华西口腔医学杂志

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根管内折断器械的超声取出方法

侯本祥   

  1. 首都医科大学附属北京口腔医院牙体牙髓科, 北京100050
  • 收稿日期:2007-10-25 修回日期:2007-10-25 出版日期:2007-10-20 发布日期:2007-10-20
  • 通讯作者: 侯本祥,Tel:010- 67099230
  • 作者简介:侯本祥(1966-),男,安徽人,主任医师,博士

Ultr asonic techniques for r emoving broken instruments from root canal HOU Ben- xiang

HOU Ben- xiang   

  1. Dept. of Endodontics, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
  • Received:2007-10-25 Revised:2007-10-25 Online:2007-10-20 Published:2007-10-20
  • Contact: HOU Ben- xiang,Tel:010- 67099230

摘要:

根管内器械折断是根管治疗的常见并发症,随着显微根管治疗技术的发展,大部分根管折断器械可以通过超声技术取出。本文对根管内器械折断的原因、超声技术取根管内折断器械的方法及应用中可能出现的问题进行介绍,强调超声法取根管内折断器械时建立直线通路的重要性,对超声振动过程中有水或无水下操作、工作尖是否需要旋转以及是否需要根管显微镜辅助等问题进行讨论,对临床医师预防和处理根管器械折断具有指导意义。

关键词: 器械折断, 根管治疗, 超声技术

Abstract:

Instruments broken in root canal is one of the frequent complications of endodontic therapy and fortunately, as the rapid development of microscope using in the root canal treatment, most of the broken instruments can be removed with the assistance of ultrasonic appliances. In the present study, we talked about the causes, the removing methods of broken instruments and troubles during the procedures. We put much emphasis on the creation of a traight pathway along the canal as well as some concerns in using the ultrasonic appliances, such as the water spray, the rotating actions and the assistance of microscope, all of which are supposed to offer great benefits for clinically avoiding as well as dealing with broken instruments.

Key words: instruments broken, root canal therapy, ultrasonic technique