纤维桩核与陶瓷桩核分别治疗磨牙残根残冠的临床疗效对比分析

摘要

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.%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。