在被诊断为有症状的不可逆转牙炎的成熟永久牙中选择性全牙切除术:一项为期两年的回顾性研究
Cristina Jiménez-Martín1, Jenifer Martín-González1, Isabel Crespo-Gallardo1
1Department of Stomatology (Endodontic section), School of Dentistry, University of Sevilla, Sevilla, Spain.
Clinical oral investigations
|July 8, 2024
概括
使用基于酸盐的水泥 (CSBC) 的选择性全切除术在两年内在具有不可逆转的牙的成熟永久牙中取得了90.7%的成功率. 术后疼痛成为治疗失败的重要风险标志物.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
背景情况:
- 成熟永久牙的不可逆转的牙炎往往导致根管治疗 (RCT) 或拔牙.
- 使用基于酸盐的水泥 (CSBC) 进行可选的全脉冲切除术是一种潜在的替代治疗方法.
- 评估CSBC肺切除术的长期结果和预测因素至关重要.
研究的目的:
- 为了评估选择性全脉切除与CSBC在症状成熟的永久牙诊断出不可逆转的脉的2年临床结果.
- 分析沃尔特斯分类对治疗失败的预测能力.
- 为了确定与脉冲切除术成功或失败相关的因素.
主要方法:
- 追溯审查43个成熟永久牙的治疗记录,这些牙经历了用CSBC进行选择性全脉冲切除.
- 排除了13颗牙,在24个月后评估了剩余的43颗牙.
- 使用费舍尔精确测试进行统计分析,以评估结果和相关性.
主要成果:
- 在2年后,总体成功率为90.7% (39/43颗牙).
- 使用的CSBC类型与成功率有显著的关联 (Biodentine: 100%,内分序: 82%).
- 手术后的疼痛与较低的成功率 (66.7%) 有关.
结论:
- 使用CSBC选择性全脉冲切除术是成熟永久牙中不可逆转的脉冲炎的成功治疗选择.
- 胸的严重程度 (轻度,中度,严重) 并没有显著影响成功率.
- 手术后的疼痛是完全脉冲切除术失败的潜在风险标志,这表明需要重新评估术语"不可逆转的脉冲切除".
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