中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
6期
23-26
,共4页
磨牙缺损%铸造插销式分体桩核%银汞-银粉玻璃离子桩核
磨牙缺損%鑄造插銷式分體樁覈%銀汞-銀粉玻璃離子樁覈
마아결손%주조삽소식분체장핵%은홍-은분파리리자장핵
Molar defect%Ast metal post-core%Amalgam-silver alloy-glass ionomer post-core
目的：比较两种桩核材料用于磨牙冠缺损的修复效果。方法：临床选择45例患者共61颗患牙的磨牙缺损，按照随机数字表法分为两组，分别进行铸造插销式分体桩核和银汞-银粉玻璃离子桩核金瓷冠修复，3年后对修复效果进行评价。结果：铸造插销式分体桩核组共20例患者25颗患牙，未出现桩冠脱落、根折和桩折等，成功率100%；银汞-银粉玻璃离子桩核组共25例患者36颗患牙，出现桩折1颗患牙，未出现桩冠脱落、根折等，成功率97.2%。两组成功率比较差异无统计学意义（P>0.05）。结论：对于重度磨牙缺损病例，选用铸造插销式分体桩核和银汞-银粉玻璃离子桩核金瓷冠修复均可，但对于患者希望减少就诊次数、经济费用以及临床操作简便的，选用银汞-银粉玻璃离子桩核更合适。
目的：比較兩種樁覈材料用于磨牙冠缺損的脩複效果。方法：臨床選擇45例患者共61顆患牙的磨牙缺損，按照隨機數字錶法分為兩組，分彆進行鑄造插銷式分體樁覈和銀汞-銀粉玻璃離子樁覈金瓷冠脩複，3年後對脩複效果進行評價。結果：鑄造插銷式分體樁覈組共20例患者25顆患牙，未齣現樁冠脫落、根摺和樁摺等，成功率100%；銀汞-銀粉玻璃離子樁覈組共25例患者36顆患牙，齣現樁摺1顆患牙，未齣現樁冠脫落、根摺等，成功率97.2%。兩組成功率比較差異無統計學意義（P>0.05）。結論：對于重度磨牙缺損病例，選用鑄造插銷式分體樁覈和銀汞-銀粉玻璃離子樁覈金瓷冠脩複均可，但對于患者希望減少就診次數、經濟費用以及臨床操作簡便的，選用銀汞-銀粉玻璃離子樁覈更閤適。
목적：비교량충장핵재료용우마아관결손적수복효과。방법：림상선택45례환자공61과환아적마아결손，안조수궤수자표법분위량조，분별진행주조삽소식분체장핵화은홍-은분파리리자장핵금자관수복，3년후대수복효과진행평개。결과：주조삽소식분체장핵조공20례환자25과환아，미출현장관탈락、근절화장절등，성공솔100%；은홍-은분파리리자장핵조공25례환자36과환아，출현장절1과환아，미출현장관탈락、근절등，성공솔97.2%。량조성공솔비교차이무통계학의의（P>0.05）。결론：대우중도마아결손병례，선용주조삽소식분체장핵화은홍-은분파리리자장핵금자관수복균가，단대우환자희망감소취진차수、경제비용이급림상조작간편적，선용은홍-은분파리리자장핵경합괄。
Objective:To compare the effect of two post and core materials in restoration of severely defected molars. Method:Forty-five patients with 61 severely defect molars were randomly divided into two groups,and they were treated with cast metal post-core and amalgam-silver alloy-glass ionomer post-core respectively. The repair effect after 3 years was evaluated. Result:In the 20 patients with 25 teeth in cast metal post-core was no crown off,root fracture and pile fracture,the success rate was 100%;In the 25 patients with 36 teeth in amalgam-silver alloy-glass ionomer post-core group, one tooth appeared post fracture,no shedding,crown root fracture,the success rate was 97.2%. There was no significant difference between the two groups (P>0.05). Conclusion:For severe molar defect cases,both cast metal post-core and amalgam-silver alloy-glass ionomer post-core can be used,but amalgam-silver alloy-glass ionomer post-core cost less.
