Objective: To compare and analyze the clinical effects of the two different repairment on the residual root and crown of maxillary anterior teeth. Methods: 120 cases of patients with anterior teeth defect or crown fracture who needed surgery to repair the line core crown pile from October 2011 to December 2013 in our hospital were randomly divided into glass fiber pile group and cast metal pile group, each with 60 cases. Glass fiber pile group were given nuclear and porcelain crown treatment. Cast metal pile group were given chromium alloy cast post and core drilling with a porcelain crown treatment, restorative treatment efficacy and failures of two groups were compared. Results: Glass fiber pile group had 1 case due to the relocation lost to follow-up, follow-cast metal pile group had2 cases patients of treatment interruption due to metal sensitization, which were removed. In the rest 117 cases(179 tooth) of patients, the glass fiber pile group had 92 teeth, the success rate was 89.13 %, cast metal pile group had 87 teeth, and the success rate was 79.31%,significantly higher than the fiberglass cast metal pile group; glass fiber pile group root fracture, the incidence of post-core loose or fall off was significantly lower than that of cast metal pile group; while the incidence of nuclear pile off the pile group was significantly higher than that of cast metal pile group. The difference was statistically significant(P <0.05). Conclusion: Glass fiber post is beautiful,fatigue, easy to operate, results in fewer patient referral and there is no cell toxicity and allergic reactions or other complications, the repair is better than that of metal post. [ABSTRACT FROM AUTHOR]