CAJ | 학술논문

目的探究上颌第一恒磨牙逆行性牙髓炎的治疗方法及效果。方法对23例上颌第一恒磨牙逆行性牙髓炎患者根据病情分轻型，重型两组，分别进行单纯牙周治疗和牙周牙髓联合治疗，观察疗效。结果经1年随访，23例患者中进行单纯牙周治疗的10例有效率为85.0%。牙周牙髓联合治疗的13例有效率达92.3%。结论当逆行性牙髓炎的牙髓炎症为亚急性或充血状态时，单纯牙周治疗即可取得较好疗效；为急性炎症时，牙周牙髓联合治疗可以取得较好疗效，临床上可以根据病情选择治疗方式。
목적탐구상합제일항마아역행성아수염적치료방법급효과。방법대23례상합제일항마아역행성아수염환자근거병정분경형，중형량조，분별진행단순아주치료화아주아수연합치료，관찰료효。결과경1년수방，23례환자중진행단순아주치료적10례유효솔위85.0%。아주아수연합치료적13례유효솔체92.3%。결론당역행성아수염적아수염증위아급성혹충혈상태시，단순아주치료즉가취득교호료효；위급성염증시，아주아수연합치료가이취득교호료효，림상상가이근거병정선택치료방식。
Objective To observe the therapy and curative effect of ascending pulpitis on maxillary ifrst molar. Methods 23 maxillary ifrst molars with ascending pulpitis were divided into two groups:mild case and severe case. To cure the mild case with periodontal therapy. To cure the severe case with combined periodonto-endodontic therapy. To observe the result of each treatment. Results The effective power of 10 mild case with periodontal therapy is 85.0%while the effective power of 13 mild case with combined periodonto-endodontic therapy is 92.3%after 1 year’s follow-up visit. Conclusions When the inlfammation of dental pulp ismild, periodontal therapy seem to be a effective method, while the combined periodonto-endodontic therapy could be used to cure the acute inlfammation to gain optimistic effect. We could choose different treatment according to the pathogenetic condition in clinical.