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半透明纤维桩的临床行为:一项为期两年的前瞻性研究。

Clinical behavior of translucent-fiber posts: a 2-year prospective study.

作者信息

Monticelli Francesca, Grandini Simone, Goracci Cecilia, Ferrari Marco

机构信息

Department of Restorative Dentistry and Dental Materials, University of Siena, Italy.

出版信息

Int J Prosthodont. 2003 Nov-Dec;16(6):593-6.

Abstract

PURPOSE

This study prospectively evaluated the clinical performance of three types of translucent posts over a follow-up period of between 2 and 3 years.

MATERIALS AND METHODS

Selected were 225 patients with one premolar in need of endodontic treatment, followed by restoration with a fiber post and porcelain crown. The sample was randomly divided into three groups of 75 patients each. The same type of post was used in all patients within a group: group 1 = Aesthetic Plus; group 2 = DT; and group 3 = FRC Postec. For bonding the post, a light-curing adhesive (One-Step) and a dual-curing resin cement (Duo-Link) were applied in group 1 and 2 roots, whereas self-curing materials (Excite DSC as adhesive and MultiLink as resin cement) were used in group 3. After 6, 12, and 24 months, patients were recalled, and a clinical and radiographic examination was performed. For some patients, 30-month follow-up data were also collected.

RESULTS

Debonding of the post occurrred in eight cases (3.5%); in another six cases, a recurrence of the periapical lesion was reported.

CONCLUSION

The statistical analysis did not reveal any significant difference in the survival rate of the tested posts, suggesting that all are equally and sufficiently reliable for clinical use.

摘要

目的

本研究前瞻性评估了三种类型的半透明桩在2至3年随访期内的临床性能。

材料与方法

选取225例需要进行牙髓治疗的前磨牙患者,随后用纤维桩和烤瓷冠进行修复。样本随机分为三组,每组75例患者。同一组内所有患者使用同一种桩:第1组 = Aesthetic Plus;第2组 = DT;第3组 = FRC Postec。对于桩的粘结,第1组和第2组的牙根使用光固化粘结剂(一步法)和双固化树脂水门汀(Duo-Link),而第3组使用自固化材料(Excite DSC作为粘结剂,MultiLink作为树脂水门汀)。在6个月、12个月和24个月后,召回患者并进行临床和影像学检查。对于部分患者,还收集了30个月的随访数据。

结果

有8例(3.5%)出现桩脱粘;另有6例报告根尖周病变复发。

结论

统计分析未显示受试桩的存活率有任何显著差异,表明所有桩在临床使用中同样可靠且足够可靠。

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