HA在牙周牙髓联合病变治疗中的应用.docVIP

HA在牙周-牙髓联合病变治疗中的应用 刘宏 (云南楚雄州人民医院云南楚雄675000) 【摘要】目的：探究应用HA治疗牙周-牙髓联合病变的临床效果。方法：对 以往十多年来我院口腔科门诊就诊的此类病例患者46例57牙，进行观察、总结 和分析应用HA手术治疗结果。结果：46例患者57牙在术后创口一期愈合，无 出血、无感染及创U裂开等并发症。术后1?2周复诊，牙髓温度刺激敏感症状 有效改善。至少三个月观察，49牙牙髓活力恢复正常，占86%; 8牙因牙周病变 不改，牙髓炎症状出现，只能选择牙髓及根管治疗，占14%。57牙均未发生术 后短期急性牙髓炎改变。结论：对牙周-牙髓联合病变中可复性牙髓炎的病例， 由于采用HA植入术治疗牙周病变的优势，即能积极和比较有效地施行牙保髓治 疗的目的。 【关键词】HA种楨术；牙周-牙髓联合病；可复性牙髓炎； 【中图分类号】R781.05 【文献标识码】A 【文章编号】2095-1752 (2016) 22-0068-02 HA in periodontal - application of dental pulp joint disease treatment Liu Hong. The People’s Hospital of Chuxiong, Yunnan Province, Chuxiong 675000,China【Abstract】 Objective To explore the application of HA the clinical effect of treatment of periodontal - pulp joint lesions.Methods In the past ten years in our dental clinic on 57 teeth of 46 patients with such cases, review, observation and analysis of application of HA surgical treatment results.Results 46 patients with 57 teeth in postoperative wound healing, no bleeding, no infection and complications such as wound opened.Postoperative 1 ?2 weeks visit, pulp temperature stimulation sensitive symptoms improve.At least three months observation, 49 fang returned to normal pulp vitality, accounted for 86%;Eight teeth due to periodontal disease is not change, pulpitis symptoms, can only choose pulp and root canal treatment, accounting for 14%.57 teeth did not change after the acute pulpitis.Conclusion In periodontal - cases hone pulpitis pulp joint pathological changes, because the advantage of using HA implantation treatment of periodontal disease change, namely can actively and more effectively protect pulp treatment purposes. 【Key words】 HA planting technique; Periodontal-pulp joint disease; Hone pulpitis 在牙周-牙髓联合病变临床治疗中，常可遇见冇的患牙就诊吋已冇深牙周袋, 而牙髓尚有活力，又处于可复性牙髓炎的情况。本文回顾总结在以往十多年治疗 中应用HA种植术处理并取得满意效果的此类病例，报告如下。 临床资料 1.1病例选择 来我院U腔科门诊就诊，全身情况良好，无手术及麻醉禁忌症的牙周-牙髓 联合病变之牙髓状况为可复性牙髓炎适应症患者46例57牙，见表。 表病例选择统计表 * 1.2手术种植材料 释基磷灰石淘瓷(Hydroxyapatite,HA),其分子式 为Cal0(PO4)6(OH)2,由四川大学华西口腔医学院提供羟基磷灰石微粒人工骨，其 粒度0.40?0.90mm。