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目的：比较纤维桩与铸造桩对前牙残冠美容修复的临床治疗效果。方法对102例前牙残冠患者的134颗牙齿进行完善根管治疗后，其中69颗采用玻璃纤维桩加全瓷冠修复，另外65颗采用钛合金铸造桩加贵金属烤瓷冠修复。两年后随访观察，根据牙体修复情况、牙周组织情况和患者满意度来评价治疗效果。结果这两种修复方式在牙体修复失败率、牙周组织患病率和患者满意率上的差异均具有统计学意义。结论采用纤维桩进行前牙残冠的美容性修复优于铸造桩。“,”Objective To compare the clinical effects of the rehabilitation of the residual crown of the anterior teeth by fiber post and cast post. Methods After completely root canal therapy of the 134 residual crow of the anterior teeth of 102 patients, 69 of them were rehabilitated by fiber post and al ceramic crown, 65 of them were rehabilitated by cast crown and porcelain fused to noble metal crown. During the two year folow up visit, based on the situation of the teeth, the periodontal tissues and the satisfaction of the patients, the effects were assessed. Results There had statistical difference between the two groups. Conclusion Applying the fiber post to rehabilitate the residual crown of the anterior teeth is superior to cast post.