评估无逆行充填的根尖切除术治疗根尖周炎性囊肿的疗效。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Jeong-Kui Ku, Woo-Young Jeon, Seung-O Ko, Ji-Young Yoon
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引用次数: 0

摘要

目的:在非炎症性囊肿与细菌相关的根尖周脓肿病例中,根尖切除术后逆行充填的必要性存在争议。本研究旨在探讨根尖切除术后是否逆行充填对炎症性和非炎症性囊肿的长期预后是否有不同影响:这项回顾性研究纳入了2013年至2022年期间在颌骨囊肿去核术中接受牙尖切除术的患者,这些患者接受了至少6个月的锥形束计算机断层扫描随访。根据囊肿类型、有无逆行充填、下颌骨或上颌骨以及位置,对随访期间牙齿的预后进行评估:本研究共纳入 147 颗牙齿。所有接受手术的牙齿都在术前接受了牙髓专科医生的根管治疗。对 119 颗炎症性囊肿和 28 颗非炎症性囊肿进行了根尖切除术。对 22 颗患有炎性囊肿的牙齿和 3 颗患有非炎性囊肿的牙齿进行了逆行充填。所有牙齿均在 3.5 年的随访中存活(1.0-9.1 年)。然而,1 颗患有炎性囊肿的牙齿在术后 1 年出现了并发症,需要重新进行牙髓治疗:结论:无论囊肿类型如何,在囊肿去核术中采用根尖切除而不逆行充填治疗的牙齿预后良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the efficacy of apicoectomy without retrograde filling in treating periapical inflammatory cysts.

Objectives: The necessity of retrograde filling after apicoectomy is controversial in cases of non-inflammatory cysts as opposed to bacteria-related periapical abscesses. This study aims to investigate whether the presence or absence of retrograde filling during apicoectomy has differential long-term prognostic implications between inflammatory and non-inflammatory cysts.

Materials and methods: This retrospective study included patients who underwent tooth apicoectomy during jaw cyst enucleation between 2013 and 2022, and who underwent follow-up cone-beam computed tomography for at least 6 months. The prognosis of the tooth was evaluated during the follow-up period according to the cyst type, the presence or absence of retrograde filling, mandible or maxilla, and location.

Results: A total of 147 teeth was included in this study. All the operated teeth underwent preoperative root canal treatment by an endodontic specialist. Apicoectomy was performed for 119 inflammatory cysts and 28 non-inflammatory cysts. Retrograde filling was performed on 22 teeth with inflammatory cysts and 3 teeth with non-inflammatory cysts. All teeth survived the 3.5-year follow-up (range, 1.0-9.1 years). However, 1 tooth with an inflammatory cyst developed complications 1 year after surgery that required re-endodontic treatment.

Conclusion: The prognosis of a tooth treated by apicoectomy without retrograde filling during cyst enucleation is favorable, regardless of the cyst type.

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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
0
期刊介绍: Journal of the Korean Association of Oral and Maxillofacial Surgeons (J Korean Assoc Oral Maxillofac Surg) is the official journal of the Korean Association of Oral and Maxillofacial Surgeons. This bimonthly journal offers high-quality original articles, case series study, case reports, collective or current reviews, technical notes, brief communications or correspondences, and others related to regenerative medicine, dentoalveolar surgery, dental implant surgery, head and neck cancer, aesthetic facial surgery/orthognathic surgery, facial injuries, temporomandibular joint disorders, orofacial disease, and oral pathology. J Korean Assoc Oral Maxillofac Surg is of interest to oral and maxillofacial surgeons and dental practitioners as well as others who are interested in these fields.
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