中国实用口腔科杂志

• 论著 • 上一篇    下一篇

硅橡胶加预成胶针精密印模铸造桩核临床效果评价

丘洪添孙长征,蓝 洁,利小平   

  1. 广东省深圳牙科医疗中心
  • 收稿日期:2009-06-15 修回日期:2009-08-12 出版日期:2009-09-15 发布日期:2009-09-15

  • Received:2009-06-15 Revised:2009-08-12 Online:2009-09-15 Published:2009-09-15

摘要: 摘要:目的 评价硅橡胶加预成胶针精密印模法间接制作铸造桩核的临床效果。方法 选取2005年1月至2007年10月广东省深圳牙科医疗中心门诊289例患者的400颗经完善根管治疗的前牙及前磨牙残根、残冠,随机分成试验组(248颗)和对照组(152颗),规范制备根管根面。试验组通过根管内注入硅橡胶并插入预成胶针制取根管根面精确印模,技工室完成铸造桩核。对照组常规以嵌体蜡加金属丝制取根管根面印模并完成桩核铸造。临床试戴,检查桩核的就位性、密合性、固位性。结果 试验组242颗临床检查为优秀(97.6%),对照组136颗临床检查为优秀(89.5%),两组修复效果差异有统计学意义(P < 0.05)。结论 硅橡胶加预成胶针精密印模法间接制作铸造桩核,精密度高,临床效果好,值得推广使用。

关键词: 硅橡胶印模材料, 铸造桩核, 预成胶针

Abstract: Abstract:Objective To evaluate the clinical effects of the indirect impression taking method of making cast-post-core using silicone impression material and prepared plastic pins. Methods Select 400 anterior teeth and premolars of 289 patients from the Outpatient Department of Shenzhen Dental Center from January 2005 to October 2007,whose crowns had been destroyed seriously and the root canals had undergone complete root-canal-treatment,and they were divided into two groups randomly;strictly prepare the root canal and the surface of root. In the test group(248 nuts),silicone impression material was injected into the root canal,and the prepared plastic pin was added to get post model. Then post was casted completely by technicians. In control group(152 nuts),inlay wax and metal wire were used to get post model. Try for clinic and examine the suitablity,compression and stability of post-core. Results Totally 242 cases were evaluated as excellence (97.6%) in test group,while 136 cases were evaluated as excellence(89.5%)in control group. Significant difference in statistics(P < 0.05)could be found between the two groups. Conclusion The method of impression using silicone impression material and prepared plastic pin in making cast-post-core has excellent precision,good clinical effect and it is worth using widely.

Key words: silicone impression material, cast-post-core, prepared plastic pin