Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (12): 2273-2280.doi: 10.3969/j.issn.2095-4344.2013.12.026
Cai Juan1, Yu Zhang-xin2, Wu Jin-zhi2, Liu Xin-qing2
Received:
2012-10-18
Revised:
2013-02-05
Online:
2013-03-19
Published:
2013-03-19
Contact:
Liu Xin-qing, Chief physician, Master’s supervisor, Jiangxi Provincial People’s Hospital, Nanchang 330006, Jiangxi Province, China
dentistlxq@sohu.com
About author:
Cai Juan, Attending physician, Nanchang Fourth Hospital, Nanchang 330004, Jiangxi Province, China
1979376726@qq.com
CLC Number:
Cai Juan, Yu Zhang-xin, Wu Jin-zhi, Liu Xin-qing. Biocompatibility of different post-core materials in molar repairing[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(12): 2273-2280.
2.2 银汞桩核与铸造桩核修复磨牙的生物相容性比较 银汞桩核和铸造桩核材料各有其优缺点,研究显示,对于较大范围的磨牙缺损,银汞桩核的可塑性相对较差,影响其固位形,且银汞合金抵抗桩核结合部位应力集中性能较铸造桩核弱,铸造桩核在修复磨牙较大缺损或全缺损更具有优势。也有研究显示,银汞桩核应用于牙体缺损较严重的磨牙修复,其安全稳固性能要优于铸造桩核。而对于上颌磨牙的颊根、下磨牙的近中根较细,弯曲度较大,难以取得共同就位道,需去除部分健康的牙本质,而银汞桩核的应用可以减少康健牙本质的丧失,发挥更好的修复效果。石巧云等[20]、赵克等[21]、赵守德[22]、王方[23]、孙世尧等[24]和赖汉标等[25]分别对银汞桩核和铸造桩核修复磨牙缺损的效果进行了比较,具体结果见表3。"
2.5 复合桩核修复磨牙的生物相容性 老年人磨牙残冠发生率较高并具有缺损面积大的特点,单一的钢丝桩、成品桩或铸造桩核等修复难以达到理想的修复效果,刘新庆等[28]应用复合桩核冠的方法,对67例老年患者72颗缺损磨牙进行修复,患者年龄60-89岁,其中上颌第一磨牙34例,上颌第二磨牙11例,下颌第一磨牙20例,下颌第二磨牙7例,铸造桩核与牙体、银汞合金组成混合核31颗,铸造桩核与牙体、玻璃离子组成混合核41颗,金属冠修复50颗,烤瓷冠修复22颗,随访时间6个月-5年。结果67例患者72颗磨牙残冠进入有效随访,临床检查发现2颗患牙外冠脱落,调整聚合度增加辅助固位沟后重做外冠,随访2年未脱落;2颗患牙崩瓷,其中1颗改做金属牙合面烤瓷冠,另1颗远中颊尖崩瓷,不影响咀嚼功能和美观,不需处理。X射线检查未见根折及根尖根周病变,桩核与根管内壁之间的适合性保持良好。 2.6 PubMed数据库2003至2012年收录不同桩核材料修复磨牙的生物相容性研究10篇相关文献 见表6。"
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