评价根尖矫正法治疗小儿根尖牙周炎的效果

G. R. Ruvinskaya, E. Silantyeva, Adelina M. Azaridi
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引用次数: 0

摘要

根尖化是指在牙根未形成的恒牙中,牙髓坏死,在根管内形成钙化的骨水泥屏障(桥)。根尖化的结果是在根形成因髓和根的胚芽区坏死而中断的水平上关闭根尖。本研究的目的是在根尖牙炎的临床病例分析的基础上,比较评价氢氧化钙和三氧化二矿骨料根尖化治疗根尖不成形恒牙的疗效。材料和方法。本研究纳入40例根尖牙周炎临床病例:第一组采用根尖法治疗,长期使用氢氧化钙;组II -“快速”插入由矿物三氧化物骨料制成的插头。研究的结果。根据得到的处理前后的根长和根尖开口宽度的计算结果,构建了反映根的后续形成,根的根尖部分变窄的图,这与根尖化的概念相对应。所得数据均采用变分统计法确定中位数进行验证。结论。在工作过程中,显示了使用该方法的高效率,表明平均在1-1.5年,根的长度和根尖孔的宽度的最佳变化,根尖周围组织的修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EVALUATING THE EFFECTIVENESS OF APEXIFICATION METHOD IN PEDIATRIC DENTAL PRACTICE WHEN TREATING APICAL PERIODONTITIS
Apexification is the process of forming a calcified barrier (bridge) of osteocement in the root canal with necrotic pulp in permanent teeth with unformed roots. The result of apexification is closing the apex at the level where root formation was interrupted as a result of necrosis in the pulp and the germ zone of the root. The purpose of the present study was to carry out comparative assessment of the effectiveness of treating permanent teeth with unformed roots by apexification using calcium hydroxide or mineral trioxide aggregate based on the analysis of clinical cases of apical periodontitis. Materials and methods. The study involved 40 clinical cases of apical periodontitis: group I – treatment by apexification method with a long–term use of calcium hydroxide; group II – "rapid" insertion of a plug made of a mineral trioxide aggregate. Study results. According to the obtained calculations of the root length and the width of the apical opening before and after treatment, diagrams were constructed that reflect subsequent formation of the root, narrowing of the apical part of the root, which corresponds to the concept of apexification. All the data obtained were confirmed by the method of variational statistics with determining the median values. Conclusions. In the course of the work, a high efficiency of using this method was revealed and it was shown that, on average, in 1-1.5 years, there were optimal changes in the length of the root and width of the apical foramen, restoration of periapical tissues.
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