[1]穆春晖,陈会然,王 营.玻璃纤维桩树脂核联合E-max全瓷冠修复上前牙牙体缺损临床疗效分析[J].中国美容医学,2024,(6):136-140.
　MU Chunhui,CHEN Huiran,WANG Ying.Clinical Effect of Glass Fiber Post Resin Core and E-max Porcelain Crown on Anterior Tooth Defects[J].Medical Aesthetics and Beauty,2024,(6):136-140.
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玻璃纤维桩树脂核联合E-max全瓷冠修复上前牙牙体缺损临床疗效分析()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年6期
页码:
136-140
栏目:
出版日期:
2024-06-10

文章信息/Info

Title:
Clinical Effect of Glass Fiber Post Resin Core and E-max Porcelain Crown on Anterior Tooth Defects
文章编号:
1008-6455（2024）06-0136-04
作者:
穆春晖; 陈会然; 王 营
(北京市东城区第一人民医院口腔科 北京 100075 )
Author(s):
MU Chunhui;  CHEN Huiran;  WANG Ying
( Department of Stomatology, the First People’s Hospital of Dongcheng District, Beijing 100075, China )
关键词:
上前牙牙体缺损; 玻璃纤维桩树脂核; E-max全瓷冠; 基质金属蛋白酶-2; 碱性磷酸酶
Keywords:
anterior tooth defects;  glass fi ber post resin core;  E-max all-porcelain crown;  matrixmetalloproteinase-2;  alkaline phosphatase
分类号:
R783
文献标志码:
A
摘要:
目的：观察玻璃纤维桩树脂核联合E-max全瓷冠修复上前牙牙体缺损的临床效果，并将其与铸造金属桩核联合E-max 全瓷冠的修复效果进行对比。方法：选取2017年1月-2022年1月笔者医院收治的60例上前牙牙体缺损患者，采用计算机随机 数字生成器分为A组和B组，每组30例。两组均采用E-max全瓷冠修复，A组采用铸造金属桩核，B组采用玻璃纤维桩树脂核。 比较两组修复后1年的修复成功率、修复效果及不良事件发生率，比较修复前、后两组龈沟液基质金属蛋白酶-2（Matrix metalloproteinase-2，MMP-2）、碱性磷酸酶（Alkaline phosphatase，ALP）水平。结果：两组修复成功率比较，差异无 统计学意义（P＞0.05）。与A组比较，B组颜色匹配率、边缘适合率较高（P＜0.05）。修复前两组龈沟液MMP-2、ALP水平比 较，差异无统计学意义（P＞0.05）；修复后与A组比较，B组龈沟液MMP-2、ALP水平降低（P＜0.05）；与修复前比较，A组 龈沟液MMP-2、ALP水平升高（P＜0.05），B组水平变化不显著（P＞0.05）。与A组比较，B组桩核断裂、牙龈着色及冠折或 根折发生率较低（P＜0.05）。结论：采用玻璃纤维桩树脂核联合E-max全瓷冠修复上前牙牙体缺损，可有效改善修复效果， 减少对牙周组织的刺激及不良事件的发生。
Abstract:
Objective To observe the clinical eff ect of glass fi ber post resin core combined with e-max all-porcelain crown in repairing anterior tooth defects, and to compare the eff ect with that of cast metal post core combined with e-max all-porcelain crown. Methods A total of 60 patients with anterior tooth defects admitted to the author’s hospital from January 2017 to January 2022 were selected and divided into group A and group B by computer random number generator, with 30 cases in each group. Both groups were repaired with e-max porcelain crown, group A used cast metal post core, group B used glass fi ber post resin core. The success rate, repair eff ect and incidence of adverse events were compared between the two groups one year after repair. The levels of matrix metalloproteinase-2 (MMP-2) and alkaline phosphatase (ALP) in gingival crevicular fl uid were compared between the two groups before and after repair. Results There was no signifi cant diff erence in the success rate of repair between the two groups (P ＞0.05). Compared with group A, the color matching rate and marginal fi t rate were increased in group B (P＜0.05). There were no significant differences in the levels of MMP-2 and ALP in gingival crevicular fluid between the two groups before repair (P＞0.05). After repair, compared with group A, the levels of MMP-2 and ALP in gingival crevicular fl uid in group B were decreased (P ＜0.05). Compared with before repair, the levels of MMP-2 and ALP in gingival crevicular fl uid in group A were increased (P ＜0.05), while the levels of MMP-2 and ALP in group B were not signifi cantly diff erent (P ＞0.05). Compared with group A, the incidence of post-core fracture, gingival coloration, crown or root fracture in group B were decreased (P＜0.05). Conclusion Glass fi ber post resin core and e-max porcelain crown can eff ectively improve the repair eff ect, and reduce the stimulation and adverse events of periodontal tissue.
更新日期/Last Update: 2024-06-14