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目的:探讨金属桩与玻璃纤维桩对老年上颌前牙残根残冠修复的临床疗效。方法:收集我院口腔科收治的上颌前牙残根残冠修复患者40例,随机分为玻璃纤维桩组和金属桩组,每组各20例,玻璃纤维桩组患者给予玻璃纤维桩进行残根残冠修复,金属桩组给予金属桩进行残根残冠修复,治疗结束后1年随访,对所有患者的牙龈指数(GI)、修复齿出血指数(SBI)、不良反应发生率、患者修复效果以及患者疗效进行检测并比较。结果:与治疗前相比,两组患者的牙龈指数(GI)以及修复齿出血指数(SBI)均下降(P<0.05);与金属桩组相比,玻璃纤维桩组患者的牙龈指数(GI)以及修复齿出血指数(SBI)较低(P<0.05),不良反应发生率较低(P<0.05),颜色匹配率以及边缘适合率较高(P<0.05),两组患者修复体完整例数百分率比较无明显差异(P>0.05),玻璃纤维桩组患者的治疗成功率较高(P<0.05)。结论:玻璃纤维桩在老年上颌前牙残根残冠修复的应用与金属桩组相比临床效果较好。
Objective: To investigate the clinical effects of metal posts and fiberglass piles on the restoration of the residual roots and crown of senile maxillary anterior teeth. Methods: Forty patients with maxillary anterior residual root and crown remnant in our department were collected and randomly divided into glass fiber pile group and metal pile group, 20 cases in each group. The patients in glass fiber pile group were given fiberglass pile for residual The root residual crown was repaired, and the metal post was given the metal post for residual root and crown restoration. After one year follow-up, all the patients were evaluated on the indexes of gingival index (GI), repaired tooth bleeding index (SBI), incidence of adverse reactions, Efficacy and patient efficacy were tested and compared. Results: Gingival index (GI) and repaired tooth hemorrhage index (SBI) in both groups were significantly lower than those before treatment (P <0.05). Compared with the metal post group, the gingival index (P <0.05), the incidence of adverse reactions was lower (P <0.05), and the color matching rate and marginal fit rate were higher (P <0.05). The repair of the two groups of patients was complete There was no significant difference in the percentage of cases (P> 0.05), and the success rate of treatment in the fiberglass pile group was higher (P <0.05). Conclusion: The application of glass fiber post in the treatment of elderly maxillary anterior residual root residual crown is better than that of metal post.