A comparative study on the effect of glass fiber post and metal post in restoration of anterior tooth defect

doi:10.19439/j.sjos.2020.03.019

Abstract

Abstract: PURPOSE: To analyze the effect and long-term success rate of using glass fiber post or metal post in restoration of anterior tooth defect. METHODS: One hundred and fifty cases with anterior tooth defects were chosen after root canal therapy in our hospital. According to different material being chosen, the patients were divided into fiber post group and metal post group with 75 cases in each group. Local gingival sulcus fluid (GCF) levels and alkaline phosphatase (ALP) level in gingival sulcus liquid were measured and compared 4 weeks, 6 months, 1 year, 2 years and 3 years after restoration. Restoration integrity, edge fitness and color matching of two groups were compared after follow-up for 3 years. The data were analyzed with SPSS 19.0 software package. RESULTS: Four weeks, 6 months, and 1 year after restoration, local GCF, ALP levels significantly elevated in both groups. The fiber post group showed more significant elevated levels of GCF and ALP than the metal post group (P<0.05). After 2 and 3 years, the difference between the two groups was not significant. The gingival color matching degrees were significantly better in the glass fiber post group after 1 year compared with that in the metal post group(P<0.05). The success rate of metal post group was significantly higher than that of fiber post group 3 years after restoration(P<0.05). CONCLUSIONS: Fiber post and metal post both have satisfactory restoration result for tooth defect in anterior teeth area. However, the use of precious metal alloy post may reduce the possibility of microleakage between tooth-prosthesis surfaces.

Key words: Glass fiber post, Metal post, Tooth defect, Long-term result

CLC Number:

R783.1

WU Xue-ying, YE Ye, ZHONG Qun. A comparative study on the effect of glass fiber post and metal post in restoration of anterior tooth defect[J]. Shanghai Journal of Stomatology, 2020, 29(3): 325-328.

References

[1] 汪洁, 宋冬生. 纤维桩联合辅桩与半贵金属铸造桩修复漏斗状残根残冠的临床疗效比较[J]. 口腔医学, 2014, 34(12): 940-942.
[2] 常志明. 玻璃纤维桩与金属桩核修复牙体缺损的比较[J].中国组织工程研究, 2013, 17(29): 5309-5315.
[3] Yang A, Lamichhane A, Xu C.Remaining coronal dentin and risk of fiber-reinforced composite post-core restoration failure: a meta-analysis[J]. Int J Prosthodont, 2015, 28(3): 258-264.
[4] 胥春. 浅谈纤维增强复合树脂桩用于牙体缺损修复的相关问题[J]. 口腔材料器械杂志, 2018, 27(3): 121-127.
[5] Goracci C, Ferrari M.Current perspectives on post systems: a literature review[J]. Aust Dent J, 2011, 56(Suppl 1): 77-83.
[6] Mentink AG, Meeuwissen R, Kayser AF, et al.Survival rate andfailure characteristics of the all metal post and corerestoration[J]. J Oral Rehabil, 1993, 20(5): 455-461.
[7] 黄菊. 牙体缺损修复中玻璃纤维桩与铸造金属桩的应用价值[J].中国组织工程研究, 2014, 18(47): 7643-7648.
[8] 孙宁宁, 殷恺, 李玉民, 等. 玻璃纤维桩长度和纤维含量对牙体抗折强度的影响[J]. 天津医药, 2014, 42(5): 490-492.
[9] 赵志华, 李晓杰, 左恩俊, 等. 不同桩表面处理对玻璃纤维桩与牙本质粘结强度的影响[J]. 大连医科大学学报, 2010, 32(2): 125-129.
[10] 王压冲, 冯云枝, 陈梅, 等. 玻璃纤维桩修复不同缺损程度前牙抗折裂性能的比较[J]. 实用口腔医学杂志, 2010, 26(1): 126-127.
[11] 刘新庆, 刘怡珍, 刘淑琴, 等. 多个玻璃纤维桩树脂核修复磨牙残冠[J].中国组织工程研究与临床康复, 2011, 15(38): 7161-7164.
[12] 禤坤, 王群云. 纤维桩和金属桩在前牙修复中的疗效比较[J]. 临床口腔医学杂志, 2015, 31(11): 672-674.
[13] Lamichhane A, Xu C, Zhang FQ.Dental fiber-post resin base material: a review[J]. J Adv Prosthodont, 2014, 6(1): 60-65.
[14] 王婧婧, 陈震春, 陈卫芳, 等. 预成金属桩和纤维桩固位影响因素的剪切粘接实验[J]. 实用口腔医学杂志, 2011, 27(4): 478-481.
[15] 陈强, 魏素华. 纤维桩修复的冠向微渗漏研究概况[J]. 国际口腔医学杂志, 2008, 35(6): 709-711.
[16] Lassila LV, Vallittu PK.The effect of fiber position and polymerization condition on the flexural properties of fiber-reinforced composite[J]. J Contemp Dent Pract, 2004, 15(2): 14-26.
[17] Falcão Spina DR, Goulart da Costa R, Farias IC, et al. CAD/CAM post-and-core using different esthetic materials: Fracture resistance and bond strengths[J]. Am J Dent, 2017, 30(6): 299-304.