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

Analysis of application effect of prefabricated fiber posts in oral restoration treatment

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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.
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)