CAJ | 학술논문

目的为研究单纯根管内封药+牙胶尖根管充填术对前牙区根尖周小囊肿(直径＜ 2cm)的临床疗效.方法选择前牙区根尖小囊肿(直径＜2cm)病例35例43颗患牙,进行充分的引流,根管预备,封VITAPEX,每半月换一次药,期间多次拍根尖X光片观察囊肿收缩情况,之后进行碧蓝麻根管充填糊剂+牙胶尖根管充填.术后每半年复诊拍X线牙片追踪观察疗效.结果 43颗患牙根尖周治疗追踪2年后痊愈27颗,好转12颗,失败4颗,总有效率90.69％.结论通过VITAPEX根管封药+牙胶尖根管充填可以治愈大部分前牙根尖周小囊肿.
목적 위연구단순근관내봉약+아효첨근관충전술대전아구근첨주소낭종(직경＜ 2cm)적림상료효.방법 선택전아구근첨소낭종(직경＜2cm)병례35례43과환아,진행충분적인류,근관예비,봉VITAPEX,매반월환일차약,기간다차박근첨X광편관찰낭종수축정황,지후진행벽람마근관충전호제+아효첨근관충전.술후매반년복진박X선아편추종관찰료효.결과 43과환아근첨주치료추종2년후전유27과,호전12과,실패4과,총유효솔90.69％.결론 통과VITAPEX근관봉약+아효첨근관충전가이치유대부분전아근첨주소낭종.
Objective To study the combined clinical efficacy of sealing agents in simple root canal and gutta-percha root canal filling for treatment of small apical cyst (less than 2 cm in diameter) in anterior tooth.Methods A total of 43 anterior teeth with apical small cyst from 35 cases were studied.All teeth went through adequate drainage,root canals preparation and VITAPEX sealing.Agents were changed fortnightly.During the treatment period,primacaine filling paste combined with gutta-percha was used for root canal filling,according to the shrink status of cyst shown on X-rays of the apical.X-rays following up was performed every six months to track the clinical efficacy after the operations.Results After a two-year-long follow-up,among the 43 teeth with apical cyst,27 teeth healed,12 improved,and 4 failed.The effective rate was 90.69％.Conclusion VITAPEX root canal sealing combined with gutta-percha root canal filling can treat effectively most of small apical cyst in anterior tooth.