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玻璃纤维增强和未增强复合树脂对严重破坏的乳前牙采用桩核系统修复后骨折行为的影响。

Effects of glass fibers reinforced and non-reinforced composite resin on fracture behavior of severely destructed primary incisors and restored with post and core system.

作者信息

El Agamy Rizk

机构信息

Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.

出版信息

Saudi Dent J. 2024 Mar;36(3):451-455. doi: 10.1016/j.sdentj.2023.12.003. Epub 2023 Dec 9.

Abstract

OBJECTIVE

To evaluate fracture resistance and failure type of coronally rehabilitated primary incisors with EverX Flow or Grandio Core post and core with or without fiber post.

MATERIALS AND METHODS

Forty-eight extracted maxillary primary incisors were root canal treated and obturated with Metapex. The coronal 4-mm of Metapex was removed to create 3-mm intracanal post space. Next, coronal enamel and radicular dentin surfaces were acid-etched, and a bonding agent was applied and light-cured. Based on intracanal post and 2-mm height core buildup materials, specimens were divided equally (n = 12) into 4 groups as follow; Group I (EverX Flow), Group II (Grandio Core), Group III (Fiber post, and EverX Flow), and Group IV(Fiber post and Grandio Core). The coronal restorations were finalized to 4-mm height using G-aenial Anterior composite and specimens were tested for fracture resistance. Force required to induce fracture was recorded and failure type was examined.

RESULTS

Fracture resistance of Fiber post and EverX Flow group was statistically significant high than other tested groups. However, fracture resistance of EverX Flow group showed non-statistically significant difference from that of Fiber post and Grandio Core group. Regarding failure type, no specimen presented root fracture, and all failures were favorable and repairable.

CONCLUSION

EverX flow post and core with or without fiber post enhanced fracture resistance of restored primary incisors compared to Grandio Core alone.

CLINICAL RELEVANCE

EverX flow post and core system with or without fiber post could be a promising restorative option for severely destructed primary incisors.

摘要

目的

评估使用EverX Flow或Grandio Core桩核并结合或不结合纤维桩进行冠部修复的乳切牙的抗折性和失败类型。

材料与方法

选取48颗拔除的上颌乳切牙进行根管治疗,并用Metapex进行充填。去除Metapex冠方4mm以形成3mm的根管内桩道空间。接下来,对冠部釉质和牙根牙本质表面进行酸蚀,涂抹粘结剂并光照固化。根据根管内桩和2mm高的核材料,将标本平均分为4组(n = 12),如下:第一组(EverX Flow),第二组(Grandio Core),第三组(纤维桩和EverX Flow),第四组(纤维桩和Grandio Core)。使用G-aenial Anterior复合树脂将冠部修复体最终完成至4mm高度,并对标本进行抗折性测试。记录导致骨折所需的力,并检查失败类型。

结果

纤维桩和EverX Flow组的抗折性在统计学上显著高于其他测试组。然而,EverX Flow组的抗折性与纤维桩和Grandio Core组相比无统计学显著差异。关于失败类型,没有标本出现牙根骨折,所有失败情况都是有利的且可修复的。

结论

与单独使用Grandio Core相比,使用或不使用纤维桩的EverX flow桩核增强了修复后乳切牙的抗折性。

临床意义

使用或不使用纤维桩的EverX flow桩核系统可能是严重破坏的乳切牙的一种有前景的修复选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71bf/10960103/af31f68a3b2b/gr1.jpg

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