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垂直根折的诊断及可能病因

Diagnosis and possible causes of vertical root fractures.

作者信息

Meister F, Lommel T J, Gerstein H

出版信息

Oral Surg Oral Med Oral Pathol. 1980 Mar;49(3):243-53. doi: 10.1016/0030-4220(80)90056-0.

DOI:10.1016/0030-4220(80)90056-0
PMID:6928310
Abstract

Thirty-two cases of vertical fractures were studied in an attempt to identify the causes and diagnostic signs normally present. In all of the patients except two, osseous defects were present and could be probed. The majortiy (65.63 percent) had only mild pain or a dull discomfort. Seventy-five percent showed diffuse widening of the periodontal ligament space. This study suggests that excessive force during lateral condensation of the gutta-percha caused 84.38 percent of the fractures. A secondary cause was the forcing or tapping of inlays or dowels into place. The majority (78.13 percent) of the patients were over the age of 40. In all but nine of the cases, treatment consisted of the extraction of the involved teeth.

摘要

对32例垂直骨折病例进行了研究,试图确定其常见病因及诊断体征。除2例患者外,所有患者均存在骨缺损且可被探及。大多数患者(65.63%)仅有轻微疼痛或隐痛不适。75%的患者表现为牙周膜间隙弥漫性增宽。该研究表明,牙胶侧向加压时用力过大导致了84.38%的骨折。第二个原因是嵌体或桩钉就位时的强行用力或敲击。大多数患者(78.13%)年龄超过40岁。除9例外,所有病例的治疗均包括拔除患牙。

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1
Diagnosis and possible causes of vertical root fractures.垂直根折的诊断及可能病因
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2
Alveolar bone loss associated with vertical root fractures. Report of six cases.与垂直性根折相关的牙槽骨吸收。6例报告。
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Developing evidence-based clinical imaging guidelines for the diagnosis of vertically fractured teeth.制定基于循证医学的临床影像学指南,用于诊断垂直向折裂的牙齿。
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Fracture Strength of Tooth Roots Following Canal Preparation by Three Rotary File Systems: An In Vitro Study.
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An In-Vitro Analysis of Root Fracture Strength Using Single File Systems.使用单根管锉系统对牙根断裂强度进行的体外分析。
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Does Low-Taper Root Canal Shaping Decrease the Risk of Root Fracture? A Systematic Review.低锥度根管预备是否能降低根折风险?一项系统评价。
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