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[1]吴 纲,王春风,张苏娜,等.根据牙髓状态采取不同措施治疗隐裂牙的临床疗效观察[J].医学研究与战创伤救治(原医学研究生学报),2014,16(03):264-266,283.[doi:10.3969/j.issn.1672-271X.2014.03.012]
　WU Gang,WANG Chun-feng,ZHANG Su-na,et al.Effect of different treatment protocols based on pulpal status of cracked teeth[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(03):264-266,283.[doi:10.3969/j.issn.1672-271X.2014.03.012]
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根据牙髓状态采取不同措施治疗隐裂牙的临床疗效观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年03期
页码:
264-266,283
栏目:
出版日期:
2014-05-20

文章信息/Info

Title:
Effect of different treatment protocols based on pulpal status of cracked teeth
作者:
吴 纲; 王春风; 张苏娜; 丰 格; 徐云龙
212001 江苏镇江,解放军359医院口腔科
Author(s):
WU Gang; WANG Chun-feng; ZHANG Su-na; FENG Ge; XU Yun-long.
Department of Stomatology,359 Hospital of PLA,Zhenjiang,Jiangsu 212001，China
关键词:
隐裂牙; 牙髓状态; 根管治疗; 临时性修复; 永久性修复
Keywords:
cracked tooth;  pulpal status;  root canal treatment;  provisional restoration;  permanent restoration
分类号:
R781.22
DOI:
10.3969/j.issn.1672-271X.2014.03.012
文献标志码:
A
摘要:
目的 分析隐裂牙的致病因素，根据牙髓状态采取不同治疗策略并评估这些治疗措施的疗效。方法 对64颗因隐裂而就诊的患牙进行回顾性研究，分析患者年龄、性别、患 牙分布部位、修复体情况及临床诊断等数据，根据临床诊断采取不同的治疗策略。结果 最易受累的牙位是下颌第一磨牙(26.6%)，其余依次为上颌第二磨牙(25.0%)，上颌第一磨牙 (21.8%)，下颌第二磨牙(17.2%)。好发年龄段为41~50岁和51~60岁，分别为29.7%和37.5%。用非粘接的银汞合金修复的牙齿(40.6%)发生隐裂的概率远高于用复合树脂粘接修复的牙 齿(10.9%)，而43.8%的隐裂牙无充填物。本研究中，有55颗患牙(85.9%)进行了根管治疗，只有9颗患牙(14.1%)保存了活髓。结论 临床医生应对隐裂牙的致病因素有更清晰地认识 ，这有助于隐裂牙的早期诊断和早期治疗。根据不同的牙髓状态采取不同的治疗策略是非常重要的。
Abstract:
Objective To analyze the risk factors of cracked teeth and to assess the effect of different treatment protocols depending on the status of dental pulp.Methods A retrospective study of 64 cracked teeth was performed.Age and sex of the patients,the location of the cracked teeth and restoration materials and a clinical diagnosis of pulp and apex were analyzed.Cracked teeth were treated by different treatment protocols according to the diagnosis.Results Mandibular first molars (26.6%) were the most frequently involved teeth followed by maxillary second molars (25.0%),maxillary first molars (21.8%),and mandibular second molars (17.2%).The most frequently involved ages were 41-50 years (29.7%) and 51-60 years (37.5%).Cracks occurred mainly in nonbonded amalgam restorations (40.6%),and 43.8% of cracks were found in intact teeth.In this study,55 teeth (85.9%) were treated with root canal treatment before being restored with a permanent crown,and only 9 teeth (14.1%) remained vital and were restored with a permanent crown without root canal treatment.Conclusion It is important to investigate factors related to cracked teeth and assess the dental pulp status of cracked teeth.Clinicians must have different treatment approaches for different pulp status of cracked teeth.

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更新日期/Last Update: 2014-05-20