Blum Jordan Samuel
The University of Melbourne, Melbourne, Victoria, Australia.
Aust Endod J. 2025 Apr;51(1):10-16. doi: 10.1111/aej.12917. Epub 2025 Mar 28.
Post-treatment endodontic disease (PTED) may be defined by the presence of a periapical radiolucency in a previously root-filled tooth when the lesion can no longer be assumed to be healing. When a diagnosis of PTED is made, theoretically only three management options remain: no treatment (review and reassess), endodontic retreatment (nonsurgical or surgical), or extraction (including root resection). The purpose of this paper is to provide clinicians with a current and clinically relevant summary of the management options for PTED, with an emphasis on aetiology, case selection, and related outcomes to help clinicians filter and provide management options to the patient.
治疗后牙髓疾病（PTED）可定义为，在先前已进行根管充填的牙齿中出现根尖周透射区，且此时不能再认为病变正在愈合。当做出PTED的诊断时，理论上仅剩下三种处理选择：不治疗（复查和重新评估）、牙髓再治疗（非手术或手术）或拔牙（包括牙根切除术）。本文的目的是为临床医生提供有关PTED处理选择的最新且与临床相关的总结，重点在于病因、病例选择及相关结果，以帮助临床医生筛选并为患者提供处理选择。
