Glass fiber post versus metal post in the restoration of endodontically treated teeth

doi:10.3969/j.issn.2095-4344.2013.29.008

Abstract

Abstract:

BACKGROUND: The post and core system for residual roots and crowns can achieve satisfactory effects, when filling restoration, full crowns or inlay has poor effects.
OBJECTIVE: To evaluate the clinical use of glass fiber post and metal post in the restoration of endodontically treated teeth.
METHODS: A total of 106 patients with 160 endodontically treated teeth were selected and restored with glass fiber post (n=80 teeth) and metal post (n=80 teeth) followed by porcelain-fused-mental crown. The restorations were evaluated clinically for 9 to 33 months.
RESULTS AND CONCLUSION: Glass fiber post treatment for 78 teeth was effective and that for two teeth were failed, with a successful rate of 98%. Metal post restoration was effective in 71 teeth and failed in nine teeth including one tooth of crown fracture, four of root fracture and four of post loss, with a successful rate of 89%. There was statistically significant difference between two groups (P < 0.05). Glass fiber post is better in convenient handling and good color and reduced probability leading to root broken for dental restoration compared with metal post.

Key words: biomaterials, tissue-engineered oral materials, dental defects, glass fiber post, metal post and core, ceramometal crown, root fracture, restoration, oral biomaterials

CLC Number:

R318

Chang Zhi-ming. Glass fiber post versus metal post in the restoration of endodontically treated teeth[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(29): 5309-5315.

Figures/Tables 1

References

[1] Heydecke G,Butz F,Hussein A,et al.Fracture strength after dynamic loading of endodontically treated teeth restored with different post-and-core systems.J Prosthet Dent.2002;87: 438-445.

[2] 黎元菲. 玻璃纤维桩核和铸造桩核修复残根残冠临床效果分析[J].中国保健营养, 2013,23(1):137.

[3] 赵锋,王德志. 纤维桩在前磨牙残冠修复中的临床应用[J].临床合理用药杂志,2013,6(4): 117-118.

[4] 马洪学,申丽丽,刘琨,等.玻璃纤维桩核与铸造金属桩核修复残根残冠及无桩修复牙体的临床效果评价[J].华西口腔医学杂志, 2013, 31(1):45-48.

[5] Akkayan B. An in vitro study evaluating the effect of ferrule length on fracture resistance of endodontically treated teeth restored with fiber-reinforced and zirconia dowel systems.J Prosthet Dent.2004;92(2):155-162.

[6] Bass EV.Cast post and core foundation for the badly broken down molar tooth.Aust Dent J.2002;47(1):57-62.

[7] 苏继成.玻璃纤维桩和铸造金属桩核在前牙修复中的临床疗效观察[J].国际口腔医学杂志,2009,36(5): 519-520.

[8] 王景卉.玻璃纤维桩和铸造桩核在前牙修复中的临床观察[J].中华临床医师杂志,2007,1(1): 27-28.

[9] 李长城,谢伟丽,樊久铭,等. 桩核修复方法对梭形根管牙断裂强度的影响[J].口腔颌面修复学杂志,2007,8(1): 15-17.

[10] 侯秀娟,高旭,杨丕山,等. 两种桩核修复系统对残根抗折性能的影响[J].口腔颌面修复学杂志,2007,8(2):133-135.

[11] 朱琳,王雪,王艳. 6种纤维桩挠曲强度及弹性模量的比较研究[J]. 齐鲁医学杂志, 2010,25(4):333-335.

[12] 王爱军,何小明,刘莉霞,等.石英纤维桩树脂核全冠修复效果的短期观察[J].北京口腔医学,2007,15(3): 147-149.

[13] Heydecke G,Peters MC.The restoration of endodontically treated, single-rooted teeth with cast or direct posts and cores: a systematic review.J Prosthet Dent.2002;87:380.

[14] 刘敏,王频,丁农乐,等. 高强度玻璃纤维复合树脂桩的临床应用[J].华西口腔医学杂志,2006,24(5):473-474.

[15] 李学玉,张玉新,田玉岭.玻璃纤维桩修复后牙残冠残根的应用体会[J].中华全科医学,2009,7(2) : 171-172.

[16] Albashaireh ZS,Ghazal M,Kern M.Effect of acid conditioning of root canal dentin on the retention of adhesively luted glass fiber-reinforced composite (FRC) posts. Am J Dent. 2009; 22(6): 376-380.

