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热牙胶去除术后热诱导骨坏死的处理

Management of heat-induced bone necrosis following thermal removal of gutta-percha.

作者信息

Livada Rania, Hosn Kalid, Shiloah Jacob, Anderson K Mark

出版信息

Quintessence Int. 2018;49(7):535-542. doi: 10.3290/j.qi.a40246.

DOI:10.3290/j.qi.a40246
PMID:29662971
Abstract

Many endodontically treated teeth require a post to improve the retention of the coronal restoration, which necessitates removal of the coronal part of the gutta-percha from the canal by thermal method, among other techniques. However, this technique carries the risk of heat conduction to the attachment unit of the periodontium and infliction of permanent damage especially in cases where the remaining root's dentin walls are thin. The overall objective of this article is to report on the clinical manifestations, histologic description, and periodontal management of three cases of heat-induced damage following thermal removal of gutta-percha.

摘要

许多经过根管治疗的牙齿需要桩来改善冠修复体的固位,这就需要通过热方法等技术从根管中去除牙胶的冠部。然而,这种技术存在将热量传导至牙周附着单位并造成永久性损伤的风险,尤其是在剩余牙根的牙本质壁较薄的情况下。本文的总体目的是报告三例热去除牙胶后热损伤的临床表现、组织学描述及牙周治疗情况。

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Management of heat-induced bone necrosis following thermal removal of gutta-percha.热牙胶去除术后热诱导骨坏死的处理
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引用本文的文献

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Periradicular Temperature Changes and Risk Management During Heat-Inducing Endodontic Disinfection Procedures In Vitro.体外热诱导牙髓消毒程序期间的根尖周温度变化与风险管理
J Clin Med. 2025 Jun 5;14(11):3997. doi: 10.3390/jcm14113997.
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Comparison of different auxiliary techniques used during root canal filling removal in terms of the amount of apically extruded debris: In vitro study.根管充填物取出时不同辅助技术在根尖部挤出碎屑量方面的比较:体外研究。
PLoS One. 2025 May 15;20(5):e0323807. doi: 10.1371/journal.pone.0323807. eCollection 2025.
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Thermal Behavior Variations among Commercial Gutta-percha Brands: An Optical Thermography Study.
不同商品牙胶尖品牌间的热行为差异:一项光学热成像研究。
Iran Endod J. 2025;20(1):e16. doi: 10.22037/iej.v20i1.45131. Epub 2025 Feb 26.