ひび割れ歯の臨床的特徴と診断的特徴-評価的研究
V Ashokkumar1, Periasamy Ravishankar
1Department of Conservative Dentistry and Endodontics, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India.
まとめ
ひび割れ歯の診断は、臨床歴、症状、咬合検査、透照法、メチレンブルー染色などの検査を組み合わせて行う。多くのひび割れ歯は、不可逆性歯髄炎または歯髄壊死のため根管治療を必要とする。
科学分野:
- 歯科; 歯科診断; 歯内療法
背景:
- ひび割れ歯は一般的な歯科疾患である。正確な診断は、効果的な治療計画に不可欠である。
研究 の 目的:
- ひび割れ歯の診断的特徴を分析する。ひび割れ歯の臨床的特徴を理解する。
主な方法:
- ひび割れ歯と診断された33人の患者の後ろ向き分析。臨床兆候、症状、患者人口統計、診断検査結果(歯髄生体検査、透照法、染色、咬合検査、打診、触診)のデータ収集。
主要な成果:
- ひび割れ歯は30~40歳代の患者に最も多く見られた。咬合検査(98%)、透照法、メチレンブルー染色(99%)は、診断補助として非常に有効であった。下顎第一大臼歯が最も頻繁に罹患していた。ほとんどのひび割れは、健全な歯(67%)に発生していた。歯髄診断には、可逆性歯髄炎(15%)、不可逆性歯髄炎(45%)、歯髄壊死(39%)が含まれた。
結論:
- 患者歴、臨床検査、および特定の検査(咬合検査、透照法、染色)を組み合わせた多角的診断アプローチが推奨される。ひび割れ歯では不可逆性歯髄炎および歯髄壊死が一般的であり、根管治療が必要となる。
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