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铸造核桩修复上前牙断裂模式的实验研究

Study on mode of fragmentation of superior incisor restored by cast post-and-core system
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摘要 目的:研究铸造镍铬合金核桩冠在修复上前牙时的断裂模式。方法:对32颗离体上颌中切牙进行完善根管治疗后随机分成4组(每组8颗),截冠后行根管预备,嵌体蜡制作铸造镍铬合金桩冠,桩的直径分别为1.10、1.50、1.70、2.00 mm。镍铬合金全冠修复,超硬石膏包埋,电子万能试验机上以135°方向进行静态加载,测试其断裂方式,使用SAS软件进行统计分析。结果:4组实验牙的断裂载荷测试结果显示:载荷值随桩直径增加而增大,断裂模式随桩直径的增加有由桩弯曲变形到根颈1/3根折再到根纵折的趋势。结论:铸造镍铬合金核桩冠修复上颌中切牙时,理论上讲,桩越细越有利于保护牙体组织,越有利于二次修复。 Objective To study the modes of fragmentation of superior central incisor restored by cast post-and-core system. Methods 32 human maxillary incisors extracted within three months were randomly divided into four groups, then they were endodontically treated. The author amputated the crowns of these teeth, then restored all these teeth with Ni-Co cast metal post-core-crown system. The diameters were 1.10,1.50,1.70 and 2.00 mmo After that the roots were embedded with plaster and loaded on Universal testing machine at a 135-degree angle to the long axis of the roots until the roots fractured. Results were analyzed statistically with SAS statistical software. Results There was statistically significant difference of fracture loads among four groups. We found the trend that the modes of fragmentation were from the distortion of posts to the roots' diagonal fracture of upper 1/3 to vertical fracture of roots with the diameters getting more larger. Conclusion During restoration of maxillary central incisor by cast post-and-core system, the thinner post is benefit to protect the root tissue.
出处 《东南大学学报(医学版)》 CAS 2007年第2期104-106,共3页 Journal of Southeast University(Medical Science Edition)
关键词 铸造核桩 直径 抗力 断裂模式 post-and-core system diameter fracture resistance mode of fragmentation
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参考文献5

  • 1PURTON D G,PAYNE J A.Comparison of carbon fiber and stainless steel root canal posts[J].Quintessence Int,1996,27(2):93-97.
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