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对采用非器械技术补牙情况的5年回顾。

A 5-year review of teeth filled with the noninstrumentation technology.

作者信息

Suter B, Portmann P, Lussi A

机构信息

Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, School of Dental Medicine, Bern, Switzerland.

出版信息

Int Endod J. 2009 Jul;42(7):639-48. doi: 10.1111/j.1365-2591.2009.01573.x. Epub 2009 May 8.

Abstract

AIM

The aim of this Case Series was to evaluate the radiographic quality of root fillings performed 5 years previously using the noninstrumentation technology (NIT)-obturation method and to assess radiographically the outcome of these root canal treatments.

METHODOLOGY

Seventeen patients requiring root canal treatment participated in this study and were re-evaluated after 5 years. After instrumentation with K-Flexofiles, Calcium-Hydroxide inter-appointment dressing, re-entry and copious irrigation with NaOCl, the teeth were root filled using the NIT.

RESULTS

Immediately after obturation the root fillings were (-0.78 +/- 0.11 mm) short when taking the radiographic apex as a reference point. After 60 months these values were -0.85 +/- 0.11 mm. No statistical difference was found (P > 0.05). In the periapical region, PAI rating 1 and 2 increased from 20.1% to 75.6% after 60 months.

CONCLUSIONS

  • This prospective Case Series demonstrated the performance of the NIT-obturation method in vivo. * Root canals filled by the reduced-pressure method using sealer combined with gutta-percha cones showed good radiographic quality. * Periapical healing after 5 years was comparable with conventional filling techniques.
摘要

目的

本病例系列的目的是评估5年前采用非器械技术(NIT)充填法进行的根管充填的影像学质量,并通过影像学评估这些根管治疗的结果。

方法

17例需要根管治疗的患者参与了本研究,并在5年后进行了重新评估。使用K-Flex锉进行根管预备、氢氧化钙根管换药、再次开髓并用次氯酸钠大量冲洗后,采用NIT对牙齿进行根管充填。

结果

以影像学根尖为参考点,充填后即刻根管充填物短(-0.78±0.11mm)。60个月后这些值为-0.85±0.11mm。未发现统计学差异(P>0.05)。在根尖区,60个月后PAI评级1和2从20.1%增加到75.6%。

结论

  • 本前瞻性病例系列证明了NIT充填法在体内的性能。* 使用封闭剂与牙胶尖结合的减压法充填的根管显示出良好的影像学质量。* 5年后的根尖愈合与传统充填技术相当。

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