F W Neukam, S Schultze-Mosgau, H Schliephake, H Cohnert
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引用次数: 0
摘要
到目前为止,治疗性牙脱位作为调整咬合的唯一方法是罕见的。因此,这项回顾性、长期研究的目的是包括治疗性磨牙脱位后的临床和x线结果(OK 6, UK 7)。经过平均5.3年的观察期后,脱位时牙根形成不完全的所有牙齿(7颗)在磨牙脱位后被评为“成功”。另一方面,4颗牙齿中只有2颗是手的,只有在磨牙脱位后,牙根形成完全,才被归类为“成功”。结果表明,当指征正确处理时,治疗性脱牙调整部分保留磨牙的咬合成功率高。由于预后是根据牙根形成的阶段来决定的,所以只有当牙根发育达到预期终根长度的1/2 ~ 3/4,且术中牙尖孔开放时,才应采用脱位手术入路。当采用非创伤性操作技术时,可以考虑进一步的根形成和保持牙髓的敏感性。
[Clinical and roentgenologic evaluation of the outcome of therapeutic tooth movement for occlusal adjustment].
The indication of therapeutic tooth luxation in partly impacted teeth as the only method of occlusal adjustment has up to the present been rare. It was therefore the aim of this retrospective, long-term study to include clinical and X-ray results following therapeutic molar luxation (OK 6, UK 7). After an average observation period of 5.3 years, all teeth (7) with incomplete root formation at the time of luxation were rated "successful" following molar luxation. On the other hand, only 2 out of 4 teeth were hand, only classified as "successful" following molar luxation with complete root formation. The results have shown that therapeutic tooth luxation for occlusal adjustment of partly retained molars has a high rate of success when the indication is correctly handled. Because the prognosis is determined according to the stage of root formation, the surgical approach of tooth luxation should be used solely in teeth whose root development has the 1/2 to 3/4 of the expected definitive root length and whose Foramen apicale is open at the time of operation. When an atraumatic operation technique is used, further root formation and a maintained sensibility of the pulp can be reckoned with.