简单桩核修复牙体折断的烤瓷牙冠

华西口腔医学杂志

简单桩核修复牙体折断的烤瓷牙冠

全苗

浙江省余姚市人民医院　口腔科,浙江　余姚315400

收稿日期:2004-06-25 修回日期:2004-06-25 出版日期:2004-06-20 发布日期:2004-06-20
通讯作者: 全　苗,Tel:13616889198
作者简介:全　苗(1956-),女,宁夏人,副主任医师
基金资助:

Restoring Ceramo-metal Tooth by Using Self-made Crown Post-core in order to Re-utilize the Broken Crown of the Base Tooth

QUANMiao

Dept. ofStomatology, Zhejiang Yuyao People′sHospital, Yuyao315400,China

Received:2004-06-25 Revised:2004-06-25 Online:2004-06-20 Published:2004-06-20

摘要/Abstract

摘要：

目的　探讨简单桩核修复牙体折断烤瓷牙冠的方法及临床意义。方法　对18颗患牙采用自制桩核使原烤瓷冠在已折断的牙根上继续使用,观察患者使用感觉及临床效果。结果　18颗患牙修复后随访1~3年, 83·3% 患者(15颗)使用良好。另3颗中,1颗因根管条件差,牙根折裂修复失败;1颗因修复体粘固剂调合不匀,导致咬合时受力不均匀修复失败;1颗因咬合过紧,修复体崩瓷而失败。结论　简单桩核修复牙体折断的烤瓷牙冠方法简便、成本低,适合基层医院临床应用。

关键词: 自制冠内桩核, 冠折, 基牙

Abstract:

Objective　To explore a newmethod and its clinical significance of restorative ceramo-metal by using a self-made crown post-core to reutilize the broken crown.Methods　18 teethwere restoredwith ceramo-metal tooth by using self-made crown post-core in order to preserve the old broken base tooth. The patients′own feelings and clinical effect were observed.Results　 Followed up for 1~3 years, 83.3% (15 teeth) of the patients were successful. Among the group one was failed because of bad condition of post and caused split of tooth root. The second failurewas caused by uneven force by coherent paste uneven. The third failure was caused by tight biting force and caused the tooth broken.Conclusion　Restoring ceramo-metal tooth by using self- made crown post-core in order to re-utilize the broken crown of the base tooth is convenient and low cost and is suitable for basic hospitals.

Key words: self-made crown post-core, broken crown, base tooth

全苗. 简单桩核修复牙体折断的烤瓷牙冠[J]. 华西口腔医学杂志.

QUANMiao. Restoring Ceramo-metal Tooth by Using Self-made Crown Post-core in order to Re-utilize the Broken Crown of the Base Tooth[J]. West China Journal of Stomatology.

[1]	王岐麟黄山娟陈洁葛立宏刘鹤. 年轻上颌切牙冠折露髓的预后及影响因素回顾分析[J]. 华西口腔医学杂志, 2011, 29(06): 622-625.
[2]	石巧云镇荣军. 自体前牙断冠再接的临床疗效[J]. 华西口腔医学杂志, 2011, 29(02): 171-172.
[3]	黄娟吴友农葛兵胡申琳. 2种粘接剂用于前牙断冠再接的剪切力评价[J]. 华西口腔医学杂志, 2010, 28(01): 65-67.
[4]	赵晶帆谢红霞. 255例牙冠折裂的临床分析[J]. 华西口腔医学杂志, 2009, 27(01): 58-59.
[5]	管悦秦满. 415颗未露髓冠折牙预后的回顾性研究[J]. 华西口腔医学杂志, 2008, 26(05): 516-518.
[6]	牟雁东樊瑜波杨小民. 冠外附着体义齿修复后基牙牙周状况的临床研究[J]. 华西口腔医学杂志, 2008, 26(04): 371-373.
[7]	张怀勤,巢永烈. 脱敏性粘接材料预防活髓基牙过敏的研究[J]. 华西口腔医学杂志, 2005, 23(02): 130-132.
[8]	李满园!610041,肖茂春!610041,黎红!610041,付强!610041. 负荷下颌肯氏Ⅱ类可摘义齿游离端基牙牙槽骨位移的全息干涉测量[J]. , 2001, 19(02): 0-.
[9]	唐亮,陈光谦. 下颌后牙固定桥支持骨组织应力的三维有限元法分析——Ⅰ.固定桥基牙周围牙槽骨的表面应力分析[J]. , 1999, 17(04): 0-.
[10]	朱智敏,杜传诗,杨永丰,钟红. 后牙单端固定桥临床应用和远期疗效观察[J]. , 1996, 14(02): 0-.