[Vitapex治疗成人根尖孔开放型慢性根尖周炎患牙]
[Treatment of chronic apical periodontitis teeth complicated by open apices with Vitapex in the adults].
作者信息
Gu Hai-jing, Xu Qiong, Liu Li-min, Ouyang Yong
机构信息
Department of Endodontics, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, Guangdong Province, China.
出版信息
Shanghai Kou Qiang Yi Xue. 2007 Apr;16(2):140-3.
PURPOSE
The aim of this study was to evaluate Vitapex (a premixed calcium hydroxide and iodoform paste) for treatment of chronic apical periodontitis complicated by incompletely developed apices in the adults.
METHODS
36 teeth with incompletely formed apices were selected. After the root canals were prepared and sterilized , Vitapex was used in the apexification. All the patients were followed-up clinically and radiographically 3 months and 10-18 months postoperatively. The root canal were then filled with Obtura II gutta-percha when the apical barrier could be detected.
RESULTS
A radiographic evaluation showed that 7(19.4%) teeth completed root development and apical closure. 27 (75%) teeth could be detected apical barrier. 2 (5.6%) teeth were failed. The overall success rate was 94.4%. The average period of the whole endodontic treatment was 13.0 weeks.
CONCLUSION
Vitapex is a good material in the treatment of chronic apical periodontitis complicated by incompletely formed apices in the adults.
目的
本研究旨在评估Vitapex（一种预混的氢氧化钙和碘仿糊剂）用于治疗成人根尖未完全发育的慢性根尖周炎的效果。
方法
选取36颗根尖未完全形成的牙齿。根管预备和消毒后，使用Vitapex进行根尖诱导成形术。所有患者在术后3个月及10 - 18个月进行临床和影像学随访。当检测到根尖屏障时，再用Obtura II牙胶进行根管充填。
结果
影像学评估显示，7颗（19.4%）牙齿完成牙根发育并根尖封闭。27颗（75%）牙齿可检测到根尖屏障。2颗（5.6%）牙齿治疗失败。总体成功率为94.4%。整个根管治疗的平均疗程为13.0周。
结论
Vitapex是治疗成人根尖未完全发育的慢性根尖周炎的一种良好材料。
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