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一次性就诊与多次就诊根管治疗——综述

One-visit versus multiple-visit endodontic therapy--a review.

作者信息

Mohammadi Zahed, Farhad Alireza, Tabrizizadeh Mehdi

机构信息

Department of Endodontics, Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Int Dent J. 2006 Oct;56(5):289-93. doi: 10.1111/j.1875-595x.2006.tb00103.x.

Abstract

A growing perception in endodontic circles is that root canal therapy requires one treatment visit only. One-visit endodontics offers many potential advantages. It is less time-consuming, resulting in less cost for the patient, potentially more profit for the dentist, less painful and less traumatic than multi-visit treatment. Conversely, if the pulp is necrotic and/or associated with periradicular disease, the root canal system is infected. In these cases, the root canal system should ideally be cleaned, an intracanal medication placed, and the canal filled at a second visit. In this paper we aim to review several aspects of one-visit versus multi-visit endodontic treatment and future perspectives in this field.

摘要

牙髓病学界越来越多的人认为根管治疗仅需一次就诊。一次性根管治疗有许多潜在优势。它耗时更少,对患者来说成本更低,对牙医而言可能利润更高,与多次就诊治疗相比疼痛更少且创伤更小。相反,如果牙髓坏死和/或伴有根尖周疾病,根管系统就会被感染。在这些情况下,理想的做法是在首次就诊时对根管系统进行清理、放置根管内药物,然后在第二次就诊时进行根管充填。在本文中,我们旨在综述一次性根管治疗与多次性根管治疗的几个方面以及该领域的未来展望。

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