纤维桩核冠修复与高嵌体修复在后牙根管治疗后牙体缺损患者中的治疗效果比较  

Comparison of the Therapeutic Effects of Fiber Pile Core Crown Restoration and High Inlay Restoration in Patients with Dental Defects after Posterior Root Canal Treatment

作　　者：李姣玲 韩一 张杰 LI Jiaoling;HAN Yi;ZHANG Jie(Department of Stomatology,Shanghai Hudong Hospital,Shanghai 200120,China)

机构地区：[1]上海沪东医院口腔科,上海200120

出　　处：《世界复合医学（中英文）》2024年第9期104-107,共4页World Journal of Complex Medicine

摘　　要：目的分析纤维桩核冠修复与高嵌体修复在后牙根管治疗后牙体缺损患者中的治疗效果。方法回顾性选取2021年1月—2023年3月上海沪东医院收治的150例后牙根管治疗后牙体缺损患者的临床资料,按不同治疗方法分为两组,各75例。对照组予以纤维桩核冠修复,观察组予以高嵌体修复。对比两组修复效果、牙周指标、口腔健康生活质量评分、不良事件总发生率。结果观察组修复效果优于对照组,差异有统计学意义(P均<0.05)。观察组牙周袋深度、牙龈指数、菌斑指数均低于对照组,差异有统计学意义(P均<0.05)。观察组口腔健康生活质量评分均低于对照组,差异有统计学意义(P均<0.05)。观察组不良事件总发生率为2.67%(2/75),低于对照组的12.00%(9/75),差异有统计学意义(χ^(2)=4.807,P<0.05)。结论相较于纤维桩核冠修复,高嵌体修复对后牙根管治疗后牙体缺损的治疗效果更好,可提高患者的牙周指标,提升患者的生活质量。Objective To analyze the therapeutic effect of fiber pile core crown restoration and high inlay restoration in patients with dental defects after posterior root canal treatment.Methods The clinical data of 150 patients with dental defects after posterior root canal treatment in Shanghai Hudong Hospital from January 2021 to March 2023 were retrospectively selected and divided into two groups according to different treatment methods,75 cases in each group.The control group was repaired with fiber pile core crown,and the observation group was repaired with high inlay restoration.The repair effect,periodontal indexes,Geriatric Oral Health Assessment Index were compared between the two groups.Results The repair effect of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The periodontal pocket depth,gingival index,plaque index in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The scores of Geriatric Oral Health Assessment Index in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The total incidence of adverse events in the observation group was 2.67%(2/75),which was lower than 12.00%(9/75)in the control group,and the difference was statistically significant(χ^(2)=4.807,P<0.05).Conclusion Compared with fiber post-core crown restoration,onlay restoration has better therapeutic effect on posterior tooth defect after root canal treatment,which can improve the periodontal index of patients and improve the quality of life of patients.

关 键 词：后牙根管治疗 牙体缺损 纤维桩核冠修复 高嵌体修复 

分 类 号：R78[医药卫生—口腔医学]