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J Endod:硅酸钙类材料实施根尖外科手术疗效的回顾性分析

2020-01-24 lishiting MedSci原创

这篇回顾性研究是一个牙髓病科研究生项目,其目的是为了确定采用现代治疗方法和硅酸钙类根尖充填材料(ProRoot MTA; Dentsply International, Johnson City, TN, and EndoSequence Root Repair Material [ERRM]; Brasseler USA, Savannah, GA)实施的根尖外科手术的临床和放射线疗效,并评估潜

这篇回顾性研究是一个牙髓病科研究生项目,其目的是为了确定采用现代治疗方法和硅酸钙类根尖充填材料(ProRoot MTA; Dentsply International, Johnson City, TN, and EndoSequence Root Repair Material [ERRM]; Brasseler USA, Savannah, GA)实施的根尖外科手术的临床和放射线疗效,并评估潜在的可能会影响愈合效果的预后因素。

研究收集了2007至2018年间在牙髓病科门诊实施了根尖外科手术并且随访时间最少为6个月的患者的临床病例和根尖X线影像。采用ProRoot MTA或ERRM作为根尖充填材料。疗效按照临床和放射线影像结果分为痊愈、愈合和未愈合。痊愈和愈合的病例合并认定为治疗成功,而未愈合的病例认定为治疗失败。

结果显示,共有129名患者的142颗牙齿纳入了本项研究的最终分析。76例病例采用ProRoot MTA进行根尖充填,66例病例采用ERRM进行充填。ProRoot MTA组的成功率为92.1%,ERRM组的成功率为92.4%,2者之间未见明显差异(P > .05)。垂直性根裂是导致治疗失败的主要原因。未发现患者或治疗相关因素对愈合存在显著性影响。

结论:无论采用ProRoot MTA还是ERRM作为根尖充填材料在本项牙髓病科研究生项目中均取得较高的整体成功率。

原始出处:

Chan S, Glickman GN, et al. Retrospective Analysis of Root-end Microsurgery Outcomes in a Postgraduate Program in Endodontics Using Calcium Silicate-based Cements as Root-end Filling Materials. J Endod. 2020 Jan 6. pii: S0099-2399(19)30915-X. doi: 10.1016/j.joen.2019.11.010.

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    2020-01-25 szhvet
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    2020-01-24 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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