Halse A, Molven O
Acta Odontol Scand. 1987 Jun;45(3):171-7. doi: 10.3109/00016358709098856.
A representative sample, 55%, of the patients treated endodontically by undergraduate students in a teaching clinic during the years 1963 to 1969 were reexamined 10-17 years later. Gutta-percha/Kloroperka-NO root fillings (282), classified as having surplus material at the time of treatment, were evaluated in follow-up radiographs. In about 80% of the cases of overfilling, no excess root filling material could be traced at the reexamination. In a few cases only, the appearance of the excess material was nearly identical to that at the time of treatment, whereas the remaining overfillings (18%) showed a reduced size. Among the recorded variables only one seemed to have a major impact on the prognosis--namely, the presence or absence of an apical radiolucency at the time of treatment, indicating that infection was the important factor when failures occurred. Apical overfilling per se had little influence on the long-term healing result as judged radiographically.
1963年至1969年期间,在一家教学诊所接受本科学生牙髓治疗的患者中有55%的代表性样本在10至17年后接受了复查。对牙胶/氯仿-NO根管充填物(282例)进行了评估,这些充填物在治疗时被归类为有多余材料,并在随访X光片中进行观察。在大约80%的超充病例中,复查时无法找到多余的根管充填材料。仅在少数病例中,多余材料的外观与治疗时几乎相同,而其余的超充(18%)则显示尺寸减小。在记录的变量中,只有一个似乎对预后有重大影响,即治疗时是否存在根尖透射区,这表明感染是失败发生时的重要因素。从X光片判断,根尖超充本身对长期愈合结果影响不大。