on the fracture toughness and flexural strength of provisional restorative resins [J]. J Prosthet Dent, 2004, 91(3): 258-264.
[19] Lassila LV, Tanner J, Le Bell AM, et al. Flexural properties of fiber reinforced root canal post[J]. Dent Mater, 2004, 20(1): 29-36.
[20] Fokkinga WA, Le Bell AM, Kreulen CM, et al. Ex vivo fracture resistance of direct resin composite crows with and without posts on maxillary premolars [J]. Int Endod J, 2005, 38(4): 230-237.
[21] Denizoglu S, Duymus ZY, Akyalin S. Evaluation of ion release from two base-metal alloys at various pH levels[J]. J Int Med Res, 2004, 32(1): 33-38.
[22] Perea L, Matinlinna JP, Tolvanen M, et al. Fiber-reinforced composite fixed dental prostheses with various pontics [J].J Adhes Dent, 2014, 16(2): 161-168.

钴铬合金桩核和everStick纤维桩修复唇、舌向倾斜上颌中切牙疗效比较

Comparison of clinical effects of Co-Cr alloy cast post-core and everStick fiber post in restoration of labially or lingually inclined maxillary central incisor

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