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[采用根管逆行翻修术提高下颌磨牙牙根切除术的疗效]

[Increasing the effectiveness of mandibular molars root resection surgery using retrograde endodontic revision].

作者信息

Kulakov A A, Badalyan V A, Stepanyan Z M

机构信息

Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.

出版信息

Stomatologiia (Mosk). 2018;97(1):33-36. doi: 10.17116/stomat201897133-36.

Abstract

The purpose of the present study was to increase the effectiveness of mandibular molars apical root resection surgery. The study included 21 patients with diagnosis 'persistent apical periodontitis', 'root cyst', in 11 cases surgery was performed with less traumatic access with piezoelectric surgery system for separation of cortical bone block and subsequent reposition after resection and retrograde root filling. The planning and procedure was described by 2 clinical cases. Bone block reposition surgical procedure showed clinical effectiveness and was considered as a most acceptable technique of root resection.

摘要

本研究的目的是提高下颌磨牙根尖切除术的有效性。该研究纳入了21例诊断为“持续性根尖周炎”“根囊肿”的患者,其中11例采用压电手术系统进行手术,该系统创伤较小,用于分离皮质骨块,切除和逆行根管充填后进行复位。通过2个临床病例描述了手术计划和步骤。骨块复位手术步骤显示出临床有效性,被认为是一种最可接受的根尖切除技术。

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