牙髓血运重建术治疗年轻恒牙根尖周病的临床及影像学评价.docVIP

牙髓血运重建术治疗年轻恒牙根尖周病的临床及影像学评价 李玲 梅丽琴 李骏 魏智渊 温州医科大学附属口腔医院儿童口腔科 温州医科大学附属口腔医院牙体牙髓科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:评价牙髓血运重建术治疗年轻恒牙根尖周病的临床及影像学效果, 为牙髓血运重建术的临床应用提供科学依据。方法:选择罹患根尖周病的年轻恒牙20颗进行牙髓血运重建术, 术后观察18个月, 每3个月进行1次临床及影像学评价。临床评价包括临床症状和体征检查, 牙髓活力检测;影像学评价包括定性观察根尖周暗影是否消失, 定量检测影像牙根区域和根尖孔大小改变。结果:术后18个月所有患牙均无自觉症状, 无临床阳性体征, 25% (5/20) 的患牙可检测到牙髓活力。X线片上所有患牙根尖周暗影消失, 50% (10/20) 的患牙根尖孔达到完全闭合。影像牙根区域增加从28.13% (术后3个月) 上升到99.28% (术后18个月) ;根尖孔大小缩小从21.43% (术后3个月) 上升到77.05% (术后18个月) 。结论:牙髓血运重建术能使根尖周炎年轻恒牙牙根继续生长。 关键词： 年轻恒牙; 牙髓血运重建术; 临床研究; 影像学评价; 作者简介：李玲 (1982~) , 女, 浙江人, 主治医师, 硕士, 主要从事儿童口腔医学的研究工作。 作者简介：梅丽琴, 电话: (0577)收稿日期：2017-05-21 基金：温州市科技计划项目 (编号: Clinical and Radiographic Outcomes in Immature Permanent Teeth with Apical Periodontitis Treated with Pulp Revascularization Procedure LI Ling MEI Li-qin LI Jun WEI Zhi-yuan Department of Pediatric Dentistry, Hospital of Stomatology, Affiliated to Wenzhou Medical University; Department of Endodontics, Hospital of Stomatology, Affiliated to Wenzhou Medical University; Abstract： Objective:To evaluate the clinical and radiographic effects of pulp revascularization procedure on immature teeth with apical periodontitis.Methods:In this study, clinical and radiographic data were collected every 3 months from 20 immature permanent teeth with apical periodontitis treated with a revascularization protocol for 18 months.Clinical and radiographic evidence of healing was evaluated, and radiographic changes in the radiographic root area and apical diameter were quantified.Results:After a follow-up period of 18 months, all teeth demonstrated radiographic evidence of complete periapical healing in the absence of clinical symptoms.Five teeth showed a positive response to pulp sensibility test after 18 months.The within-case percent change in radiographic root area was 28.13% after 3 months and had increased to 99.28%after 18 months.The within-case percent change in apical diameter