Apical curettage and root canal filling simultaneously the treatment of refractory fistula periapica.docVIP

Apical curettage and root canal filling simultaneously the treatment of refractory fistula periapica 　　（Affiliated Hospital of Tongren Vocational Technieal College Department of Stomatology. Tongren, Guizhou 554300） 　　Abstract. Explore apical curettage, glass ionomer, iodoform paste in root canal treatment of refractory fistula periapical lesions of clinical effect. Ways Select 23 cases were treated by the dental hospital in March 2005 - June 2010 refractory periapical lesions after apical curettage, glass ionomer, iodoform paste instantly fill the root canal. Result 1,3,6,12,18,24 months after treatment follow-up observation and photo X-rays, successful in 16 cases (69.5%), progress in six cases (26%), failure in 1 patient (4.5%), the total efficiencyup to 96.5%. Conclusions Master indications, apical curettage, instantly glass ionomer, iodoform root canal treatment of refractory fistula type periapical disease, efficacy, is worth promoting. 　　Key words: apical curettage surgery；glass ionomer iodoform；refractory fistula type； periapical lesions 　　As root canal treatment equipment development, technology constantly improve, root canal treatment indications gradually expand, in the past, many cant treatment of periapical lesions, most can keep now, but there are still part of periapical lesions in root canal therapy is difficult to cure, must be supplemented by surgery. Blown glass ion, this article explores the apex iodine to paste root filling treatment of refractory periapical lesions have fistula type, obtain good clinical effect, presently reports as follows: 　　Materials and methods 　　case selection 　　Choice in March 2005 - June 2011 to checking our dental patients with periapical lesion and meet the following conditions: (1) one (2) the root canal is bulky, apical pore opening or root canal side wear (a pile of nuclear) has been removed (3) the root canal treatment in hemorrhagic effusion. (4) long lesions, fistula cured (5) out of the whole body sy