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探究聚醚醚酮桩核抗折性和修复后牙根抗折性

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目的 比较三种材料(钴铬合金;聚醚醚酮;纤维桩)的抗折性及其作为桩核材料修复下颌单根前磨牙后牙根的抗折性,探究聚醚醚酮桩核的抗折性是否能满足临床需求.方法 将三组不同材料的桩包埋在树脂块中,每组各8根,用万能力学试验机检测最大负载值并记录.将49颗下颌单根前磨牙根据所用材料和牙本质肩领高度(1 mm;1.5 mm)不同随机分为七组,桩核冠修复、包埋后在万能材料力学试验机上测出最大负载值并观察破坏模式.结果 单纯材料抗折性对比中,聚醚醚酮组的最大负载值介于另外两组之间,与另外两组的差异均有统计学意义(P<0.05).三种材料作为桩核材料修复下颌单根前磨牙后各组牙根的抗折性对比中,聚醚醚酮组与纤维桩组的最大负载值差异有统计学意义(P<0.05),与钴铬合金组的最大负载值差异无统计学意义(P>0.05).聚醚醚酮组多为可修复性破坏.结论 聚醚醚酮桩核的抗折性能满足临床需求且修复后发生不可修复性根折的概率较小.
To investigate the flexility of the post core and the root after restoration
Objective Compare the bending resistance of three materials—cobalt-chromium alloy,Polyether ether ketone,and fiber post-both in their pure form and as post-core materials for the restoration of the roots of mandibular single premolars.The objective of this study is to investigate whether the flexural resistance of the post-core material made of polyether ether ketone meets clinical requirements for dental restoration.Methods Three sets of piles made of different materials were embedded in the resin blocks,with eight piles in each set.The maximum load values of these piles were then measured using a universal mechanical testing machine and recorded.Forty-nine mandibular premolar teeth with single roots were randomly assigned to seven groups based on the material used and the height of the dentine shoulder collar(1 mm;1.5 mm).After the post-core-crown restoration and embedding,the maximum load value was measured on the universal material testing machine,and then the failure mode was observed.Results During the comparison of the bending resistance of pure materials,it was observed that the maximum load value of the polyether ether ketone group fell between the other two groups,and a statistically significant difference was found when compared to the other two groups(P<0.05).After using three materials as post-core materials to restore the mandibular single premolar,in the comparison of the resistance to fracture of each group of teeth roots,the maximum load value of the polyether ether ketone group and the fiber post group were statistically different from each other(P<0.05),and there was no statistical difference between the maximum load value of the polyether ether ketone group and that of cobalt-chromium alloy group(P>0.05).The majority of damage in the polyether ether ketone group is repairable.Conclusion The flexural resistance of the polyether ether ketone post core is sufficient for clinical requirements,and the likelihood of irreparable root fractures after restoration with a polyether ether ketone post core is relatively low.

Post coreFlexabilityPolyether ether ketoneFerrule

修朝博、储茂然、刘娟、孙宇

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150007 哈尔滨医科大学附属第一医院

桩核 抗折性 聚醚醚酮 牙本质肩领

哈尔滨医科大学附属第一医院横向课题

_XFF1A_1502562998

2024

现代口腔医学杂志
河北医科大学口腔医学院

现代口腔医学杂志

CSTPCD
影响因子:0.536
ISSN:1003-7632
年,卷(期):2024.38(2)
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