| 王洪伟,王浩,王欣,孙磊磊,任伟,吴祥兵.三氧化矿物凝聚体在显微根尖术治疗难治性慢性根尖周炎中的应用研究[J].口腔材料器械杂志,2018,27(4):205-209. |
| 三氧化矿物凝聚体在显微根尖术治疗难治性慢性根尖周炎中的应用研究 |
| Study on the application of mineral trioxide aggregate in the treatment of refractory chronic periapical periodontitis with dental operating microscope |
| 投稿时间：2018-03-11 修订日期：2018-05-27 |
| DOI：10.11752/j.kqcl.2018.04.06 |
| 中文关键词: 显微根尖手术 慢性根尖周炎 三氧化矿物凝聚体 |
| 英文关键词:Dental Operating Microscope Chronic periapical periodontitis Mineral Trioxide Aggregate |
| 基金项目:国家自然科学基金青年项目（编号：81502347） |
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| 中文摘要: |
| 目的 探究显微根尖手术（Dental operating microscope，DOM）治疗难治性慢性根尖周炎时应用三氧化矿物凝聚体的可行性。方法 选择2016年2月~2017年2月在扬州友好医院口腔科就诊的难治性慢性根尖周炎89例（89颗患牙，每人1颗患牙）患者，行DOM同时应用三氧化矿物凝聚体（Mineral Trioxide Aggregate，MTA）作为倒填充材料，术后3个月、半年、一年定期随访复查，以临床检查和影像学检查评价患者根尖周病损的愈合情况，其中临床检查以患者主诉疼痛和视诊、扪诊及咬诊对患牙进行判断，并根据影像学及临床检查分为治愈、改善和失败3个等级，评价临床治疗效果，同时分析性别、年龄、患牙牙位分布对治疗效果的影响。结果 1年后随访复查结果显示治疗成功率达95.51%，性别、年龄及患牙牙位分布均未对DOM治疗效果产生明显影响，4例治疗失败患者中1例磨牙因根折被拔除，2例前牙因根折或重度牙周炎症造成术后再次出现瘘管，1例因牙周袋较深被拔除。结论 DOM治疗难治性慢性根炎周炎时应用MTA封闭技术是一种较为可靠有效的方法，值得在临床推广使用。 |
| 英文摘要: |
| Objective To explore the feasibility of applying mineral trioxide aggregate in the treatment of refractory chronic periapical periodontitis with dental operating microscope.Method 89 patients with refractory chronic periapical periodontitis (89 teeth, 1 teeth per person) were selected in Department of Stomatology, Yangzhou Friendship Hospital between February 2016 and 2017 February. DOM was applied and at the same time Mineral Trioxide Aggregate (MTA) was used as an inverted filling material. The patients were followed up for 3 months, half a year and a year after operation. The healing of periapical lesions was evaluated by clinical examination and imaging examination. Among them, the clinical examination was judged by patients' complaints of pain and visual diagnosis, palpation and bite diagnosis. According to the imaging and clinical examination, three grades of cure, improvement and failure were used to evaluate the effect of clinical treatment, and the impacts of sex, age and tooth distribution on the treatment effect were analyzed.Results 1 years later, follow-up review result showed that the success rate of treatment was 95.51%. The effects of gender, age and tooth location on the treatment of DOM were not significant. The results showed that there was no significant difference in the treatment effect among each group (P>0.05). Of the 4 cases of failed treatment, 1 case of molar was removed from root fracture, 2 cases of anterior teeth were once more fistula after root fracture or severe periodontitis, and 1 case was removed because of the deeper periodontal pocket.Conclusion DOM is a reliable and effective method for the treatment of refractory chronic scapulohumeral periarthritis with MTA sealing technique. The success rate of treatment was high and the effect was satisfactory. Therefore, it is worth popularizing in clinic. |
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