首页|牙髓血运重建术在年轻恒牙牙髓坏死伴/不伴根尖周炎治疗中的临床疗效

牙髓血运重建术在年轻恒牙牙髓坏死伴/不伴根尖周炎治疗中的临床疗效

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
  • 维普
目的:评价牙髓血运重建术在牙髓坏死伴/不伴根尖周炎的年轻恒牙牙髓治疗中的临床疗效.方法:回顾进行牙髓血运重建术治疗的10 颗患牙,术后每3～6 个月复查,随访10～27 个月.通过问诊、临床检查和影像学检查评估治疗前后,患牙不适临床症状的转归以及牙根发育的情况.结果:牙髓血运重建术后,所有患牙不适临床症状消失,临床有效率和患牙临床生存率达 100%,且影像学检查显示根尖周病变愈合,牙根继续发育,根尖孔直径减小,牙根长度增加(P＜0.05),根管壁厚度增加不显著(P＞0.05).结论:牙髓血运重建术在牙髓坏死伴/不伴根尖周炎年轻恒牙的治疗中取得了较好的临床疗效.
Clinical efficacy of pulp revascularization in the treatment of immature permanent teeth with/without periapi-cal periodontitis and pulp necrosis
Objective:To evaluate the clinical effect of dental pulp revascularization in the treatment of pulp necrosis in immature permanent teeth with or without periapical inflammation.Methods:Ten teeth treated with dental pulp revascular-ization were followed up for 10 to 27 months and revisited every 3 to 6 months.The clinical symptoms of teeth and the devel-opment of roots before and after treatment were evaluated through consultation,clinical examination and X-ray examination.Results:After dental pulp revascularization,all the clinical symptoms of the affected teeth disappeared,the periapical lesions healed,the clinical effective rate and the clinical survival rate of the affected teeth reached 100%,and the X-ray examination showed that periapical lesions healed,the root continued to develop,the diameter of the apical foramen decreased,and the root length increased(P＜0.05),however the thickness of root did not increase significantly(P＞0.05).Conclusion:Pulp revas-cularization is effective in the treatment of pulp necrosis in young permanent teeth with or without periapical periodontitis.

Dental pulp revascularizationImmature permanent teethRoot developmentDens evaginatusPeriapi-cal inflammation

金伟秋、廖莹、闫福华

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南京大学医学院附属口腔医院,南京市口腔医院儿童口腔科 江苏 南京 210008

牙髓血运重建术 年轻恒牙 牙根发育 畸形中央尖 根尖周炎症

国家自然科学基金青年科学基金项目南京大学医学院附属口腔医院3456骨干人才资助项目南京市口腔疾病临床医学研究中心

820010350222R2022019060009

2024

10.3969/j.issn.1003-1634.2024.01.005

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子：0.783
ISSN：1003-1634
年,卷(期)：2024.40(1)
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