对根尖周炎久治不愈的牙齿进行根管扩大和 2% 洗必泰凝胶治疗的非手术根管再治疗效果:一项回顾性队列研究。

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Patrick Wilson Quelis Baltieri, Lucas Peixoto de Araújo, Brenda P F A Gomes, José Flávio Affonso de Almeida, Caio Cezar Randi Ferraz, Adriana de-Jesus-Soares
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引用次数: 0

摘要

引言当初级根管治疗失败时,就需要进行非手术根管再治疗(NS-RCRT)。本研究评估了使用 2% 洗必泰凝胶和根管扩大技术进行非手术根管再治疗的疗效,旨在评估与文献报道的传统非手术根管再治疗技术相比,这些方法是否能提高根尖周愈合效果和成功率:这项回顾性队列研究分析了2014年1月至2018年12月期间在一家专科私人诊所接受NS-RCT治疗的80名患者的120颗诊断为顽固性根尖牙周炎的牙齿。数据收集遵循牙髓病学观察性研究首选报告项目(PROBE)2023 指南。由三名经过校准的检查人员使用数字根尖周X光片对根尖周愈合情况进行评估。治疗结果通过描述性统计和双变量分析(包括 Chi-Square 检验和费雪精确检验)进行分析。如果治疗结果显示完全或不完全修复,则认为治疗成功;如果未观察到修复,则认为治疗不成功:平均随访时间为 30 个月。根据松散标准,92.50%(n = 111)的牙齿被归类为成功,7.5%(n = 9)的牙齿被归类为不成功。双变量分析表明,根尖运输的放射学修复是唯一对结果有显著影响的因素:使用穹窿扩大技术和 2% 洗必泰凝胶在一次就诊中完成 NS-RCRT 的成功率很高,可以有效替代拔牙。这种方法能促进根尖周愈合,并能显著改善 NS-RCT 方案。建议进一步开展前瞻性研究以证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome of Nonsurgical Root Canal Retreatment of Teeth with Persistent Apical Periodontitis Treated with Foraminal Enlargement and 2% Chlorhexidine Gel: A Retrospective Cohort Study.

Introduction: Nonsurgical root canal retreatment (NS-RCRT) becomes necessary when primary endodontic procedures fail. This study evaluates the efficacy of NS-RCRT using 2% chlorhexidine gel and foraminal enlargement techniques, aiming to assess whether these approaches enhance periapical healing outcomes and success rates compared to traditional NS-RCRT techniques reported in the literature.

Methods: This retrospective cohort study analyzed 120 teeth diagnosed with persistent apical periodontitis, from 80 patients who underwent NS-RCRT between January 2014 and December 2018 at a specialist's private practice. Data were collected following the Preferred Reporting Items for Observational Studies in Endodontics 2023 guidelines. Periapical healing was evaluated using digital periapical radiographs by three calibrated examiners. The outcome of the treatment was analyzed through descriptive statistics and bivariate analyses, including the Chi-Square and Fisher's Exact tests. Treatment outcomes were deemed successful if they showed complete or incomplete repair and unsuccessful if no repair was observed.

Results: The average follow-up period was 30 months. Under loose criteria, 92.50% (n = 111) of the teeth were categorized as successful, and 7.5% (n = 9) as unsuccessful. Bivariate analysis indicated that the radiographic restoration of apical transportation was the only factor that significantly influenced the outcome.

Conclusions: NS-RCRT performed in a single visit using the foraminal enlargement technique and 2% chlorhexidine gel demonstrated high success rates and may be an effective alternative to tooth extraction. This method promoted periapical healing and could significantly improve NS-RCRT protocols. Further prospective studies are recommended to corroborate these findings.

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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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