Volume 19 Issue 5
May  2021
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CHEN Wen-li, XIE Xiao-fei, LIU Fang, TIAN Rui-xue, HUANG Yong-song, LI Jian-cheng. Clinical effect of onlay and fibre post-core crown in repairing tooth defect after root canal treatment[J]. Chinese Journal of General Practice, 2021, 19(5): 767-770. doi: 10.16766/j.cnki.issn.1674-4152.001912
Citation: CHEN Wen-li, XIE Xiao-fei, LIU Fang, TIAN Rui-xue, HUANG Yong-song, LI Jian-cheng. Clinical effect of onlay and fibre post-core crown in repairing tooth defect after root canal treatment[J]. Chinese Journal of General Practice, 2021, 19(5): 767-770. doi: 10.16766/j.cnki.issn.1674-4152.001912

Clinical effect of onlay and fibre post-core crown in repairing tooth defect after root canal treatment

doi: 10.16766/j.cnki.issn.1674-4152.001912
Funds:

 KJ2019A0374

 BYKY2019019ZD

  • Received Date: 2020-11-12
    Available Online: 2022-02-16
  •   Objective  To compare the clinical efficacy of onlay and fibre post in repairing severe molar defects.  Methods  Patients with two to three axial walls left in molars after root canal treatment in the First Affiliated Hospital of Bengbu Medical College from January 2017 to December 2018 were selected as study subjects. Fifty-eight patients had 60 teeth, and they were randomly divided into onlay group and fibre post-core crown group. Modified USPHS was used to assess the fracture, abutment preservation, edge fitness, adjacency relationship and bleeding index at 6 and 12 months postoperatively.  Results  Six months during observation period, the tooth body integrity and restoration integrity for the onlay group and fibre post-core crown group were 100%. No difference was noted between the groups regarding the edge adaptability, syntopy and healthy gums. The pile nuclear crown and onlay were above A level for more than 90% and 95%, respectively. In the follow-up observation after 12 months, no difference was noted between the two groups in terms of evaluation indexes, restoration, integrity and gum health. In the post core crown group, the number of defects was large and the degree was serious.  Conclusion  In the restoration of severe molar defects, using all-porcelain onlay is more advantageous than the fibre post-core crown in the restoration of gingival health of adjacent teeth. It is worth popularizing and applying in repairing the large area defect of tooth body.

     

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  • [1]
    ROETZER P L, GUPTA S, SCHULZE K A. Restoration of unusually shaped canals with post endodontic treatment: a review of progressive approaches[J]. Compend Contin Educ Dent, 2018, 39(6): e9-e12. http://europepmc.org/abstract/MED/29847960
    [2]
    ALKHATRI R, SALEH A R M, KHEDER W. Evaluating fracture resistance and failure modes of root filled teeth restored with CAD/CAM-fabricated post and core[J]. Clin Cosmet Investig Dent, 2019, 11: 349-355. doi: 10.2147/CCIDE.S219712
    [3]
    TEKIN S, ADIGUZEL O, CANGUL S, et al. Evaluation of the use of PEEK material in post-core and crown restorations using finite element analysis[J]. Am J Dent, 2020, 33(5): 251-257. http://www.researchgate.net/publication/344688138_Evaluation_of_the_use_of_PEEK_material_in_post-core_and_crown_restorations_using_finite_element_analysis/download
    [4]
    MUNAGA S, DAS A, KAUR T, et al. Comparative clinical evaluation of composite overcast gold post and core buildups in endodontically treated teeth[J]. J Contemp Dent Pract, 2018, 19(10): 1273-1277. doi: 10.5005/jp-journals-10024-2416
    [5]
    李金华, 马长柏, 张雄. 残根纤维桩核与邻牙联冠修复5年临床观察[J]. 中华全科医学, 2015, 13(7): 1101-1102, 1105. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201507022.htm
    [6]
    戚岳孙, 吴晔, 李楠, 等. 纤维桩和铸造桩修复尖牙牙体缺损后牙本质受力的三维有限元分析[J]. 中国临床医学, 2016, 23(3): 278-281. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX201603005.htm
    [7]
    赵灿灿, 胡伟平. 粘结系统对纤维桩核冠修复效果影响的研究进展[J]. 口腔医学, 2019, 39(1): 93-96. doi: 10.3969/j.issn.2095-7882.2019.01.068
    [8]
    冯明, 张国梅, 胡杨, 等. 近-中-远中洞型嵌体三维有限元模型及粘接界面的应力分析[J]. 中国组织工程研究, 2019, 23(14): 2183-2189. doi: 10.3969/j.issn.2095-4344.1650
    [9]
    HAYES A, DUVALL N, WAJDOWICZ M, et al. Effect of endocrown pulp chamber extension depth on molar fracture resistance[J]. Oper Dent, 2017, 42(3): 327-334. doi: 10.2341/16-097-L
    [10]
    陈岗, 陈志飞, 顾卫平, 等. 不同边缘设计椅旁CAD/CAM全瓷高嵌体修复的对比研究[J]. 口腔医学, 2015, 35(7): 550-552. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX201507010.htm
    [11]
    强卫林, 李雨轩, 刘刚, 等. 3种边缘设计铸瓷高嵌体修复不同程度缺损无髓磨牙的3年对比研究[J]. 华西口腔医学杂志, 2018, 36(5): 493-497. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201805010.htm
    [12]
    张孝霞, 韩丁, 朱庆林, 等. 大面积缺损的下颌第一前磨牙桩核冠与高嵌体修复的三维有限元分析[J]. 牙体牙髓牙周病学杂志, 2018, 28(5): 265-269. https://www.cnki.com.cn/Article/CJFDTOTAL-YTYS201805003.htm
    [13]
    NAGASIRI R, CHITMONGKOLSUK S. Long-term survival of endodontically treated molars without crown coverage: a retrospective cohort study[J]. J Prosthet Dent, 2005, 93(2): 164-170. doi: 10.1016/j.prosdent.2004.11.001
    [14]
    张维波, 陈佳龙, 曹颖. 2种全瓷高嵌体修复无髓后牙牙体缺损的对比研究[J]. 中华全科医学, 2020, 18(6): 938-941, 1024. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202006015.htm
    [15]
    陈宇, 李勉香, 张颖. 铸瓷高嵌体修复牙体严重缺损的年轻恒磨牙的效果分析[J]. 华西口腔医学杂志, 2019, 37(3): 299-303. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ201903018.htm
    [16]
    吴华英, 杜劲英, 刘进, 等. 全瓷高嵌体修复根管治疗后牙体缺损的临床效果评价[J]. 口腔医学, 2016, 36(12): 1118-1120. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX201612014.htm
    [17]
    张蕾, 茹菲亚·祖拉提, 何惠宇, 等. CAD/CAM全瓷髓高嵌体在牙体缺损中的临床应用研究[J]. 口腔医学, 2018, 38(6): 523-527. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX201806010.htm
    [18]
    高跃忠, 李丽. 全瓷高嵌体修复根管治疗后牙体缺损的疗效及对预后的影响[J]. 中华全科医学, 2019, 17(8): 1305-1307. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201908017.htm
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