[冠状和根切除的成功因素;一个系统的文献综述]
1Dental clinic Hartman in Amsterdam, Netherlands.
Nederlands tijdschrift voor tandheelkunde
|January 6, 2026
概括
成功的根切除取决于骨水平,间接恢复和牙结合. 患者或从业人员的因素并不显著. 根切除主要是由于牙周炎或骨折而失败.
科学领域:
- 牙科 牙科是指牙科的专业.
- 在口腔外科手术.
- 牙周病学 牙周病学
背景情况:
- 根切除是一种手术程序,用于保留牙的周周病理学.
- 预测根切除的成功对于治疗规划至关重要.
研究的目的:
- 确定影响根切除成功的关键因素.
- 分析患者和从业人员相关的因素,手术技术和结果.
主要方法:
- 系统的文献审查 5 篇评论,分析了 19 篇文章.
- 评估了25个可能影响成功的因素.
主要成果:
- 切除时的骨水平,间接的恢复,以及与相邻的牙的结合,都会对成功产生重大影响.
- 上和下切除的成功率相似.
- 移除 palatal 根或保留 mesial 根在第一个下面的牙有一个更糟糕的预后.
- 常见的失败原因包括牙周炎和根骨折.
结论:
- 特定的手术和修复因素,而不是患者或从业人员的变量,是根切除成功的关键.
- 与牙周炎相关的失败比与骨折相关的失败更容易预防.
- 骨折后的根切除成功率最低.
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