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[根管治疗对垂直根骨折的影响研究进展]

D Wan¹, R T Shi¹

¹Department of Endodontics, Capital Medical University School of Stomatology, Beijing 100070, China.

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology

|July 30, 2025

概括

垂直根骨折 (VRF) 是根管疗法 (RCT) 后由于牙变化而存在的风险. 本综述探讨了VRF的原因,诊断和预防,以改善治疗牙的结果.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
牙科材料科学牙科材料科学
在口腔外科手术.

背景情况:

根管治疗 (RCT) 可以损害牙结构,增加垂直根骨折 (VRF) 的易感性.
在RCT后的牙变化,包括微硬度和弹性模量降低,有助于VRF风险.
由于非特异性临床症状,早期VRF诊断很困难,导致预后不佳.

研究的目的:

在RCT后分析VRF的发病率和病因因素.
阐明每个RCT步骤对VRF开发的影响和机制.
总结目前用于VRF诊断,预防和治疗的策略.

主要方法:

这项研究是一种叙事性审查.
它综合了关于VRF在内牙治疗牙中的现有文献.
该审查审查了病因因素和RCT程序的影响.

主要成果:

试验过程可以削弱牙,诱导微裂并增加VRF发生率.
在RCT过程中特定的程序步骤被确定为VRF的贡献因素.
强调了早期VRF诊断及其不良预后的挑战.

结论:

了解病因和程序风险对于VRF预防至关重要.
需要改进诊断方法和治疗策略,以提高内牙治疗牙的预后.
在RCT期间最大限度地减少牙变化可能会减少VRF的发生.

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