玻璃纤维桩与铸造金属桩在牙体缺损修复中的应用效果及对牙周组织的影响比较  

Application effect of glass fiber pile and cast metal pile in tooth defect repair and its influence on periodontal tissue

作　　者：蒋红卫[1] 丁见[1] 徐勤业[1] 骆羽宁 Jiang Hongwei;Ding Jian;Xu Qinye;Luo Yuning(Department of Stomatology,the Central Hospital of Yiwu,Yiwu,Zhejiang 322000,China)

机构地区：[1]义乌市中心医院口腔科,浙江省义乌322000

出　　处：《中国基层医药》2018年第19期2452-2455,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省科技计划项目（2013C33216）

摘　　要：目的 分析玻璃纤维桩与铸造金属桩在牙体缺损修复中的应用效果及对牙周组织的影响.方法 选择义乌市中心医院2014年2月至2015年2月收治的112例牙体缺损患者,按照随机数字表法分为对照组和研究组各56例.对照组接受铸造金属桩修复,研究组接受玻璃纤维桩修复.比较两组修复效果、牙周组织状况、炎性反应及不良反应发生情况.结果 研究组修复成功率显著高于对照组（89.29％比66.07％）,差异有统计学意义（χ2=8.70,P〈0.05）.治疗后,两组碱性磷酸酶、白细胞介素-6（IL-6）、白细胞介素-8（IL-8）水平均较治疗前上升,研究组明显低于对照组[（440.75±55.75）U/L比（491.75±62.79）U/L、（18.77±2.21）ng/L比（30.65±3.97）ng/L、（51.42±6.32）μg/L比（76.33±9.50）μg/L],差异均有统计学意义（t=4.52、19.56、16.33,均P〈0.05）.治疗后,两组牙周探诊深度分别为（2.15±0.29）mm比（2.17±0.25）mm,差异无统计学意义（t=0.39,P〉0.05）.结论 玻璃纤维桩在牙体缺损修复中的效果优于铸造金属桩,其稳定性、生物相容性更好,且操作简单,值得临床推广.Objective To analyze the application effect of glass fiber pile and cast metal pile in tooth defect repair and its influence on periodontal tissue.Methods From February 2014 to February 2015,112 patients with dental defect in the Central Hospital of Yiwu were randomly divided into the control group and the research group according to the digital table,with 56 cases in each group.The control group received the casting metal pile repair,the research group was repaired with glass fiber piles.The remediation effect,periodontal tissue status,inflammatory response and adverse reaction were compared between the two groups.Results The success rate of the research group was significantly higher than that of the control group（89.29%vs.66.07%）,and there was statistically significant difference（χ2 =8.70,P〈0.05）.After treatment,the alkaline phosphatase,interleukin-6（IL-6）and interleukin-8（IL-8）levels of the two groups were increased compared with before treatment,which of the research group were obviously lower than those of the control group [（440.75 ±55.75）U/L vs.（491.75 ±62.59）U/L,（18.77 ± 2.21）ng/L vs.（30.65 ±3.97）ng/L,（51.42 ±6.32）μg/L vs.（76.33 ±9.50）μg/L],there were statistically significant differences（t=4.52,19.56,16.33,all P〈0.05）.After treatment,the periodontal examination depth of the two groups was（2.15 ±0.29）mm and（2.17 ±0.25）mm,respectively,and there was no statistically significant difference（t=0.39,P〉0.05）.Conclusion The effect of glass fiber pile in tooth defect repair is better than cast metal pile,and its stability and biocompatibility are better,and it is a simple operation,which is worthy of clinical promotion.

关 键 词：牙修复体修补 玻璃纤维桩 铸造金属桩 应用效果 牙周组织 

分 类 号：R783.3[医药卫生—口腔医学]