预成纤维桩在口腔修复患者中的应用效果及对牙周环境、修复成功率的影响  

Application effect of prefabricated fiber post in patients with oral restoration and its influences on periodontal environment and restoration success rate

作　　者：安应飞 张安生 党薇 裴金莹 郭莉 AN Yingfei;ZHANG Ansheng;DANG Wei;PEI Jinying;GUO Li(Stomatology Department,Xi'an International Medical Center Hospital,Xi'an 710100;Prosthodontics Department,Hospital of Stomatology,Xi'an Jiaotong University,Xi'an 710004;Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research,Xi'an 710004;Stomatology Department,Xi'an No.9Hospital,Xi'an 710054,China)

机构地区：[1]西安国际医学中心医院口腔科,陕西西安710100 [2]西安交通大学口腔医院口腔修复科,陕西西安710004 [3]陕西省颅颌面精准医学研究重点实验室,陕西西安710004 [4]西安市第九医院口腔科,陕西西安710054

出　　处：《临床医学研究与实践》2024年第23期17-20,共4页Clinical Research and Practice

基　　金：陕西省自然科学基础研究计划项目(No.2022JM-447)。

摘　　要：目的探讨预成纤维桩在口腔修复患者中的应用效果及对牙周环境、修复成功率的影响。方法选取2018年6月至2021年6月在口腔科进行口腔修复的130例患者的临床资料进行回顾性分析,按治疗方法不同将其分为对照组和观察组,各65例。对照组给予铸造纯钛金属桩治疗,观察组给予预成纤维桩治疗。比较两组的治疗效果。结果治疗后6个月,两组的牙菌斑指数、牙龈沟出血指数及牙周袋深度均降低,且观察组低于对照组(P<0.05)。治疗后1年,观察组的修复成功率高于对照组(P<0.05)。治疗后6个月,两组的龈沟液含量及龈沟液中碱性磷酸酶(ALP)、白细胞介素-6(IL-6)水平均升高,但观察组低于对照组(P<0.05)。观察组的修复满意度高于对照组(P<0.05)。结论预成纤维桩在口腔修复患者中的应用效果优于铸造纯钛金属桩,其能够有效改善牙周环境,提高修复成功率,且龈沟液中的炎症反应更轻,修复满意度更高。Objective To explore the application effect of prefabricated fiber post in patients with oral restoration and its influences on periodontal environment and restoration success rate.Methods The clinical data of 130 patients who underwent oral restoration in the stomatology department from June 2018 to June 2021 were retrospectively analyzed.The patients were divided into control group and observation group according to different treatment methods,with 65 cases in each group.The control group was treated with cast pure titanium metal post,and the observation group was treated with prefabricated fiber post.The therapeutic effects of the two groups were compared.Results At 6 months after treatment,the plaque index,gingival sulcus bleeding index and periodontal pocket depth of the two groups decreased,and those in the observation group were lower than the control group(P<0.05).At 1 year after treatment,the restoration success rate in the observation group was higher than that in the control group(P<0.05).After 6 months of treatment,the content of gingival crevicular fluid and the levels of alkaline phosphatase(ALP)and interleukin-6(IL-6)in gingival crevicular fluid of the two groups increased,but those in the observation group were lower than the control group(P<0.05).The restoration satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The prefabricated fiber post in patients with oral restoration has better application effect compared with cast pure titanium metal post,it can effectively improve the periodontal environment,elevate the restoration success rate,and has lighter inflammatory reaction in gingival crevicular fluid and higher restoration satisfaction.

关 键 词：预成纤维桩 铸造纯钛金属桩 口腔修复 牙周环境 修复成功率 

分 类 号：R783.3[医药卫生—口腔医学]