玻璃纤维桩与铸造金属桩在老年患者前牙修复中的临床效果观察

Clinical effect of glass fiber post versus metal post in anterior teeth restoration of elderly patients

摘要:

目的 观察前牙牙体修复中使用玻璃纤维桩与铸造金属桩的临床疗效。方法 入选2010年6月至2013年6月期间解放军总医院门诊口腔科收治的前牙牙体缺损的老年患者78例（104颗患牙）。将104颗患牙随机分为玻璃纤维桩组（n＝52）和铸造金属桩组（n＝52）。根据选用修复材料的不同，将78例患者分为玻璃纤维桩组（n＝39）和铸造金属桩组（n＝39）。6个月、1年、2年随访后，统计患者的临床资料，对比分析两组患牙和两组患者的预后。结果 2年后的随访记录显示，玻璃纤维桩组患牙的修复成功率显著高于铸造金属桩组，差异具有统计学意义（96.15% vs 80.77%；P＜0.05），且铸造金属桩组患牙中，发生并发症的总体例数显著高于玻璃纤维桩组（19.2% vs 3.8%，P＜0.05）。6个月后的随访结果显示，玻璃纤维桩组患者对修复体的满意度显著高于铸造金属桩组，差异具有统计学意义（97.43% vs 82.05%；P＜0.05）。结论 采用玻璃纤维桩修复前牙牙体缺损，不但操作简便，且美观性、生物相容性及临床修复效果均优于金属桩核修复，值得临床推广及应用。

Abstract:

Objective To observe the clinical efficacy of the glass fiber post and metal post in anterior teeth restoration in the elderly. Methods A total of 78 elderly patients (104 teeth) with anterior dental defects admitted in Chinese PLA General Hospital from June 2011 to June 2013 were enrolled in this study. The 104 teeth were randomly divided into glass fiber post group (n＝52) and metal post group (n＝52). Then, the 78 patients were accordingly assigned into glass fiber post group (n＝39) and metal post group (n＝39). Their clinical data were collected in 6 months, 1 and 2 years during follow-up to conduct comparative analyses on the prognosis of the 2 groups. Results In 2 years of follow-up, the glass fiber post group had significantly higher success rate than the metal post group (96.15% vs 80.77%, P＜0.05), and the patients of the metal post group had significantly higher occurrence of complications than those of the other group (19.2% vs 3.8%, P＜0.05). After 6 months’ follow-up, the patients receiving glass fiber post group were significantly more satisfied with prosthesis than those receiving metal post (97.43% vs 82.05%, P＜0.05). Conclusion Glass fiber post not only is easy to operate, but also has better aesthetics, biocompatibility and clinical restorative effects compared with metal post.