马宏艳

[摘要] 目的 研究分析并且對比口腔修复中采用纤维桩与铸造金属桩的效果和最终BI评分。方法 随机选取该院在2017年2月—2019年4月收治的86例患者作为该次课题研究对象，将患者分为研究组和对比组，每组患者43例，研究组患者采用的是纤维桩的方式进行口腔修复，对照组患者采用的是铸造金属桩进行口腔修复，对比两组患者最终修复效果以及BI评分。结果 对比两组患者接受治疗后的修复成功率，发现研究组患者最终修复率为95.35%，对照组患者的最终修复率为81.40%，两组患者数据进行对比后发现研究组总有效率更高，差异有统计学意义（χ2=4.074，P=0.044<0.05）;对比两组患者两组患者修复后各项指标，发现研究组患者的修复效果、咀嚼能力、外观效果和舒适度均优于对照组，且两组患者数据比较差异有统计学意义（P<0.05）;对比两组3项评分，发现研究组患者接受治疗后的SBI、GI、BI评分均低于对照组，且两组数据比较差异有统计学意义（P<0.05）。结论 在进行口腔修复当中，采用纤维桩的方式最终修复效果优于铸造金属桩，同时修复的成功率较高，修复的BI评分数据结果更好，操作简单的基础上更符合患者的审美需求，修复满意度更高，因此值得在现代临床医学中广泛应用和推广。

[关键词] 纤维桩;铸造金属桩;口腔修复;BI评分

[中图分类号] R783          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0025-03

Effect Comparison of Fiber Post and Cast Metal Post for Oral Repair and Analysis of Influence on BI Score

MA Hong-yan

Department of Stomatology， Simao District People's Hospital， Pu'er， Yunnan Province， 665000 China

[Abstract] Objective To analyze and compare the effect of fiber post and cast metal post and the final BI score in oral repair. Methods A total of 86 patients admitted to our hospital from February 2017 to April 2019 were randomly selected as the subject of this study. The patients were divided into a study group and a comparison group， with 43 patients in each group. The fiber post was used for oral repair in the study group. The control group of patients used cast metal posts for oral repair. The final repair effect and BI score were compared between the two groups of patients. Results After comparing the repair success rates of the two groups of patients， the final repair rate of the patients in the study group was 95.35%， and the final repair rate of the patients in the control group was 81.40%. The total effective rate was higher in the group， the difference was statistically significant（χ2=4.074，P=0.044<0.05）; comparing the various indicators of the two groups of patients after repair， it was found that the repair effect of the patients in the study group， chewing ability， appearance effect and comfort  are better than the control group， and the data difference between the two groups of patients has statistical significance difference（P<0.05）; comparing the three scores of the two groups， it was found that the patients in the study group received SBI， GI， and BI， are lower than the control group， and the difference between the two groups of data is very significant， the difference was statistically significant（P<0.05）. Conclusion In the process of oral restoration， the final restoration effect of fiber post is better than that of cast metal post. At the same time， the success rate of repair is higher. The BI score data of the repair is better. The simple operation is more in line with the aesthetic needs of patients， the repair satisfaction is higher， so it is worthy of wide application and promotion in modern clinical medicine.

[Key words] Fiber post; Cast metal post; Oral repair; BI score

牙体缺损出现的主要原因就是由于口腔内牙齿发育出现畸形或者磨损以及酸腐蚀等，当患者出现牙体缺损时就会造成口腔内部牙周组织发育以及咀嚼等功能影响[1-2]。在以往的治疗中，通常情况下医师都是采用填充法进行口腔修复，但是这种修复模式会导致患者牙齿受损程度增大，剩余牙齿组织变薄，导致牙齿填充无法有效固定。另外，加之当代人们对于牙齿的审美需求，从而造成当下单一的填充法口腔修复方法已经无法满足人们的实际需求，因此也就需要进一步进行牙齿修复[3-4]。目前，常见的口腔修复方法就是人工制作修复缺损牙齿的形态以及美观和功能，修复方法分为金属桩和纤维桩2种。为了能够进一步探究金属桩和纤维桩的临床修复效果，该文对该院在2017年2月—2019年4月收治的86例患者进行口腔修复中采用纤维桩与铸造金属桩的效果和最终BI评分深入研究。……