›› 2013, Vol. 33 ›› Issue (7): 481-483.

• 基础与临床研究 • 上一篇    下一篇

3种保护方法在磨牙根管治疗中的临床研究

陈顺昌,许凌   

  1. 厦门长庚医院口腔科
  • 收稿日期:2012-07-24 修回日期:2012-08-30 出版日期:2013-07-28 发布日期:2013-08-08
  • 通讯作者: 陈顺昌 E-mail:ydsun3230@hotmail.com

Clinical observation of three methods to protect molar teeth during root canal treatment

  • Received:2012-07-24 Revised:2012-08-30 Online:2013-07-28 Published:2013-08-08

摘要: 目的 临床对比观察3种方法在磨牙根管治疗中对牙体的保护效果。方法 对X线片确诊为牙髓炎但无牙折的136例患者,分别选用正畸带环(55 例)、树脂全冠(44 例)、钢丝环扎(37 例)3种方法对磨牙根管治疗前进行保护,并就患牙牙体保护有效率,保护装置松动、脱位、破损情况及牙龈刺激症状进行疗效评价。结果 正畸带环组、树脂全冠组在患牙牙体保护有效率、保护装置松动、脱位、破损情况及牙龈刺激症状方面分别与钢丝环扎组有显著性差异(P<0.05),而正畸带环组与树脂全冠组之间无明显差异(P>0.05)。结论 在磨牙根管治疗前使用树脂全冠或正畸带环保护患牙,对保护牙体组织,防止牙折有明显效果,与钢丝结扎组相比不良反应少。

关键词: 磨牙, 根管治疗, 折裂, molar teeth, root canal treatment, tooth fracture

Abstract: Objective To observe the clinical effects of three methods protecting molar teeth during root canal treatment.Methods We applied the orthodontic band,resin fullcrown and steelwire cerclage to protect molar teeth before root canal treatment.Compare the protective effects on molar teeth,looseness,dislocation,and breakage of protective device as well as irritative symptoms at gingivae caused by the three methods.Results The resin fullcrown group and orthodontic band group had obvious difference with steelwire cerclage group in protective effects on molar teeth and irritative symptoms at gingivae as well as looseness,dislocation,and breakage of protective device,while resin fullcrown group and orthodontic band group had no obvious difference with each other.Conclusions Applying resin fullcrown or orthodontic band to molar teeth before root canal treatment can obviously protect molar teeth,avoid crown fracture, and induce less adverse effects than applying steel wire cerclage.

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