中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
7期
761-763
,共3页
陆支越%朱姗姗%刘聪%张津京
陸支越%硃姍姍%劉聰%張津京
륙지월%주산산%류총%장진경
桩核技术%牙修复体%根管疗法
樁覈技術%牙脩複體%根管療法
장핵기술%아수복체%근관요법
Post and core technique%Dental prosthesis%Root Canal therapy
目的 应用铸造金属桩核、纤维桩树脂核修复老年患者残冠、残根的临床效果及其影响临床成功率的因素. 方法 采用临床随机对照研究.66例需进行桩核修复的老年患者,平均年龄69.1岁,随机分为两组,每组33例:分别采用铸造金属桩核、石英纤维桩树脂核修复残根.于修复后1年、2年复查,观察临床疗效,失败者记录失败类型.采用Fisher确切概率法比较两组间的差异.结果 两组病例牙龈指数和牙周指数实验牙与自身对照牙间分值差均为0.解剖形态、根管治疗失败、颜色匹配、边缘染色的复查失败病例比较差异均无统计学意义(均P＞0.05).纤维桩树脂核修复组中,1例出现桩的脱落,1例出现纤维桩折断；铸造金属桩核修复组中,1例出现冠边缘染色,两组临床成功率间差异无统计学意义(93.9％比97.0％,P＞0.05). 结论 老年患者采用纤维桩树脂核修复具有与铸造金属桩核相同的临床成功率.
目的 應用鑄造金屬樁覈、纖維樁樹脂覈脩複老年患者殘冠、殘根的臨床效果及其影響臨床成功率的因素. 方法 採用臨床隨機對照研究.66例需進行樁覈脩複的老年患者,平均年齡69.1歲,隨機分為兩組,每組33例:分彆採用鑄造金屬樁覈、石英纖維樁樹脂覈脩複殘根.于脩複後1年、2年複查,觀察臨床療效,失敗者記錄失敗類型.採用Fisher確切概率法比較兩組間的差異.結果 兩組病例牙齦指數和牙週指數實驗牙與自身對照牙間分值差均為0.解剖形態、根管治療失敗、顏色匹配、邊緣染色的複查失敗病例比較差異均無統計學意義(均P＞0.05).纖維樁樹脂覈脩複組中,1例齣現樁的脫落,1例齣現纖維樁摺斷；鑄造金屬樁覈脩複組中,1例齣現冠邊緣染色,兩組臨床成功率間差異無統計學意義(93.9％比97.0％,P＞0.05). 結論 老年患者採用纖維樁樹脂覈脩複具有與鑄造金屬樁覈相同的臨床成功率.
목적 응용주조금속장핵、섬유장수지핵수복노년환자잔관、잔근적림상효과급기영향림상성공솔적인소. 방법 채용림상수궤대조연구.66례수진행장핵수복적노년환자,평균년령69.1세,수궤분위량조,매조33례:분별채용주조금속장핵、석영섬유장수지핵수복잔근.우수복후1년、2년복사,관찰림상료효,실패자기록실패류형.채용Fisher학절개솔법비교량조간적차이.결과 량조병례아간지수화아주지수실험아여자신대조아간분치차균위0.해부형태、근관치료실패、안색필배、변연염색적복사실패병례비교차이균무통계학의의(균P＞0.05).섬유장수지핵수복조중,1례출현장적탈락,1례출현섬유장절단；주조금속장핵수복조중,1례출현관변연염색,량조림상성공솔간차이무통계학의의(93.9％비97.0％,P＞0.05). 결론 노년환자채용섬유장수지핵수복구유여주조금속장핵상동적림상성공솔.
Objective To investigate the clinical performance of fiber post restorations in elderly patients with residual root and crown and to analyze the factors affecting the clinical success rate.Methods A total of 66 elderly patients requiring post restoration were selected.They were randomly divided into two groups:the observation group (n=33,restored with fiber post-resin cores) and the control group (n=33,restored with cast metal post-cores).All patients were rechecked 1 year and 2years after the restoration.The clinical efficacy and the failure types were recorded.The differences in clinical performance between the 2 groups were compared by using Fisher's exact test.Results The differences in the gingival index and periodontal index in the 2 groups between the experimental teeth and the control teeth were zero.There were no significant differences in dental morphology,root canal treatment failure,tooth color matching and marginal coloration between the 2 groups (all P＞0.05).1 case with post debonding and 1 case with fiber post fracture were found in the observation group and 1 case with marginal coloration was found in control group.There was no significant difference in clinical success rate between the 2 groups (93.94％ vs.96.97％,P＞0.05).Conclusions The clinical success rate in fiber post-resin core restoration is the same as in cast metal post-cores restoration in elderly patients.
