应用CBCT评判根管治疗失败原因

›› 2015, Vol. 35 ›› Issue (5): 373-375.

应用CBCT评判根管治疗失败原因

汪小彤¹,孙超²,朱洁¹,刘卫红³

1. 南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院牙体牙髓科
2. 南京医科大学口腔医学研究所，南京医科大学附属口腔医院
3. 江苏省口腔医院

收稿日期:2014-12-03 修回日期:2015-01-21 出版日期:2015-05-28 发布日期:2015-05-13
通讯作者: 刘卫红 E-mail:lwhnjmu@aliyun.com

Application of CBCT in evaluating and analyzing causes for failure in root canal therapy

Received:2014-12-03 Revised:2015-01-21 Online:2015-05-28 Published:2015-05-13

摘要/Abstract

摘要： 目的应用CBCT判断分析根管治疗失败原因，比较CBCT与根尖X线片在诊断根管治疗失败方面的差异。方法收集拍摄CBCT的根管治疗失败病例74例，对其病因以及影像学检查结果进行统计分析。结果在所收集病例中，失败原因包括根管欠充、遗漏根管、牙周牙髓联合病变、牙折、冠渗漏、根管超充及根管侧穿。结论根管欠充、遗漏根管是导致根管治疗失败的主要原因,牙周损害则是后期处理的疑难因素。CBCT可为病因的确定提供有力参考依据，且对后期治疗方案的制定起关键作用。

关键词: CBCT, 根管治疗, 失败原因

Abstract: 目的应用CBCT判断分析根管治疗失败原因，比较CBCT与根尖X线片在诊断根管治疗失败方面的差异。方法收集拍摄CBCT的根管治疗失败病例74例，对其病因以及影像学检查结果进行统计分析。结果在所收集病例中，失败原因包括根管欠充、遗漏根管、牙周牙髓联合病变、牙折、冠渗漏、根管超充及根管侧穿。结论根管欠充、遗漏根管是导致根管治疗失败的主要原因,牙周损害则是后期处理的疑难因素。CBCT可为病因的确定提供有力参考依据，且对后期治疗方案的制定起关键作用。

Key words: CBCT, root canal therapy, reasons for failure

中图分类号:

R781.05

汪小彤孙超朱洁刘卫红. 应用CBCT评判根管治疗失败原因[J]. 口腔医学, 2015, 35(5): 373-375.

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