根管治疗中x线片质量对根管充填技术质量和根管治疗结果的影响。

Restorative Dentistry & Endodontics Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI:10.5395/rde.2025.50.e3
Jia Min Ng, Yan Yee Lee, Prashanti Chippagiri, Elaheh Ahanin, Abhishek Parolia
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引用次数: 0

摘要

目的:本研究评估牙科本科生在根管治疗期间拍摄的工作长度(WL)和主锥体(MC) x线片的数量和质量,以及它们与根管填充物技术质量(TQRCF)和根管治疗结果(EO)的关系。方法:对231例患者的303颗根管治疗牙的x线片进行回顾性评价,其中72例患者参加了回顾访视以评估EO。采用卡方检验和单因素方差分析。结果:共检查WL片505张,MC片557张,满意度分别为72.9%和75%。60.4%的病例TQRCF达到满意。在WL和MC x线片上的杜胶-过胶文件的扩展与TQRCF之间发现了显著的关联(p = 0.000)。对这些x线片的误解导致TQRCF较差。64.2%的牙齿EO满意。MC x线片质量与TQRCF (p = 0.043)和EO (p = 0.003)之间存在显著关系。结论:不满意的MC x线片与TQRCF差和EO不利有关。建议定期进行放射学训练,以提高放射学水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of quality of radiographs taken during root canal treatment on technical quality of root canal fillings and endodontic outcome.

Objectives: This study evaluated the number and quality of working length (WL) and master cone (MC) radiographs taken during root canal treatment by dental undergraduates, and their associations with the technical quality of root canal fillings (TQRCF) and endodontic outcomes (EO).

Methods: A retrospective evaluation of radiographs from 303 root canal-treated teeth in 231 patients was conducted, with 72 patients attending recall visits to assess EO. The chi-square and one-way analysis of variance tests were performed.

Results: A total of 505 WL and 557 MC radiographs were reviewed, with 72.9% and 75% deemed satisfactory, respectively. Satisfactory TQRCF was achieved in 60.4% of cases. Significant associations were found between the extension of the file in WL and gutta-percha in MC radiographs and TQRCF (p = 0.000). Misinterpretation of these radiographs resulted in poor TQRCF. Furthermore, 64.2% of teeth had satisfactory EO. A significant relationship was noted between the quality of MC radiographs and both TQRCF (p = 0.043) and EO (p = 0.003).

Conclusions: Unsatisfactory MC radiographs were linked to poor TQRCF and unfavorable EO. Regular radiographic training is recommended to enhance EO.

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