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谈判和治疗侧面通道:报告7个案例

Luis F Jiménez-Rojas¹, Liliana P Artaza², Vanessa P Pessotti³

¹EndoChat Research Group, Rio de Janeiro, Brazil; University of Grande Rio (UNIGRANRIO), Rio de Janeiro, Brazil.

European endodontic journal

|August 6, 2024

概括

在内牙科治疗中对侧面道进行仪器仪表,特别是那些有牙周炎的牙周炎患者,可能会改善消毒和治疗结果. 这一案例系列表明,当侧面通道被堵塞时,成功的临床和放射结果.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
牙科解剖学牙科解剖学
恢复性牙科恢复性牙科

背景情况:

侧面通道在牙根中很常见,可以容纳细菌,使内牙治疗复杂化.
牙周上角性牙周炎经常与未经治疗或未得到充分治疗的根管系统,包括侧道有关.

研究的目的:

评估内牙治疗的临床和放射性结果,包括有意或偶然的穿透和侧面通道的堵塞.
评估解决各种脉和牙周状况的牙侧面通道的潜在好处.

主要方法:

分析了一系列7例涉及牙不可逆转的肉皮炎,死肉肉,或以前的治疗.
侧面通道被视觉或放射性识别,并有意或偶然引入仪器.
所有经过处理的侧面通道都被堵塞.
对五例病例进行了临床和放射性随访.

主要成果:

在七个病例中,有五个病例呈现出侧面通道的放射性证据.
在所有五个案例中都观察到成功的临床和放射性结局,并进行了随访.
牙内和牙顶牙周炎的牙对治疗产生了积极的反应.

结论:

蓄意或偶然的仪器仪表和侧面通道的堵塞可能会提高内牙治疗的成功率.
解决侧道可以改善消毒和灌透,可能导致更好的结果,特别是在顶牙周炎的情况下.

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