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使用牙髓静态导板引导取出长短纤维桩：病例报告

Guided Removal of Long and Short Fiber Posts Using Endodontic Static Guides: A Case Report.

作者信息

Shafagh Sahar, Adel Mamak, Sabzpai Atiyeh

机构信息

Department of Endodontics, School of Dentistry Qasvin University of Medical Science Qasvin Iran.

Department of Endodontics, Dental Caries Prevention Research Center Qasvin University of Medical Science Qasvin Iran.

出版信息

Clin Case Rep. 2025 Apr 18;13(4):e70438. doi: 10.1002/ccr3.70438. eCollection 2025 Apr.

DOI:10.1002/ccr3.70438
PMID:40256752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12008037/
Abstract

Fiber posts are commonly used in restorative dentistry. However, their removal poses significant challenges, including the risk of root fractures, deviations, or perforations. Recently, guided endodontic techniques have emerged as a conservative and precise approach for fiber post removal, though clinical applications remain underexplored.

摘要

纤维桩常用于牙体修复学。然而，去除纤维桩带来了重大挑战，包括牙根折断、偏移或穿孔的风险。最近，引导式牙髓治疗技术已成为一种保守且精确的纤维桩去除方法，尽管其临床应用仍未得到充分探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/3db866e4a595/CCR3-13-e70438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/5d57c0e32112/CCR3-13-e70438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/d0654b9034f8/CCR3-13-e70438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/bfbd214fe473/CCR3-13-e70438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/3db866e4a595/CCR3-13-e70438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/5d57c0e32112/CCR3-13-e70438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/d0654b9034f8/CCR3-13-e70438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/bfbd214fe473/CCR3-13-e70438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc1/12008037/3db866e4a595/CCR3-13-e70438-g002.jpg

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本文引用的文献

1
Effectiveness of guided endodontics when accessing root canals containing fiberglass posts: an in vitro study.在处理含有玻璃纤维桩的根管时引导式牙髓治疗的有效性：一项体外研究。
Odontology. 2025 Feb 22. doi: 10.1007/s10266-025-01072-x.
2
An Innovative Approach for Retrieval of a Separated Intracanal File Using Guided Endodontics: A Case Report.一种使用引导式牙髓治疗法取出分离根管锉的创新方法：病例报告
Cureus. 2025 Jan 13;17(1):e77393. doi: 10.7759/cureus.77393. eCollection 2025 Jan.
3
Guided Endodontics for Non-surgical Root Canal Retreatment: A Systematic Review.
非手术根管再治疗的引导性牙髓病治疗：一项系统评价
Iran Endod J. 2025;20(1):e3. doi: 10.22037/iej.v20i1.46903. Epub 2025 Jan 1.
4
Robot-Assisted Endodontic Retreatment: A Case Report with Clinical Considerations.机器人辅助牙髓再治疗：一份伴有临床考量的病例报告
J Endod. 2025 Apr;51(4):521-527. doi: 10.1016/j.joen.2025.01.015. Epub 2025 Jan 27.
5
Application of 3D-printed resin guides for the removal of molar fiber posts.3D打印树脂导板在磨牙纤维桩取出中的应用。
J Dent. 2025 Feb;153:105462. doi: 10.1016/j.jdent.2024.105462. Epub 2024 Nov 13.
6
Accuracy and Efficiency of the Surgical-Guide-Assisted Fiber Post Removal Technique for Anterior Teeth: An Ex Vivo Study.前牙手术导板辅助纤维桩取出技术的准确性和效率：一项体外研究
Dent J (Basel). 2024 Oct 18;12(10):333. doi: 10.3390/dj12100333.
7
Accuracy comparison of single- and double-sleeve endodontic guides for fiber post removal.单、双袖套根管内导丝在纤维桩取出术中的准确性比较。
BMC Oral Health. 2024 Apr 27;24(1):497. doi: 10.1186/s12903-024-04283-w.
8
Removal of fiber posts using conventional versus guided endodontics: a comparative study of dentin loss and complications.采用传统与导向根管内修复技术去除纤维桩：牙本质损耗及并发症的对比研究。
Clin Oral Investig. 2024 Mar 4;28(3):192. doi: 10.1007/s00784-024-05577-7.
9
Application of an Endodontic Static Guide in Fiber Post Removal from a Compromised Tooth.牙髓静态导板在受损牙齿纤维桩取出中的应用。
Case Rep Dent. 2023 Sep 15;2023:7982368. doi: 10.1155/2023/7982368. eCollection 2023.
10
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Iran Endod J. 2022;17(4):216-219. doi: 10.22037/iej.v17i4.38381.