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牙髓外科手术入路瓣选择的比例:综述

The ratio in choosing access flap for surgical endodontics: a review.

作者信息

Grandi C, Pacifici L

机构信息

Sapienza University of Rome, Dental School, Department of Clinical Dentistry III, Chairman: Prof. L. Pacifici.

出版信息

Oral Implantol (Rome). 2009 Jan;2(1):37-52. Epub 2009 Dec 10.

Abstract

In Surgical Endodontics we face complex situations that require the knowlflap and application of both principles of endodontics (cleansing shaping and filling) in the root management, and the principles of surgery (asepsis, non harmfulness and hemostasis) in the phase of access to the root. Among the factors of surgical relevance that for which have been proposed with the largest number of alternatives is the design of access flap. That clearly indicates that not only one flap design can be ideal in all clinical situations. In this article all proposed access flap designs are evaluated in the light of their degree of compliance with ideal requirements in different circumstances. A clear pattern in the decision-making criteria for the selection of access flaps is proposed.

摘要

在外科牙髓治疗中,我们面临着复杂的情况,这需要在根管处理中了解并应用牙髓治疗的两个原则(清洁、成形和充填),以及在进入根管阶段应用外科手术的原则(无菌、无害和止血)。在外科相关因素中,提出了大量替代方案的是入路瓣的设计。这清楚地表明,并非只有一种瓣设计在所有临床情况下都是理想的。在本文中,根据不同情况下符合理想要求的程度,对所有提出的入路瓣设计进行了评估。提出了选择入路瓣的决策标准中的一个清晰模式。

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