失败的再生性内牙治疗的重新治疗:结果和治疗考虑
David Keinan1, Eyal Nuni1, Meital Bronstein Rainus2
1Endodontics, Tel Aviv University, Tel Aviv, ISR.
Cureus
|January 6, 2025
概括
再生性内牙治疗 (RET) 可能会失败,通常是在治疗后数年. 然而,即使在最初的失败之后,对这些失败的病例进行重新治疗,也会带来有利的结果和改善根部发育.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 再生医学是一种再生医学.
- 儿科牙科 儿科牙科
背景情况:
- 再生性内牙治疗 (RET) 是对不成熟的死牙的有前途的治疗方法.
- 在RET中可能会发生故障,有时在最初的手术后几年.
- 了解故障模式对于有效管理至关重要.
研究的目的:
- 为了检查再生性内牙治疗 (RET) 在不成熟的死牙的结果.
- 为了确定与RET故障相关的因素.
- 提出一个决策指南,用于重新处理失败的案件.
主要方法:
- 在6至17岁的患者中对414颗经过内牙治疗的不成熟牙进行了查.
- 识别和收集8名RET失败的患者的数据.
- 对故障时间,临床表现和再治疗方法的分析.
主要成果:
- 失效时间有很大差异,大多数发生在退休后2-7年.
- 失败通常发生在初始周围愈和持续根部发育后.
- 六个失败的病例经历了各种重复治疗 (重复RET,常规,手术) 取得了良好的结果.
结论:
- 最初的RET失败并不排除后续治疗的成功结果.
- 成熟和改善后初始RET的冠根比率提高了二次治疗的成功率.
- 管理失败的RET病例的指导方针可以改善临床决策.
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