半牙切除术后固定修复治疗下颌磨牙根分叉病变的临床研究
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- 论文作者：申庸凡 ; 徐薇 ; 路立花 ; 田荣祥 ; 张超
- 年：2016
- 作者机构：河北省眼科医院口腔科;河北省任县医院口腔科;河北省清河县中心医院口腔科;
- 论文关键词：半牙切除术 ; 下颌磨牙 ; 根分叉病变 ; 固定修复
- 英文论文关键词：Hemisection of teeth ; Mandibular molar ; furcation involvement ; fixed restoration
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R782.1
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2093k
- 原文格式：D
- 会议级别：全国
摘要
目的探讨有根分叉病变、某一根病变严重而另一牙根尚好的下颌磨牙经牙体牙周牙髓治疗后的修复方法。方法将50颗有根分叉病变且某一根的病变已严重到不能保留,而另一牙根尚好,并能进行根管治疗的下颌磨牙经完善的根管治疗、牙周基础治疗后,把近、远中根分离,将病变严重的根拔除,3月后把余留的根与近中或远中邻牙做固定修复。结果保存修复1年后颗患牙咀嚼功能良好,修复体稳固,无松动;X线片示牙槽骨无继续吸收;总有效率达92%。结论伴有根分叉病变的某一根病变严重而另一牙根尚好的下颌磨牙经完善的根管、牙周联合治疗后行半牙切除术,患牙可以较长时间保存,行使良好的功能。
Objective To discuss repair approachs of the furcation involvement of mandibular molar teeth by periodontal dental pulp treatment. Methods 50 teeth of serious lesion in rootfurcalion were selected and treated by root canal therapy and periodontal therapy. All samples were hemiseeted and the bad roots were removed. Fixed restoration were carrying out 3 months later. Result After 1 year,all teeth and restorations worked well without mobility.The survival rate of the restorations was 92 %.Conclusion Residual roots of the mandibular molar with furcationinvolvement restored with root separation can perform masticatory function well.
Objective To discuss repair approachs of the furcation involvement of mandibular molar teeth by periodontal dental pulp treatment. Methods 50 teeth of serious lesion in rootfurcalion were selected and treated by root canal therapy and periodontal therapy. All samples were hemiseeted and the bad roots were removed. Fixed restoration were carrying out 3 months later. Result After 1 year,all teeth and restorations worked well without mobility.The survival rate of the restorations was 92 %.Conclusion Residual roots of the mandibular molar with furcationinvolvement restored with root separation can perform masticatory function well.
引文
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[4]王玉玲.分根术后联冠修复治疗重度根分叉病变的临床探讨[J].广东牙病防治,2007,15(8):375.
[5]徐君伍.口腔修复学.第4版.[M]北京:人民卫生出版社,2000.421.
[6]张文云,陈吉华,施长溪,等桩核材料与纤维/复合树脂材料桩钉联合修复无髓牙的抗折性能研究[J].华西口腔医学杂志,2004,22(5):404-414.