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显微根管外科手术失败的原因分析及防治策略

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本文以文献为基础,系统回顾笔者15年来显微根管外科失败病例,分析失败原因,根据时间分为近期和远期失败两类.诊断错误、治疗方案不合理和手术操作不规范导致近期失败,而远期失败主要因为继发性根裂、继发其它病变、手术操作不完善和合并严重牙周病变.针对失败原因,提出相应处理方案,即纠正错误、拔除患牙和再次手术.预防策略包括建立正确诊断、选择合适病例、制定合理治疗计划以及进行规范化操作,避免近期失败,降低远期失败发生率,以提高手术成功率,有效治疗牙髓根尖周病,保存健康天然牙.
Causative analysis,prevention and treatment on failure of endodontic microsurgery
Based on the literature,this paper systematically reviews the failure cases of endodontic microsurgery in the past 15 years.according to the time point:short-term and long-term failuresthe reasons for the failures are analyzed and classified into two categories.Incorrect diagnosis,unreasonable treatment plans,and non-standard surgical procedures lead to short-term failures,while long-term failures are mainly due to secondary vertical root fracture,other diseases,imperfect surgical procedures,and severe periodontal disease.Corresponding treatment plan is proposed,including error correction,extraction,and re-surgery.Prevention strategies include establishing correct diagnosis,selecting appropriate cases,developing reasonable treatment plans,and implementing standardized procedures to avoid short-term failures,reduce long-term failure,to improve the success rate of endodontic microsurgery,effectively treat pulp and periapical diseases,and preserve healthy natural teeth.

endodontic microsurgeryfailurepreventiontreatment

王捍国

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口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,第四军医大学口腔医院牙体牙髓病科,陕西西安 710032

显微根管外科 失败 预防 治疗

2024

牙体牙髓牙周病学杂志
第四军医大学口腔医学院

牙体牙髓牙周病学杂志

影响因子:0.946
ISSN:1005-2593
年,卷(期):2024.29(11)