摘要
目的:观察针对前牙大面积缺损患者实施石英纤维桩和金属铸造桩修复的美学效果差异。方法:纳入笔者医院2019年5月-2023年5月收治的102例前牙大面积缺损患者,分别采用石英纤维桩(石英桩组,n=48)和金属铸造桩(金属桩组,n=54)进行修复,比较两组的修复情况、咬合功能、美学效果和修复体不良事件发生情况。结果:石英桩组患者修复后颜色匹配度、边缘适合性良好率明显高于金属桩组(P<0.05),两组修复体完整性比较差异无统计学意义(P>0.05);石英桩组患者咬合能力、咀嚼效率均明显高于金属桩组(P<0.05);石英桩组患者红色美学指数(PES)评分、满意度评分均明显高于金属桩组(P<0.05);石英桩组患者水平与垂直骨吸收量明显低于金属桩组(P<0.05);石英桩组患者修复体不良事件发生率明显低于金属桩组(P<0.05)。结论:相较传统金属铸造桩,石英纤维桩修复前牙大面积缺损的颜色匹配度、边缘适合性及咬合功能更好,修复体不良事件发生率较低,且具有更佳的美学效果。
Objective To observe the diference in cosmetic efect of quartz fiber post and metal casting post in the treatment of patients with large area defects of anterior teeth.Methods 102 patients with large area defects of anterior teeth were included in the hospital from May 2019 to May 2023.Quartz fiber post(quartz post group,n=48)and metal casting post(metal post group,n=54)were used to repair respectively.The repair status,occlusal function,aesthetic efect and occurrence of adverse events of restorations were compared between both groups.Results The good rates of color matching degree and edge fitness in the quartz post group were significantly higher than those in the metal post group(P<0.05),but there was no obvious difference in the restoration integrity between the two groups(P>0.05).The occlusal ability and chewing efficiency were significantly higher in the quartz post group than those in the metal post group(P<0.05).The pink esthetic score(PES)and satisfaction score of patients in the quartz post group were significantly higher than those in the metal post group(P<0.05).The horizontal and vertical bone absorption volumes in the quartz post group were significantly lower compared to the metal post group(P<0.05).The incidence rates of adverse events of restorations in the quartz post group were significantly lower compared with those in the metal post group(P<0.05).Conclusion Compared with traditional metal casting post,quartz fiber post has better color matching degree,edge fitness and occlusal function in repairing large area defects of anterior teeth,and the latter one has lower incidence rates of adverse events and better aesthetic efect.
作者
杨伊汨
温颖
孙轶
安冰韬
陈洁点
YANG Yimi;WEN Ying;SUN Yi;AN Bingtao;CHEN Jiedian(Department of Stomatology,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《中国美容医学》
2026年第1期144-147,共4页
Chinese Journal of Aesthetic Medicine
关键词
前牙大面积缺损
石英纤维桩
金属铸造桩
修复
美学效果
large area defects of anterior teeth
quartz fiber post
metal casting post
restorative
aesthetic effect
