CAJ | 학술논문

目的：探讨纤维桩核与陶瓷桩核治疗磨牙残根残冠的临床疗效。方法：120例(126颗牙)磨牙残根残冠患者根据个人意愿分为纤维组和陶瓷组，分别进行根管治疗、预备、纤维桩核与陶瓷桩核制作与粘固、全冠修复等。结果：两组患牙治疗成功率相近，数据经统计学比较无显著差异(P>0.05)。研究组患者主要出现牙龈红肿、患牙不适和咀嚼不适，对照组患者主要出现牙桩松动、牙根折裂和咀嚼不适，研究组患者不适发生率明显高于对照组(P<0.05)。结论：纤维桩核与陶瓷桩核治疗磨牙残根残冠都具有较好的治疗成功率和近期疗效，但纤维桩核可能存在重负荷时的潜在弯曲，造成患牙感染，而陶瓷桩核则需要更多的临床经验来熟练和完善造模技术。
목적：탐토섬유장핵여도자장핵치료마아잔근잔관적림상료효。방법：120례(126과아)마아잔근잔관환자근거개인의원분위섬유조화도자조，분별진행근관치료、예비、섬유장핵여도자장핵제작여점고、전관수복등。결과：량조환아치료성공솔상근，수거경통계학비교무현저차이(P>0.05)。연구조환자주요출현아간홍종、환아불괄화저작불괄，대조조환자주요출현아장송동、아근절렬화저작불괄，연구조환자불괄발생솔명현고우대조조(P<0.05)。결론：섬유장핵여도자장핵치료마아잔근잔관도구유교호적치료성공솔화근기료효，단섬유장핵가능존재중부하시적잠재만곡，조성환아감염，이도자장핵칙수요경다적림상경험래숙련화완선조모기술。
Objective:To investigate the fiber post and core and ceramic post and core treatment molar residual root and crown clinical efficacy. Methods:120 patients (126 teeth) molar residual root and crown of patients according to the wishes of the individual into fiber group and ceramics group, respectively, root canal treatment, preparation, fiber pile nuclear and ceramic post and core production and cement, full crown. Results:The two sets of teeth treatment success rate similar data were statistically no significant difference (P>0.05). The study group patients gum swelling, discomfort and chewing teeth discomfort patients of the control group were seen to pile loose teeth, the root fractured and chewing discomfort, the study group patient discomfort was significantly higher than that in the control group (P<0.05). Conclusion:Fiber post and core ceramic post and core treatment molar residual roots and crowns have better treatment success rates and short-term effect, but there may be potential heavy load bending fiber post and core, causing the teeth infection, while the ceramic post and coreskilled need more clinical experience and improve the modeling technology.