摘要
目的观察年轻恒牙冠折露髓后,根据冠折的不同情况,采取不同的治疗方案;不同时期,制定即刻治疗方案,过度治疗方案,最终治疗方案序列治疗的效果。方法对首次就诊的120例160颗患牙,根据冠折情况,79颗采用部分冠髓切断术,61颗采用冠髓切断术,20颗采用根尖诱导成形术;对30颗采用牙髓切断术治疗失败者,改用根尖诱导成形;110颗牙髓切断术成功者,50颗保存牙髓,60颗牙根形成后行根管治疗。最终行永久修复。结果 120例160颗患牙,140颗牙髓切断术成功110颗,失败30颗改用根尖诱导成形术。根尖诱导成形术总计50颗患牙,成功48颗,失败2颗。结论年轻恒牙处于特殊时期,冠折露髓后首先考虑牙根继续发育问题,还要考虑以后的最终修复。本文120例160颗患牙根据不同情况,采用不同治疗方案,不同时期,采用序列治疗,成功保留158颗,失败2颗拔除。年轻恒牙冠折露髓后采用序列治疗的方法,能达到较好的治疗目的。
Objective To observe the effect of different treatment in crown fracture on different period.Methods Totally 120 patients with 160 of teeth according to condition of crown fracture,79 teeth treated by partial pulpotomy,61 teeth treated by pulpotomy,20 teeth used apexification.Treatment failure 30 teeth were treated by apexification.110 teeth was pulpotomy success,50 teeth preserved,60 teeth used root canal therapy after root formation.Finally used permanent repair.Results In 120 patients with 160 teeth,140 teeth used pulpotomy,success in 140 teeth,failure 30 teeth were treated by apexification.50 teeth used apexification,sussess in 48 teeth,failure in 2 teeth.Conclusions Crown fracture dental pulpin exposure of young permanent teeth in a special period,at first we should consider root continued upgrowth,and consider the final repair.In this paper,160 teeth of 120 patients,according to the different conditions,different period,adopting different treatments and team approach,preserved 158 teeth,failure in 2 teeth.Team approach in crown fracture dental pulpin exposure of young permanent teeth can achieve good therapeutic purposes.
出处
《医药论坛杂志》
2012年第8期49-50,共2页
Journal of Medical Forum
关键词
年轻恒牙
冠折露髓
序列治疗
Young permanent teeth
Crown fracture dental pulpin exposure
Team approach
