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论著:隐裂磨牙的诊治分析
Clinical Characteristics and Efficacy Analysis of Cracked Molars
苏红如 徐培成 钱文昊
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作者单位:上海市徐汇区牙病防治所口腔内科
中文关键字:隐裂;根管治疗;全冠修复
英文关键字:Cracked;Root canal therapy;Full crown restoration
中文摘要:目的:观察145颗隐裂磨牙的治疗效果,探讨隐裂磨牙的治疗方法。方法:对136例患者共145颗隐裂磨牙进行治疗,其中9颗行充填、调治疗,26颗在复合树脂充填后行全冠修复,110颗在根管治疗后行全冠修复。对所有患者进行2年以上跟踪观察,分析并比较治疗效果。结果:男性患磨牙隐裂的比例高于女性,其好发年龄为35~54岁,以上颌第一恒磨牙最为好发,好发隐裂类型为近远中向。145颗患牙治疗后总成功率为85.52%。结论:根管治疗后行全冠修复能有效地保留隐裂的磨牙。
英文摘要:Objective: To investigate the treatment of cracked molars. Methods: 136 patients with 145 cracked molars have been enrolled. Nine cases were filled with composite resin and received adjustment of occlusion; 26 were filled with composite resin and then received full crown restoration; and the other 110 cases received full crown restoration after root canal therapy. All patients have been followed up for more than 2 years. Results: Cracked molars were more prevalent in men and at the age of 35 54. They were most prevalent in the first maxillary molar, and the predilection type of cracked molar was mesiodistal direction. The total success rate of the 145 cracked molars was 85.52%.Conclusions: Full crown restoration after root canal therapy was an effective way to cure cracked molars.
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