190例牙隐裂临床特征及疗效分析

›› 2018, Vol. 38 ›› Issue (1): 55-58.

190例牙隐裂临床特征及疗效分析

赵莉,南晓梅,木合塔尔. 霍加

新疆自治区人民医院口腔科

收稿日期:2016-09-09 修回日期:2017-01-01 出版日期:2018-01-28 发布日期:2018-01-31
通讯作者: 木合塔尔. 霍加 E-mail:18057560@qq.com

Analysis of the clinical features , treatment and prognosis of 190 cracked teeth

Received:2016-09-09 Revised:2017-01-01 Online:2018-01-28 Published:2018-01-31

摘要/Abstract

摘要： ［摘要］目的探讨牙隐裂的临床特征、治疗及预后分析。方法根据病情发展程度将190颗患牙分为分为牙髓正常隐裂牙组（Ａ组）64颗和牙髓异常隐裂牙组（Ｂ组）126颗。根据治疗原则和患者自身情况选择不同的治疗方法，并对1年后治疗效果进行统计学分析。结果 A组全冠修复治疗的成功率为78.9%，高于充填治疗和调牙合治疗的成功率，差异有统计学意义（P<0.05）。B组全冠修复的成功率为94.0%，明显高于单纯充填治疗的成功率，差异有统计学意义（P<0.05）。结论牙隐裂需早期诊断早期治疗，准确判断裂纹的深度和范围，可利用全冠修复最大限度的保留患牙。

关键词: 【关键词】牙隐裂, 充填, 全冠修复

Abstract: Abstract： Objective To discuss the the clinical features treatment and prognosis analysis of cracked teeth. Methods: According to the degree of illness development, 190 cracked teeth were divided into normal cracked tooth pulp group (group A) including 64 teeth and dental pulp abnormal cracked tooth group (group B)including 126 teeth.According to the principle of treatment and the patient's own situation, different treatment methods were choosen, statistical analysis was carried out on the effect of 1 year after treatment. Results: The success rate of full crown restoration in group A was 78.9%, higher than the success rate of the occlusal adjustment and the tooth filling, difference was statistically significant( P﹤ 0.05). The success rate of full crown restoration in group B was 94.0%, significantly higher than the pure filling treatment success rate, the difference was statistically significant(P﹤0.05). Conclusion: It need early diagnosis and early treatment for Cracked teeth ,we must have accurate judgment of crack depth and scope.It can use full crown restoration for the maximum retention of teeth. Key words：tooth cracked; filling; crown

Key words: 【Key words】Tooth cracked, Filling , crown

中图分类号:

R781.05

赵莉南晓梅木合塔尔. 霍加. 190例牙隐裂临床特征及疗效分析[J]. , 2018, 38(1): 55-58.

参考文献

[1]. 樊明文．牙体牙髓病学［M］．4版．北京：人民卫生出版社，2015:153-154
[2]Geurtsen W.Garcia-Godoy FBonded restorations for the pre-vention and treatment of the cracked-tooth syndrome[J].. Am J Dent,1999,12(6):266-270
[3].王嘉德，高学军．牙体牙髓病学［M］．北京：北京大学医学出版社，2006:202-205
[4]Banerji S,Mehta SB,Millar BJ.Carcked tooth syndromePart 1:etiology and diagnosis[J]..Br DentJ,2010,208(10):459-463
[5]Banerji S,Mehta SB,Millar BJ.Carcked tooth syndromePart 2:restorative options for the management of cracked tooth syndrome[J].. Br Dent J,2010,208(11):503-514
[6]武万超，牛一山.牙隐裂的高危因素及病因研究进展[J].中华老年口腔医学杂志,2013,10(4):247-250
[7]郭菁，牛一山.牙隐裂的病因研究和临床治疗的研究进展[J].内蒙古医科大学学报医学研究进展,2015,4(37):197-201
[8]周红祥.牙隐裂与性别、年龄及牙周组织的关系分析[J].中国实用医药,2010,5(25):137-138
[9]Arola D,Reprogel Rk.Effects of aging on the mechanical behavior of human dentin[J].iomaterials,2005,26(18):4051-4061
[10]Udoye Cl,jafarzadeh H.Cracked tooth syndrome:characteristics and distribution among adults in aNigerian teaching hospital[J].J Endod,2009,35(3):334-336
[11]张莉.牙隐裂的分布特征及危险因素的相关分析[J].当代医学,2014,20(32):1-4
[12]肖丹,张德辉.牙隐裂病因分析与临床治疗[J].口腔颌面修复学杂志,2010,11(4):165-167
[13] Qian Y,Zhou X,Yang J.Correlation between cuspal inclination and tooth cracked syndrone: three-dimensional reconstruction measurement and finite element analysis[J]. Dent Traumatol,2013.29(3): 226-233
[14]沈辉,张贤华.牙隐裂的早期诊断与治疗[J].中华老年口腔医学杂志,2013,11(5):304-307
[15]Ghorbanzadeh A,Aminitar S,Shadan L,et al.Evaluation of three methods in the diagnosis of dentin cracks by apial resection[J].J DentTehran,2013,10(2):175-185
[16]Geurtsen W.Garcia-Godoy FBonded restorations for prevention and treatment of the cracked-tooth syndrome[J].. Am J Dent,1999,12(6):266-270
[17]Banerji S， Mehta SB,Millar BJ.Cracked tooth syndromePart 2:restorative options for the management of cracked tooth syndrome[J].. Br Dent J,2010,208(11):503-504
[18]毛晓东.38颗隐裂、劈裂牙保存治疗的临床观察[J].中国医药导刊,2014,16(3):379-380
[19]张楠,杨敏,刘庆.207颗隐裂牙临床特点修复治疗和预后分析[J].山西医药杂志,2013,42(10):1096-1098
[20]梁凯玲.调磨充填和全冠修复治疗后牙隐裂的疗效比较[J].中国临床研究,2014,27(4):466-467