不同桩核材料联合氧化锆全瓷冠修复前牙牙体缺损的美学效果对比-《中国美容医学》

文章信息/Info

Title:: Comparison of Aesthetic Effects of Different Post-core Materials Combined with Zirconia All-ceramic Crown in Repairing Anterior Tooth Defects

Author(s):: WANG Wei; XU Xiaochuan; ZHAN Ni; (Department of Stomatology,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

Keywords:: noble metal post; dental defect repair; glass fi ber post; zirconia all-ceramic crown; aesthetic eff ect

摘要:: 目的：对比贵金属桩与玻璃纤维桩联合氧化锆全瓷冠修复前牙牙体缺损的美学效果。方法：选取2020年5月-2022年4 月笔者医院收治的90例前牙牙体缺损患者为研究对象。按随机数字表法分为对照组（采用贵金属桩，45例患者，共55颗患牙）和研究组（采用玻璃纤维桩，45例患者，共57颗患牙）。比较两组患者的修复成功率、美观度、牙周深度、碱性磷酸酶含量及患者满意度。结果：研究组修复成功率略低于对照组，但差异无统计学意义（P＞0.05）；修复1年后，研究组边缘适合、边缘着色、颜色匹配及患者满意度均高于对照组（P＜0.05），研究组牙周袋深度、碱性磷酸酶含量、白细胞介素-6 （Interleukin-6,IL-6）及肿瘤坏死因子-α（Tumor necrosis factor-alpha,TNF-α）水平均低于对照组（P＜0.05）。研究组对前牙牙体缺损修复的满意程度高于对照组（P＜0.05）。结论：贵金属桩修复前牙牙体缺损的修复成功率略高于玻璃纤维桩、但玻璃纤维桩修复更美观，且对牙周影响更小。

Abstract:: Objective To compare the aesthetic eff ect of noble metal post or glass fi ber post combined with zirconia all-ceramic crown on the repair of anterior teeth defects. Methods 90 patients with anterior teeth defects admitted to the hospital from May 2020 to April 2022 were selected and divided into control group (noble metal post, 45 cases, 55 aff ected teeth) and study group (glass fi ber post, 45 cases, 57 aff ected teeth) according to the random number table method. Repair success rate, aesthetic degree, periodontal depth, alkaline phosphatase and patient satisfaction were compared between the two groups. Results Success rate of repair in study group was slightly lower than that in control group (P ＞0.05). After 1 year of repair, marginal adaptation, marginal coloring, color matching and patient satisfaction in study group were higher (P＜0.05) while periodontal pocket depth, alkaline phosphatase, interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were lower than those in control group (P＜0.05). The satisfaction of anterior teeth defect repair was higher in study group (P＜0.05). Conclusion The success rate of noble metal post in repairing anterior teeth defects is slightly higher than that of glass fi ber post, but the repair of glass fi ber post is more beautiful and has less impact on periodontal tissue.