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牙髓治疗的成功与失败:可预测性、并发症、挑战及维护

Success and failure of endodontic treatment: predictability, complications, challenges and maintenance.

作者信息

Mehta Dipti, Coleman Alexandra, Lessani Maria

机构信息

Specialist in Endodontics/Consultant in Endodontics, Chequers Endodontic Practice, 7 Chequers Drive, Prestwood, Great Missenden, Bucks, HP16 9DU, UK; King´s College Hospital Dental Institute, Department of Restorative Dentistry, Bessemer Road, London, SE5 9RW, UK.

Senior Clinical Teacher/Honorary Consultant in Restorative Dentistry, Academic Unit of Restorative Dentistry, School of Clinical Dentistry, The University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.

出版信息

Br Dent J. 2025 Apr;238(7):527-535. doi: 10.1038/s41415-025-8453-5. Epub 2025 Apr 11.

DOI:10.1038/s41415-025-8453-5
PMID:40217035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991907/
Abstract

The fundamentals of successful endodontic treatment are an awareness of the aetiology of the disease process and an understanding of factors that affect outcome. This paper aims to outline the prognostic factors found in the endodontic outcome literature to facilitate options appraisal and predictable treatment delivery. We will discuss pre-treatment, treatment and post-treatment factors. In summary, the significance of infection control throughout treatment, provision of an adequate coronal seal and appropriate restoration of the root-filled tooth are highlighted.

摘要

成功的牙髓治疗的基础是对疾病过程病因的认识以及对影响治疗结果的因素的理解。本文旨在概述牙髓治疗结果文献中发现的预后因素,以促进治疗方案评估和可预测的治疗实施。我们将讨论治疗前、治疗中和治疗后的因素。总之,强调了整个治疗过程中感染控制、提供足够的冠部封闭以及对根管充填牙齿进行适当修复的重要性。

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Success and failure of endodontic treatment: predictability, complications, challenges and maintenance.牙髓治疗的成功与失败:可预测性、并发症、挑战及维护
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本文引用的文献

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Further Interventions after Root Canal Treatment Are Most Common in Molars and Teeth Restored with Direct Restorations: A 10-11-Year Follow-Up of the Adult Swedish Population.根管治疗后进一步干预最常见于磨牙和用直接修复体修复的牙齿:一项对瑞典成人人群的 10-11 年随访研究。
J Endod. 2024 Jun;50(6):766-773. doi: 10.1016/j.joen.2024.03.005. Epub 2024 Mar 15.
2
Treatment of pulpal and apical disease: The European Society of Endodontology (ESE) S3-level clinical practice guideline.牙髓病和根尖周病的治疗:欧洲牙髓病学会(ESE)S3级临床实践指南。
Int Endod J. 2023 Oct;56 Suppl 3:238-295. doi: 10.1111/iej.13974. Epub 2023 Sep 29.
3
钕钇铝石榴石激光对多菌性根管感染的抗菌效果:体外研究的系统评价
Int J Mol Sci. 2025 Jun 12;26(12):5631. doi: 10.3390/ijms26125631.
Factors that affect the outcomes of root canal treatment and retreatment-A reframing of the principles.
影响根管治疗和再治疗结果的因素——原则的重新构建
Int Endod J. 2023 Mar;56 Suppl 2:82-115. doi: 10.1111/iej.13897. Epub 2023 Feb 10.
4
Tooth survival after endodontic treatment.根管治疗后的牙齿留存情况。
Int Endod J. 2023 Mar;56 Suppl 2:140-153. doi: 10.1111/iej.13835. Epub 2022 Oct 2.
5
Patient-related outcomes and Oral Health-Related Quality of Life in endodontics.牙髓病学中与患者相关的结局及口腔健康相关生活质量
Int Endod J. 2023 Mar;56 Suppl 2:169-187. doi: 10.1111/iej.13830. Epub 2022 Oct 2.
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Clinical decision making of post-treatment disease.治疗后疾病的临床决策
Int Endod J. 2023 Mar;56 Suppl 2:154-168. doi: 10.1111/iej.13806. Epub 2022 Aug 11.
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PROMs Following Root Canal Treatment and Surgical Endodontic Treatment.根管治疗和手术牙髓治疗后的 PROMs。
Int Dent J. 2023 Feb;73(1):28-41. doi: 10.1016/j.identj.2022.06.015. Epub 2022 Jul 21.
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The outcome of endodontic treatment using an enhanced infection protocol in specialist practice.专家应用强化感染控制方案进行根管治疗的效果。
Br Dent J. 2022 Jun;232(11):805-811. doi: 10.1038/s41415-022-4339-y. Epub 2022 Jun 10.
9
Present status and future directions - irrigants and irrigation methods.现状与未来方向——冲洗剂和冲洗方法。
Int Endod J. 2022 May;55 Suppl 3(Suppl 3):588-612. doi: 10.1111/iej.13739. Epub 2022 Apr 6.
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Outcome measures to assess the effectiveness of endodontic treatment for pulpitis and apical periodontitis for use in the development of European Society of Endodontology S3-level clinical practice guidelines: A consensus-based development.评估牙髓病和根尖周病根管治疗效果的结局测量指标,用于制定欧洲根管治疗学会 S3 级临床实践指南:基于共识的制定。
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