牙齿充填后疼痛临床研究(附90例报告).docVIP

牙齿充填后疼痛临床研究(附90例报告)[摘要]目的总结直接充填或治疗后充填患牙后疼痛的临床预防与治疗分析。方法对2005年8月至2010年8月诊治90例直接充填或治疗后充填患牙后疼痛的临床资料进行回顾分析。结果在90例患者中,对冷热刺激痛2周以上仍不缓解者,给予重新垫底后充填。对有自发性持续性痛,咬合痛,自觉牙体伸长,钝痛,咬合无力,根尖区肿胀,瘘道患牙给予完善的根管治疗。牙龈肿痛患牙给予重新充填,恢复正确的邻接关系,咀嚼痛患牙给予调磨高点,对颌时痛患牙给予重新改用树脂材料充填,除1例在治疗过程中出现冠根纵折拔除外,均取得满意效果。结论 对于患牙没有给予正确的诊断和充分准确的治疗是造成充填后疼痛的主要原因。 [关键词]龋洞; 充填后疼痛; 预防及治疗 [中图分类号] R782.1[文献标识码]A [文章编号] 1005-0515(2010)-10-006-02 Clinical analysis of tooth pain after filling(attach 90 examples Liu Jingzhe ( Department of oralcavity, Baishan central hospital Jilin China) [Abstract]ObjectiveSummarize the direct filling or filled teeth in pain after treatment, prevention and treatment of clinical. MethodsOn August 2005 to August 2010 Diagnosis and treatment of 90 cases of direct filling or filled teeth in pain after treatment, the clinical data analysis。ResultsIn 90 patients, on pain of two weeks or more hot and cold stimuli were not easing, after the bottom to re-filling. On a spontaneous persistent pain, masticatory pain, perceived tooth elongation, dull, unable to bite, apical swelling, fistula perfect teeth to root canal therapy. Sore gums teeth to re-fill and restore the correct adjacency relations, chewing pain, grinding the teeth to the high point of the maxillary teeth when the pain re-use resin materials for filling, except 1 case occurred in the treatment of vertical root process fold extraction, the results are satisfactory. Conclusion The teeth were not given full and accurate diagnosis and correct treatment is the main cause of pain after filling. [Keywords] cavities,pain after filled cavities; prevention and treatment 龋洞充填是解决龋齿继续发展,炎症继续加重和恢复正常咀嚼功能的基本和有效的途径,可是牙齿充填后疼痛又是每一位口腔科医生常遇到的问题。现就我院2005年8月至2010年8月收治的90例充填后疼痛患者(包括本院与外院) 临床资料分析如下。 1 资料与方法 1.1一般资料收集近5年来经由本院及外院直接充填或治疗后充填疼痛的患牙90例作为研究对象,充填材料脱落后疼痛不在调查之内,其中男,55例,女,35例,年龄,9岁---70岁,前牙24例,后牙66例,乳牙12例,恒牙78例。经由x线片判断:有15例经过牙髓失活后充填,26例经过根管治疗后充填,另外49例为龋洞,直接充填或盖髓或垫底后充填。 1.2临床表现 疼痛出现在牙齿充填后1日---5年,其中表现为冷热刺激痛者30例,呈自发性持续性痛者31例。咬合痛,自觉牙体伸长者1