应用根管显微镜和超声器械处理阻塞根管的效果评估.pdfVIP

324 2003 9 385 Chin J Stomatol, September 2003, Vol 38, No. 5 凌均 韦曦 高燕 ! (dentaloperating microscope,DOM) 92 135 ,, 77 ( 114 ), 83.7 , 84.4 , 88. 1 , 76.9 , 81.1 ,78.6 , ! ; ; Evaluation of the use of dental operating microscope and ultrasonic instruments in the management of blocked canals LIN G Junqi, WEI X i, GA O Yan Dep artment of Operativ e Dentistry and Endodontics, Guang ua Sc ool of S tomatology, Sun Yatsen University, Guangz ou 510055 , C ina Abstract! Objective To evaluate the use of dental operating microscope ( DOM) and ultrasonic instruments in treating blocked canals Methods 135 blocked canals in 92 teeth were treated with ultrasonic tips and files under DOM The etiology of canal blockage included calcification, broken instruments, post, resinifying therapy or ledge These canals were negotiated and root canal therapy or retreatment was performed The success rates were calculated Results 77 teeth were successfully managed with a success rate of 837 844 of theblocked canalswere negotiatedThesuccess rates of each category of the blocked canals were: 881 for calcified canals; 769 for canals blocked by instrument fragments; 100 for canals blocked by post; 811 for canals subjected to resinifying therapy;and 786 for ledged canals Complications such as root canal perforation or vertical fracture did not occur Conclusion The useof DOM and ultrasonic instruments is proved to be an effective way in the management of blocked canals Key words! Root canal therapy; Treatment outcome; Microscopy ,, 2. : (Zeiss Pico, , );(SuprassonP , MAX , ); ( ): 92 K10, K15,K25, K30;( , ): ET20, ET4