摘要
目的对伴牙髓炎的牙隐裂的病因、隐裂特征进行分析，探讨其临床诊断及治疗方法。方法将78例牙髓炎伴牙隐裂的患者作为研究对象，对患者的发病年龄、牙位、隐裂线走向进行分析，采取调晗、根管治疗及全冠修复试保留患牙，并且在修复1年后临床随访观察其治疗效果。结果39～49岁患者牙隐裂发生率最高，以上颌第一磨牙多见。78例隐裂牙综合治疗成功65例（83．33％），有效11例（14．10％），失败2例（2．56％）。结论对隐裂牙进行合理的诊断和治疗能有效地保留患牙，对牙隐裂伴牙髓炎的患者进行根管治疗后的全冠修复是有效的。
Objective To analysis the causes and characteristic of cracked teeth with pulpitis and explore clinical diagnosis and treatment methods. Methods A total of 78 tooth that was identified as a cracked tooth with pulpitis was recorded and analyzed in terms of the age,the position in the mouth,and the location of crack-line. After reducing the cusp height,root canal therapy and crown restoration,the patients were followed up for one year and the treatment effectiveness was reviewed. Results The most prevalent age was 39--49 years. The most of cracked teeth were found in the maxillary molars. There were 65 cases （83.33%） that were treated successfully,the function of 11 cases （14.10%） were improved,and the rate of failure were 2. 56% （2 cases）. Conclu- sion Reasonable clinical diagnosis and treatment can contribute to the retention of the cracked teeth. Coronal restoration after root canal therapy might be a very effective way to treat cracked teeth with pulpitis.
出处
《重庆医学》
CAS
北大核心
2015年第22期3070-3071,3075,共3页
Chongqing medicine
关键词
牙裂
根管疗法
调（牙合）
全冠修复
牙隐裂
dental fissures
root canal therapy
occlusal adjustment, complete coronal restoration, cracked tooth
作者简介
李晓霞（1983-），住院医师，硕士，主要从事口腔内科研究。
通讯作者，E—mail：doctor-mt@hotmail．com。
