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河北医学  2020, Vol. 26 Issue (3): 450-454    DOI: 10.3969/j.issn.1006-6233.2020.03.024
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
传统金属桩玻璃纤维桩在口腔残根修复中的中远期疗效对比分析
周允芝, 唐旭炎, 李全利, 刘世明
安徽医科大学附属口腔医院修复科, 安徽 合肥 230032
Comparative Analysis of Mid-and Long-term Effects of Traditional Metal Piles and Fiberglass Piles in the Repair of Oral Roots
ZHOU Yunzhi, TANG Xuyan, LIU Shiming, et al
Stomatological Hospital Affiliated to Anhui Medical University, Anhui Hefei 230032, China
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摘要 目的:探究口腔残根修复中采用传统金属桩、玻璃纤维桩的中远期疗效。方法:选取2016年1月至2018年7月本院收治的口腔残根患者94例,按随机数表法分两组,各47例。研究组(58颗患牙)采用玻璃纤维桩进行残根修复,对照组(56颗患牙)采用金属桩。比较两组中期(修复后12个月)、远期(修复后24个月)效果及不同时间患牙健康指数[龈沟出血指数(SBI)、牙龈指数(GI)]。结果:修复后12个月,研究组美学效果、修复体强度、舒适度、咀嚼功能评分均高于对照组(P<0.05);对照组碱性磷酸酶(AKP)水平相比修复前明显升高(P<0.05),而研究组AKP水平与修复前比较差异无统计学意义(P>0.05)。修复后24个月,研究组修复效果(修复体完整、颜色匹配、边缘适合)优于对照组,且修复成功率(94.83%)高于对照组(78.57%),差异有统计学意义(P<0.05)。研究组桩核折断、牙根折裂、牙龈炎、桩核脱落或松动、牙龈边缘着色发生率均低于对照组(P<0.05)。重复测量方差分析显示,GI、SBI在时点与组别的交互效应及时点、组间效应均显著(P<0.05);修复后12个月、24个月,研究组GI、SBI均明显低于对照组,差异有统计学意义(P<0.05)。结论:传统金属桩、玻璃纤维桩用于口腔残根修复均有一定效果,但玻璃纤维桩的中远期修复效果优于传统金属桩,更利于改善牙周健康指数,提高修复成功率。
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周允芝
唐旭炎
李全利
刘世明
关键词 口腔残根残根修复金属桩玻璃纤维桩    
AbstractObjective: To explore the long-term and long-term effects of traditional metal piles and glass fiber piles in the repair of oral roots. Methods: 94 patients with oral residual root disease admitted to our hospital from January 2016 to July 2018 were enrolled. The patients were divided into two groups according to the random number table method, 47 cases each. The study group (58 teeth) used glass fiber piles for residual root repair, while the control group (56 teeth) used metal piles.The effects of the mid-term (12 months after repair), long-term (24 months after repair) and the health index of the teeth at different times [sulcular bleeding index (SBI), gingival index (GI) ] were compared. Results: At 12 months after repair, the aesthetic effect, prosthetic strength, comfort, and chewing function scores of the study group were higher than those of the control group (P<0.05). The alkaline phosphatase (AKP) level in the control group was significantly higher than that before the repair. High (P<0.05), and there was no significant difference in the AKP level between the study group and the pre-repair (P>0.05).24 months after the repair, the repair effect of the study group (completed restoration, color matching, edge fit) was better than the control group, and the success rate of repair (94.83%) was higher than that of the control group (78.57%). The difference was statistically significant (P <0.05). The incidence of post-core fracture, root fracture, gingivitis, nucleus detachment or loosening, and gingival margin staining in the study group were lower than those in the control group (P<0.05).Repeated measures analysis of variance showed that the interactions between GI and SBI at the time point and group were significant (P<0.05). At 12 months and 24 months after repair, the GI and SBI of the study group were significantly lower. In the control group, the difference was statistically significant (P<0.05). Conclusion: Traditional metal piles and glass fiber piles have certain effects on the repair of oral roots. However, the long-term repair effect of glass fiber piles is better than that of traditional metal piles, which is more conducive to improving the periodontal health index and improving the success rate of repair.
Key wordsOral root    Residual root restoration    Metal pile    Glass fiber pile
    
基金资助:安徽省科技公关项目,(编号:1804h08020232)
引用本文:   
周允芝, 唐旭炎, 李全利, 刘世明. 传统金属桩玻璃纤维桩在口腔残根修复中的中远期疗效对比分析[J]. 河北医学, 2020, 26(3): 450-454.
ZHOU Yunzhi, TANG Xuyan, LIU Shiming, et al. Comparative Analysis of Mid-and Long-term Effects of Traditional Metal Piles and Fiberglass Piles in the Repair of Oral Roots. HeBei Med, 2020, 26(3): 450-454.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2020.03.024     或     http://www.hbyxzzs.cn/CN/Y2020/V26/I3/450
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