牙髓塑化治疗后再治疗原因分析.pdfVIP

京口腔医学 2008年第16卷第1期 Beiiing Joumal ofStomatolo~w February 2008．Vo1．16．Nn 1 牙髓塑化治疗后再治疗原因分析 张志刚 陆玉 侯本祥 闰岩 刘学宗 【摘要】 目的 对临床上需要再治疗的牙髓塑化治疗病例进行分析，探讨牙髓塑化治疗病例再治疗的原因， 为牙髓塑化治疗效果评价提供临床依据。方法 随机选取已做牙髓塑化治疗但需再治疗的患牙296例，记录患者 一 般情况、就诊原因、牙位、塑化时间以及患者年龄。结果 牙髓塑化治疗后再治疗的主要原因为牙折，占 30．41％，其次是充填物脱落(26．01％)和慢性根尖周炎(20．95％)。296例牙髓塑化治疗病例中再治疗牙齿 69．59％为磨牙；牙髓塑化治疗5年后需要根管再治疗的牙齿占84．12％；年龄方面再治疗患者以30岁至60岁为 主，占总数的64．19％。结论 牙折、充填物脱落和慢性根尖周炎是导致牙髓塑化治疗再治疗的主要原因，牙髓塑 化治疗远期疗效不理想。 【关键词】 牙髓塑化治疗； 根管治疗； 根管再治疗 【中图号】 R781．3 【文献标识码】 A 【文章编号】 1006-673X(2008)01-0032-03 Analysis of causes for retreatment of resinlfied teeth ZHANG zhi—g8 g，LU Yu．HOU Ben-xiang． AN Yah．L|U Xue· zong．Department of Operative Dentistry and Endodontics，Capital Medical University School of Stomatology， l0oo5o．China 【Abstract】 Objective To analyze the reasons for retreating resinified teeth and the factors that may lead to the failure of resinified teeth．Methods A total of 296 failed resinified teeth were randomly selected and included in this study．The causes of failure，tooth position．resinified duration and the age of the patient were recorded and the data analyzed．Results Teeth fracture accounted for 30．41％，which Was the major cause for retreatment．followed by missing of fillings(26．01％)and chronic apical periodontitis(20．95％)．69．59％ were molars；84．12％ of the teeth which needed retreatment had received resinifying treatment for 5．10 years：64．19％ of the resinified teeth were from 30—60 years old patients．Conclusion Missing of restoration and teeth fracture were the main causes for the retreatment of resinified teeth．Long．time results of resinifying treatment were not good． 【KeY words】 Resinified teeth： Root canal treatment，Root Canal retreatment 牙髓塑化治疗作为牙髓病和根尖周病的治疗方 2．患牙的临床检查及资料收集：记录患者一般 法曾被我国大部分地区临床医师所采用。牙髓塑化