分根术保存后磨牙的治疗与修复.docVIP

精品论文 参考文献 分根术保存后磨牙的治疗与修复 冀晓萍 　　（山东聊城复退军人医院口腔科 252000） 　　【摘要】目的：尽可能保存患有根分叉病变、底破坏、完全纵裂，因部位隐蔽而不易治疗的后磨牙及后磨牙冠，为遵循尽量保留天然牙的原则，减轻患者种植的经济负担及不具备种植适应症的患者，继续行使后磨牙良好的咀嚼功能，提高患牙的保存率。方法：选择患有病变的磨牙，经分根术后完善根管治疗，形成两个独立的根，最后进行联冠修复，牙体组织保存较少的患牙做桩核+联冠修复。结果：经2年观察，保存成功率96％，患牙咀嚼功能能恢复到较好状态。结论：应用分根术处理病变磨牙后再修复，能消除患牙病灶，是保存患有根分叉病变、髓底破坏的后磨牙及后磨牙残冠理想方法。 　　【关键词】分根术 磨牙根分叉病变 残冠 联合冠修复 　　【中图分类号】R78 【文献标识码】A 【文章编号】1672-5085（2014）18-0062-02 　　The rootse parationo peration repair the treatment after molar preservation and restoration 　　xiaoping_ji 　　The Liaocheng Futuijunren hospital dentistry, Shandong, 252000 　　【Abstract】 objective: to save as much as possible with root bifurcation lesion, marrow and bottom destruction, completely longitudinal crack, for parts hidden and not easy treatment after the molar and molar residual crowns, in order to follow the try to keep the principle of natural teeth, reduce the economic burden of the patients with planting and do not have planting indications of the patients, continue to exercise the molar good masticatory function, improve teeth save rate. Methods: choose the molar with lesions, the points root postoperative perfect root canal treatment, form two separate root, the last league crown repair, tooth body organization save less with tooth do pile nuclear + league crown restoration. Results: after 2 years of observation, save the successful rate was 96%, with teeth chewing function can be restored to a good state. Conclusion: the application of points root art processing lesions grind ones teeth after repair, can eliminate a dental stove is saved with root bifurcation lesion, pulp bottom after failure of the grind ones teeth and the molar residual crowns ideal method. 　　【Key words】Root separation furcation involve residual crowns crownsunited crowns 　　磨牙是担负主要咀嚼作用的牙齿，根况复杂，临床上常见髓底穿通、侧支根管、牙齿纵裂隐裂引起的根分叉病变，牙周病导致根分叉病变的磨牙及磨牙殘冠，因病变位置较深，根分叉解剖复杂难以根除病变，导致病变不断加重，以拔除告终。为避免种植面临高血压、糖尿病、心脏病的高风险手术的并发症，减轻患者种植高费用