标题：两种桩核系统修复严重缺损前牙残根效果比较

      作者：刘 博
    (仁寿县人民医院口腔科，四川 仁寿 620500)

      卷次： 2015年26卷12期

      【摘要】 目的 探讨严重缺损的前牙残根采用两种桩核系统治疗的临床效果。方法 入选我院2013年3
月至2014年3月收治的前牙缺损患者228例，共304颗前牙残根。按照桩核系统的不同分为观察组和对照组，每
组114例，对照组患者给予铸造金属桩核系统修复治疗，观察组患者给予纤维桩核系统修复治疗，观察两组患者的临
床治疗效果。结果 两组患者修复治疗后，病情均有明显的改善，观察组的修复成功率为88.8%，明显优于对照组的
77.6%，差异具有统计学意义(P<0.05)；两组患者修复治疗后均获得6~10个月的随访，观察组随访期间并发症的发生
率为7.9%，对照组为86.8%，差异具有统计学意义(P<0.05)。结论 前牙残根严重损伤的患者采用纤维桩核系统修
复治疗，在符合其适应证的条件下，临床效果显著，成功率高，操作简便，安全有效，值得临床上推广。

      【关键词】 前牙；残根；金属桩核；纤维桩核；临床疗效

      【中图分类号】 R783.3 【文献标识码】 A 【文章编号】 1003—6350（2015）12—1842—03


Comparison on the effect of two kinds of pile nuclear systems to repair residual root of anterior teeth with
severe defect.
LIU Bo. Department of Stomatology, Renshou People's Hospital, Renshou 620500, Sichuan, CHINA

【Abstract】 Objective To compare the effect of two kinds of pile nuclear systems for restoration of residual
root of anterior teeth with severe defect. Methods A total of 228 patients with severe defect in anterior teeth in our hos-
pital from March 2013 to March 2014 enrolled, with a total of 304 residual roots. The patients were divided into two
groups and treated with different post-and-core systems: observation group (114 cases, fiber post-and-core system for
treatment) and control group (114 cases, cast metal post-and-core system for treatment). The clinical effect of the two
groups were observed and compared. Results After treatment, the disease condition was significantly improved in both
two groups. The repair success rate was 88.8% in the observation group, significantly higher than 77.6% in the control
group (P<0.05). During the follow-up of 6~10 months, the incidence of complications was 7.9% in the observation
group and 86.8% in the control group, with statistically significant difference (P<0.05). Conclusion For patients with
severely defected anterior teeth residual root, fiber post-and-core system has better clinical effects under the condition of
its indications, with high success rate, easy operation and good safety, which is worth to be widely applied clinically.

      【Key words】 Anterior teeth; Residual roots; Metal pile nuclear; Fiber post-and-core; Clinical effect