[17] 陈燕,杨胜英.玻璃纤维桩修复后牙残冠、残根的疗效观察[J].疾病监测与控制杂志,2010,4(4) : 239.

[18] 胡硕雪.纤维桩树脂核修复下颌第一磨牙残根残冠的临床疗效[J].中国医药科学,2013,3(1): 211-212.

[19] 李铁英,潘卫东.钴铬合金桩核与玻璃纤维桩核在前牙缺损修复的比较研究[J].中国社区医师（医学专业）,2013,15(5): 176.

[20] 贾旭贝,谢伟丽,谢琪,等.不同纤维桩表面固位结构对粘结剂层的影响[J].中国美容医学,2013,22(1): 157-159.

[21] 叶波阳,汤自明.玻璃纤维桩修复残根残冠的临床观察[J].中国医学创新,2011,28(28): 103-104.

[22] 陈敏.玻璃纤维桩修复残根残冠的临床观察[J].白求恩军医学院学报,2011,9(4): 275-276.

[23] 刘忠胜. 玻璃纤维桩在残根残冠修复中的应用观察[J].中国当代医药, 2011,18(36):31,33.

[24] 秦菁,朱燕玲.玻璃纤维桩应用于前牙残根残冠修复的临床观察[J].中国医药指南,2009,7(19): 69-70.

[25] 陈进雄,兰士亮. 玻璃纤维桩修复前牙残根残冠的疗效观察[J].医学信息, 2012,25(4):325.

[26] 谭战民,何存,李涛,等.玻璃纤维桩与传统铸造桩在临床应用中远期疗效的对比分析[J].航空航天医学杂志,2012,23(7):838-840.

[27] 巫颖泓.玻璃纤维桩和铸造金属桩在牙体缺损修复中的疗效比较[J].右江民族医学院学报,2010,32(6): 911-912.

[28] 王敬娈,尚文静,张淑华,等.铸造金属桩与纤维桩在前牙残根残冠修复中的疗效观察[J].中国美容医学,2012,21(12):12.

[29] 王媛媛,汪振华.玻璃纤维桩在前牙残根残冠修复中的应用[J].新疆医科大学学报,2009,32(12): 1720-1721.

[30] 刘惠萍.玻璃纤维桩与铸造金属桩核在前牙修复中的应用对比观察[J].山东医药,2012,52(2): 104-105.

[31] 董颖韬.玻璃纤维桩和石英纤维桩临床比较[J].现代中西医结合杂志,2013,22(3):261-262.

[32] 鄢少君.高强度玻璃纤维桩树脂核直接修复下颌第二磨牙残冠的临床疗效观察[J].山东医药,2013,53(1):81-83.

[33] 贾素侠,李国宾,张志伟. 玻璃纤维桩核与铸造金属桩核在前牙牙体缺损修复中的疗效比较[J].中国实用医药,2012,7(18): 153-154.

[34] 付振君,贾宏薇,王丽玲,等.玻璃纤维桩核与金属桩核修复残根残冠临床比较研究[J].中国伤残医学,2009,17(3): 60-62.

[35] 刘鹏,李亚南,姜慧,等. CAD/CAM一体化玻璃纤维桩核抗折力的体外实验研究[J]. 北京口腔医学,2010,18(2): 90-93.

[36] 丁波,孙晓梅.两种桩核系统在上前牙不同程度牙体缺损修复中临床疗效观察[J].中国美容医学,2011,20(6): 978-980.

[37] 郑永红,王丽霞.玻璃纤维桩树脂核修复前牙残根残冠的效果[J].郑州大学学报:医学版,2012,47(1): 126-127.

[38] 葛永红,郭平川,于鹏,等.玻璃纤维树脂桩核与金属铸造桩核保留残冠、残根临床比较[J].武警医学院学报,2008,17(12): 1088-1090.

[39] 赵海军,刘国勤,张庆福,等. 玻璃纤维增强树脂桩核在残冠残根修复中的临床应用[J].口腔颌面修复学杂志,2007,8(1): 28-30

[40] 罗丽,王玥. 玻璃纤维桩树脂核在残根残冠修复中的临床应用70例[J].泰山医学院学报,2010,31(9): 715-716.