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现状与未来方向：牙根吸收。

Present status and future directions: Root resorption.

机构信息

Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.

Specialist Practice, London, UK.

出版信息

Int Endod J. 2022 Oct;55 Suppl 4(Suppl 4):892-921. doi: 10.1111/iej.13715. Epub 2022 Mar 30.

DOI:10.1111/iej.13715
PMID:35229320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9790676/
Abstract

Root resorption is the loss of dental hard tissue because of odontoclastic action. In permanent teeth, it is undesirable and pathological in nature. Root resorption may occur on the inner aspect of the root canal (internal root resorption) or on the outer aspect of the root (external root resorption). Regardless of its location, root resorption is irreversible, and may result in discomfort for the patient, requires management and/or, in some cases, results in the premature loss of the affected tooth. Root resorption is often challenging to accurately diagnose and manage. The aim of this narrative review is to present the relevant literature on the aetiology, pathogenesis, diagnosis and management, as well as discuss the future directions of diagnosis and management of root resorption.

摘要

牙根吸收是由于破牙细胞的作用而导致的牙体硬组织丧失。在恒牙中，它是不可取的，本质上是病理性的。牙根吸收可能发生在根管的内表面（内吸收）或牙根的外表面（外吸收）。无论其位置如何，牙根吸收都是不可逆转的，可能会导致患者不适，需要进行治疗和/或在某些情况下导致受影响的牙齿过早丧失。牙根吸收的准确诊断和治疗往往具有挑战性。本综述旨在介绍有关牙根吸收的病因、发病机制、诊断和治疗的相关文献，并讨论牙根吸收的诊断和治疗的未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/0db67438200b/IEJ-55-892-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/568a1cdfa039/IEJ-55-892-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/d070700d720f/IEJ-55-892-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/efca6355d253/IEJ-55-892-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/4f30dd51482e/IEJ-55-892-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/4a907777bb0a/IEJ-55-892-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/306b498c0f71/IEJ-55-892-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/dc0264756e2e/IEJ-55-892-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/a19c413a265e/IEJ-55-892-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/0db67438200b/IEJ-55-892-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/69e8de5d8d33/IEJ-55-892-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/626e2a169b7a/IEJ-55-892-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/568a1cdfa039/IEJ-55-892-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/d070700d720f/IEJ-55-892-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/efca6355d253/IEJ-55-892-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/4f30dd51482e/IEJ-55-892-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/4a907777bb0a/IEJ-55-892-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/306b498c0f71/IEJ-55-892-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/dc0264756e2e/IEJ-55-892-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/a19c413a265e/IEJ-55-892-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a175/9790676/0db67438200b/IEJ-55-892-g008.jpg

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Endodontic management of traumatized permanent teeth: a comprehensive review.
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The influence of cone-beam computed tomography and endodontic practitioners' proficiency level on diagnosis and treatment planning of root resorption.锥形束计算机断层扫描和牙髓病医生熟练程度对牙根吸收诊断和治疗计划的影响。
J Clin Exp Dent. 2025 May 1;17(5):e515-e520. doi: 10.4317/jced.62382. eCollection 2025 May.
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Tactile Method for Orthograde Exploration of the Apical Foramen in Non-vital Permanent Teeth with Open Apices: Case Series.触觉法用于开放根尖的非活恒牙根尖孔顺行探查：病例系列
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