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使用不同阻塞技术进行根管治疗的内牙结果:一项临床研究

Alexander Winkler¹, Philipp Adler², Julia Ludwig¹

¹Center of Dental Traumatology, Department of Conservative Dentistry and Periodontology, University Hospital Würzburg (UKW), Pleicherwall 2, 97070 Würzburg, Germany.

Dentistry journal

|August 25, 2023

概括

牙的手术前状况显著影响根管治疗的成功,比使用的闭塞技术更重要. 这项研究发现,基于封闭方法的结果没有差异,这突显了初始牙健康对内牙成功的重要性.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
牙科手术牙科手术
恢复性牙科恢复性牙科

背景情况:

根管治疗旨在通过消除感染和密封根管系统来保护牙.
有各种各样的封闭技术和材料可用,每一种都可能对治疗成功产生影响.
了解预后因素对于预测内牙科结果至关重要.

研究的目的:

根据不同的堵塞技术和填充质量,评估根管治疗的临床结果.
评估与牙和患者相关的变量对内牙治疗成功的影响.

主要方法:

一项临床研究涉及2009年至2012年期间治疗的114颗牙.
三种阻塞方法进行了比较:使用Resilon (CWR) 的连续波凝结,使用gutta-percha和AH Plus (SCGP) 的单,以及使用gutta-percha和GuttaFlow (SCGF) 的单.
围牙放射图用于评估内牙病变和闭塞质量;收集了牙和患者的数据.

主要成果:

在平均6.3年的随访后,观察到总体内牙成功率为75.4%.
在封闭技术/质量和治疗结果之间没有发现显著的相关性.
手术前病变的牙显示出明显更高的失败风险 (OR=4.98).
牙和患者相关的变量没有显著影响牙周内科的结果.

结论:

牙的手术前牙周状况是内牙治疗成功的关键预后因素.
使用的封闭材料或技术类型并没有对临床结果产生重大影响.

关键词:

在GuttaFlow中使用.在Resilon中使用Resilon.粘合剂的堵塞方式牙周内科的结果.根源填充填充方式

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