华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

截根术治疗牙周/牙槽脓肿的疗效回顾

谭葆春 吴文蕾 孙卫斌 肖健平   

  1. 南京大学口腔医学院·南京市口腔医院牙周科, 南京210008
  • 收稿日期:2012-06-25 修回日期:2012-06-25 出版日期:2012-06-01 发布日期:2012-06-01
  • 通讯作者: 吴文蕾,Tel:025-83620206
  • 作者简介:谭葆春(1977—),女,河北人,主治医师,硕士

The clinical effect of root amputation in the treatment of periodontal/alveolar abscess

Tan Baochun, Wu Wenlei, Sun Weibin, Xiao Jianping   

  1.  Dept. of Periodontology, Nanjing Stomatological Hospital, Institute of Stomatology, Nanjing University, Nanjing 210008, China
  • Received:2012-06-25 Revised:2012-06-25 Online:2012-06-01 Published:2012-06-01
  • Contact: Wu Wenlei,Tel:025-83620206
  • About author:Tan Baochun(1977—),女,河北人,主治医师,硕士

摘要:

目的探讨截根术治疗由某一根病变导致的牙周/牙槽脓肿的疗效。方法选择某一根严重病变的牙周/牙槽脓肿患牙30颗,根管治疗后行常规的洁治、刮治及根面平整,调整咬合,翻瓣行截根术。术后3个月、6个月、1年复查,对治疗效果进行评价。结果术后1年复查,30颗患牙中27颗取得了成功,1颗下颌磨牙出现根折,1颗下颌磨牙继发牙周损害导致患牙松动拔除,1颗失访。结论截根术是治疗牙周/牙槽脓肿的一种行之有效的方法。

关键词: 截根术, 牙周/牙槽脓肿, 多根牙, 疗效

Abstract:

Objective To study the clinical effect of root amputation in the treatment of periodontal/alveolar abscess teeth with one severe lesion root. Methods 30 periodontal/alveolar abscess teeth with one severe lesion root were chosen in the study. After root canal treatment, supragingival scaling, subgingival scaling and root planning, occlusal adjustment were done. Then the teeth were treated by root amputation. The clinical effect was evaluated 3 months, 6 months and 1 year after surgery. Results One year after surgery, 27 of 30 teeth were successful, 1 mandibular molar occurred root fracture, 1 mandibular molar was removed because of tooth loosening secondary to periodontal damage. 1 patient lost. Conclusion Root amputation is an effective solution of periodontal/alveolar abscess.

Key words: root amputation, periodontal/alveolar abscess, multi-root teeth, clinical effect