国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
10期
1474-1476
,共3页
塑化治疗%根管治疗%牙髓
塑化治療%根管治療%牙髓
소화치료%근관치료%아수
Resinfying therapy%Root canal therapy%Pulp
目的 通过对牙髓塑化治疗失败需再治疗的患牙进行分析,探讨其失败原因.方法 选取178颗塑化治疗失败牙,根据初次治疗情况、临床、术前X线根尖片等检查资料及术中对患牙根管系统的探查等判断治疗失败原因.结果 患牙牙位分布情况:上下颌磨牙共139颗(78.1％),上颌磨牙发生率最高(51.7％);牙折发生率最高,共97颗(54.5％),根尖周炎、残髓炎的患牙共69颗(38.8％);失败牙中多存在塑化不全或根管遗漏.结论 塑化治疗失败牙多发于磨牙,特别是上颌磨牙,失败最主要原因为牙折,其次为残髓炎及根尖周病变.
目的 通過對牙髓塑化治療失敗需再治療的患牙進行分析,探討其失敗原因.方法 選取178顆塑化治療失敗牙,根據初次治療情況、臨床、術前X線根尖片等檢查資料及術中對患牙根管繫統的探查等判斷治療失敗原因.結果 患牙牙位分佈情況:上下頜磨牙共139顆(78.1％),上頜磨牙髮生率最高(51.7％);牙摺髮生率最高,共97顆(54.5％),根尖週炎、殘髓炎的患牙共69顆(38.8％);失敗牙中多存在塑化不全或根管遺漏.結論 塑化治療失敗牙多髮于磨牙,特彆是上頜磨牙,失敗最主要原因為牙摺,其次為殘髓炎及根尖週病變.
목적 통과대아수소화치료실패수재치료적환아진행분석,탐토기실패원인.방법 선취178과소화치료실패아,근거초차치료정황、림상、술전X선근첨편등검사자료급술중대환아근관계통적탐사등판단치료실패원인.결과 환아아위분포정황:상하합마아공139과(78.1％),상합마아발생솔최고(51.7％);아절발생솔최고,공97과(54.5％),근첨주염、잔수염적환아공69과(38.8％);실패아중다존재소화불전혹근관유루.결론 소화치료실패아다발우마아,특별시상합마아,실패최주요원인위아절,기차위잔수염급근첨주병변.
Objective To analyze the failed causes of resinfying therapy for dental pulp.Methods 178 failed resinfying teeth were analyzed according to the initial treatment records,clinical examination,pretreatment radiographs,and root canal exploration during retreatment.Results The distribution of the 178 failed teeth:the failed resinfying teeth occurred molar mostly ( 78.1％ ),especially on maxillary molar ( 51.7％ );,and the main cause of failure of resinfying therapy involved teeth fracture ( 54.5％ ),the second main causes were periapical periodontitis and resdin pulpitis,and most failed teeth were identified inadequate redsinfying operation or missing root canal.Conclusions The failed teeth of resinfying therapy occurres molar mostly,especially on maxillary molar,the main cause of failure of resinfying therapy is teeth fracture,and the second causes are periapical periodontitis and resdin pulpitis.
