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牙髓腔因外伤而变窄的经根管治疗的无活力前牙的治疗失败与愈合情况

Failures and healing in endodontically treated non-vital anterior teeth with posttraumatically reduced pulpal lumen.

作者信息

Cvek M, Granath L, Lundberg M

出版信息

Acta Odontol Scand. 1982;40(4):223-8. doi: 10.3109/00016358209019816.

Abstract

The aim of the present investigation was to assess the frequency of technical failures as well as the 4-year results of endodontic treatment in non-vital incisors with post-traumatically reduced pulpal lumen. In 54 teeth the smallest width of the root canal was measured and classified as 0. less than or equal 0.1, greater than 0.1- less than or equal to 0.2 or greater than 0.2 mm. The total frequency of failures was 20%. In upper incisors it was 15-17% in the classes up to a root canal width of 0.2 mm. In lower incisors with no or only partially visible root canal it was 71% and in the class up to 0.1 mm 10%, the difference being significant at the 5% level. The total frequency of healing after 4 years was 80%, while in teeth with a technical failure at the time of treatment the frequency was 50%. The difference between the group without and that with technical failures was statistically significant at the 5% level.

摘要

本研究的目的是评估技术失败的发生率以及根管腔因外伤而变窄的无活力切牙的根管治疗4年结果。对54颗牙齿测量根管最小宽度并分类为:0(小于或等于0.1mm)、大于0.1至小于或等于0.2mm、大于0.2mm。失败的总发生率为20%。在上颌切牙中,根管宽度达0.2mm的组别中失败率为15%至17%。在下颌切牙中,根管不可见或仅部分可见的组别中失败率为71%,根管宽度达0.1mm的组别中失败率为10%,两者差异在5%水平具有统计学意义。4年后愈合的总发生率为80%,而治疗时出现技术失败的牙齿愈合率为50%。治疗时无技术失败组与有技术失败组之间的差异在5%水平具有统计学意义。

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