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根尖诱导成形术治疗年轻恒牙牙髓炎及尖周病变24例临床分析
作者:陈韵1 葛久禹1 李静2 
单位:1.南京市口腔医院,口腔内科,江苏,南京,210008; 2.南京市儿童医院,口腔科,江苏,南京,210008
关键词:牙根/外科学 牙髓疾病/治疗 牙周疾病/治疗 
分类号:R781.3
出版年·卷·期(页码):2003·22·第四期(268-269)
摘要:

目的:探讨根尖诱导成形术治疗年轻恒牙牙髓炎及尖周病变的疗效.方法:采用控制感染加钙维他药物的根尖诱导成形术治疗24例患者28颗根尖尚未发育完成并患有牙髓炎或尖周炎的年轻恒牙.通过随访,X线摄片观察根尖发育情况,并结合临床标准评价其疗效.结果:根尖发育完成17颗,根尖孔处有钙化桥形成9颗,有效率为92.8%.结论:根尖诱导成形术是治疗年轻恒牙牙髓炎及尖周病变的有效方法.

Objective  To investigate the curative effect of apexification treatment on pulpitis or periapical perodontitis of immature permanent teeth.Methods  Apexification treatment with calvital and infectious control was applied to 28 immature permanent teeth from 24 patients with pulpitis or periapical periodontitis.The effect was evaluated on the basis of clinical curative criterion and the development of root apiex from X-ray taken in the follow-up.Result  Among the teeth,17 showed complete apical developement,and calcific bridge over apical foramens formed in 9.The effective rate was 92.8%.Conclusion  Apexification is an effective therapy for pulpitis or periapical periodontitis of immature permanent teeth.

参考文献:

[1] 樊明文. 牙体牙髓病学, 2000
[2] 文玲英. 年轻恒牙根尖形成的治疗探讨. 实用口腔医学杂志1991(2)
[3] 裴传道, 宋光太, 郭颖. 用抗生素糊剂诱导牙髓坏死的年轻恒牙根尖形成的临床研究, 1997(1)
[4] Das S, DAS A K, MURPHY R A. Experimental apexigenesis in baboons. 1997(1). doi:10.1111/j.1600-9657.1997.tb00006.x
[5] KONTAKIOTIS E G, WU M K, WESSELINK P R. Effect of calcium hydroxide dressing on seal of permanent root filling, 1997(6)
[6] 樊淑梅, 文玲英, 杨少敏. 抗生素药捻在根管消毒中的应用. 牙体牙髓牙周病学杂志1999(2). doi:10.3969/j.issn.1005-2593.1999.02.034 

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