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上颌第一恒磨牙逆行性牙髓炎的治疗探讨

The Discuss about the Treatment to the Ascending Pulpitis on Maxillary First Molar
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摘要 目的探究上颌第一恒磨牙逆行性牙髓炎的治疗方法及效果。方法对23例上颌第一恒磨牙逆行性牙髓炎患者根据病情分轻型,重型两组,分别进行单纯牙周治疗和牙周牙髓联合治疗,观察疗效。结果经1年随访,23例患者中进行单纯牙周治疗的10例有效率为85.0%。牙周牙髓联合治疗的13例有效率达92.3%。结论当逆行性牙髓炎的牙髓炎症为亚急性或充血状态时,单纯牙周治疗即可取得较好疗效;为急性炎症时,牙周牙髓联合治疗可以取得较好疗效,临床上可以根据病情选择治疗方式。 Objective To observe the therapy and curative effect of ascending pulpitis on maxillary first molar.Methods 23 maxillary first molars with ascending pulpitis were divided into two groups: mild case and severe case.To cure the mild case with periodontal therapy.To cure the severe case with combined periodonto-endodontic therapy.To observe the result of each treatment.Results The effective power of 10 mild case with periodontal therapy is 85.0% while the effective power of 13 mild case with combined periodonto-endodontic therapy is 92.3% after 1 year’s follow-up visit.Conclusions When the inflammation of dental pulp ismild,periodontal therapy seem to be a effective method,while the combined periodonto-endodontic therapy could be used to cure the acute inflammation to gain optimistic effect.We could choose different treatment according to the pathogenetic condition in clinical.
出处 《中国医药指南》 2013年第23期15-16,共2页 Guide of China Medicine
关键词 上颌第一恒磨牙 逆行性牙髓炎 治疗 Maxillary first molar Ascending pulpitis Treatment
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