首页|预成纤维桩在口腔修复治疗中的应用效果分析

预成纤维桩在口腔修复治疗中的应用效果分析

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目的 探讨预成纤维桩在口腔修复治疗中的效果。方法 78 例进行口腔修复治疗的患者,随机分为观察组和对照组,各 39 例。观察组应用预成纤维桩修复术,对照组应用可塑纤维桩修复术。比较两组不同时间[术前(T0)、术后 3 个月(T1)、术后 6 个月(T2)]牙周健康指标[菌斑指数(PLI)、出血指数(BI)、牙周袋探诊深度(PD)]、咬合力、咀嚼效率,修复成功率、修复时间及修复前后炎症因子[白细胞介素-17(IL-17)、白细胞介素-23(IL-23)]水平,并发症发生情况。结果 ①T1 时,观察组PLI(1。90±0。22)分、BI(2。01±0。33)分、PD(1。21±0。45)mm明显低于对照组的(2。11±0。26)分、(2。86±0。32)分、(1。51±0。53)mm(t=3。851、11。548、2。695,P<0。05);T2 时,观察组PLI(0。83±0。23)分、BI(0。87±0。34)分、PD(0。55±0。49)mm显著低于对照组的(1。65±0。29)分、(1。55±0。35)分、(1。05±0。30)mm(t=13。835、8。703、5。435,P<0。05)。②观察组并发症发生率 2。56%低于对照组的 17。95%(P<0。05)。③T1 时,观察组咬合力(111。51±7。14)lbs、咀嚼效率(73。35±5。01)%明显高于对照组的(94。01±7。46)lbs、(65。35±4。96)%(t=10。583、7。087,P<0。05);T2 时,观察组咬合力(133。35±10。01)lbs、咀嚼效率(88。86±7。53)%显著高于对照组的(114。53±18。46)lbs、(77。01±8。02)%(t=5。597、6。727,P<0。05)。④修复后,观察组IL-17(300。84±13。73)ng/L、IL-23(6。29±2。16)μg/L低于对照组的(353。26±10。47)ng/L、(7。65±2。47)μg/L(t=18。959、2。588,P<0。05);观察组修复时间(65。28±3。51)min/颗短于对照组的(100。24±6。61)min/颗(t=29。172,P<0。05)。观察组修复成功率 97。44%高于对照组的 79。49%(χ2=6。155,P<0。05)。结论 预成纤维桩在口腔修复治疗中具有良好的效果,应用价值较高。
Analysis of application effect of prefabricated fiber posts in oral restoration treatment
Objective To explore the effect of prefabricated fiber posts in oral restoration treatment.Methods 78 patients who underwent oral restoration treatment were randomly divided into an observation group and a control group,with 39 patients in each group.The observation group was restored by prefabricated fiber posts,and the control group was restored by plastic fiber posts.Comparison was made on periodontal health indicators[plaque index(PLI),bleeding index(BI),probing depth(PD)]at different time points[before surgery(T0),3 months after surgery(T1),and 6 months after surgery(T2)],bite force,masticatory efficiency,success rate of restoration,restoration time,levels of inflammatory factors[interleukin-17(IL-17),interleukin-23(IL-23)]before and after restoration,and complications between the two groups.Results(i)At T1,the observation group had PLI of(1.90±0.22)points,BI of(2.01±0.33)points and PD of(1.21±0.45)mm,which were significantly lower than(2.11±0.26)points,(2.86±0.32)points and(1.51±0.53)mm in the control group(t=3.851,11.548,2.695;P<0.05).At T2,the observation group had PLI of(0.83±0.23)points,BI of(0.87±0.34)points,and PD of(0.55±0.49)mm,which were significantly lower than(1.65±0.29)points,(1.55±0.35)points,and(1.05±0.30)mm in the control group(t=13.835,8.703,5.435;P<0.05).(ii)The complication rate of the observation group was 2.56%,which was lower than the control group's 17.95%(P<0.05).(iii)At T1,the bite force of(111.51±7.14)lbs and masticatory efficiency of(73.35±5.01)%in the observation group were significantly higher than(94.01±7.46)lbs and(65.35±4.96)%in the control group(t=10.583,7.087;P<0.05).At T2,the bite force of(133.35±10.01)lbs and masticatory efficiency of(88.86±7.53)%in the observation group were significantly higher than(114.53±18.46)lbs and(77.01±8.02)%in the control group(t=5.597,6.727;P<0.05).(iv)After restoration,the observation group had IL-17 of(300.84±13.73)ng/L and IL-23 of(6.29±2.16)μg/L,which were lower than(353.26±10.47)ng/L and(7.65±2.47)μg/L in the control group(t=18.959,2.588;P<0.05).The restoration time of the observation group was(65.28±3.51)min per tooth,which was shorter than the control group's(100.24±6.61)min per tooth(t=29.172,P<0.05).The success rate of restoration in the observation group was 97.44%,which was higher than 79.49%in the control group(χ2=6.155,P<0.05).Conclusion Prefabricated fiber posts have good effects and high value in oral restoration treatment.

Oral restorationPrefabricated fiber postPeriodontal healthInflammatory factorsPlastic fiber postRestoration time

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276000 临沂市康复医院

口腔修复 预成纤维桩 牙周健康 炎症因子 可塑纤维桩 修复时间

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(9)