纵折磨牙保存治疗临床疗效观察.docVIP

纵折磨牙保存治疗临床疗效观察 　 作者：张娟，何勇，曹文仙，柴淳，董宇【关键词】 纵折磨牙 　　【摘要】 目的 了解粘结材料对折裂后磨牙保存治疗的临床疗效及其不良并发症。方法 采用Super-bond C amp; B粘结系统对68例完全纵折后牙进行粘结固定，治疗1年后评价患牙的牙周、根尖的状况及患者的自我功能状况，并对影响患牙预后的因素进行相关性分析。结果 Super-bond C amp; B粘结系统的粘结效果较为满意，修复治疗1年后的失败率为16.2%，其中粘接失败率仅为4.4%；分析发现折裂的部位和患牙治疗的时机以及采用的治疗方法对患牙的愈合效果具有显著的相关性。结论 粘结系统对折裂磨牙保存治疗具有较为满意的疗效，是一种具有较大应用前景的粘结系统。 　　【关键词】 纵折磨牙；粘结系统；保存治疗 　　Clinical observation of conservative treatment for vertically fractured molar:a report of 68 cases 　　【Abstract】 Objective To evaluate the efficacy of the conservative therapy in treatment of the vertically fractured molar and the relevant risk factors of the treatment outcome.Methods 68 completely vertically fractured teeth were involved in this research,and all the traumatic teeth were adhered together before further endodontic treatment using the Super-bond Camp; B adhesive system. And one-year follow-up was taken to evaluate the efficacy of the adhesive system to the periodontal tissue and oral function.Results The one-year success rate was 83.8%,the main complain were periodontal diseases and oral function loss,5 teeth were reported to be refractured.Meanwhile,the relevance test showed that the time between treatment and fracture and the location of the fracture were the two main risk factors of the treatment with satisfactory effiacy and little adverse reaction.Conclusion The adhesive system is a promising dental material in the fractured teeth treatment with satisfaction efficacy and little adverse reaction. 　　【Key words】 vertically fractured teeth;adhesive system;treatment outcome 　　后牙折裂是口腔临床常见的疾病之一，目前国内外对其保守治疗多采用局部结扎固定加全冠修复的方法，由于在治疗方法、样本选择和观察时段上的差异，对治疗的有效率报道尚不完全一致。近年来粘结材料进展迅速，材料性能大幅提高，我科将粘结系统应用于折裂后牙的保存治疗，疗效显著，现将有关资料总结如下。 　　1 对象与方法 　　1.1 研究对象 本组68例患者，男29例，女39例，平均年龄（39.1±0.21）岁；其中未做根管治疗36例，已做根管治疗32例；上牙31例，下牙37例，近远中向折裂28颗，颊舌向折裂40颗。纳入患牙均满足以下条件：（1）无严重牙周、牙龈疾患；（2）无磨牙症、紧咬牙症以及严重咬合功能障碍；（3）无不良口腔习惯；（4）患牙无明显牙龈、牙周脓肿或瘘管形成。 　　1.2 临床操作 （1）清洁患牙折片间的食物残渣，抗生素液冲洗，消毒折片；固定按照Super-bond C amp; B粘结系统使用说明以单体∶催化剂4∶1的比例调制活化剂，按比例加入粉剂