国际口腔医学杂志 ›› 2016, Vol. 43 ›› Issue (3): 292-294.doi: 10.7518/gjkq.2016.03.009

• 论著 • 上一篇    下一篇

锥形束CT与根尖片对实验性根尖周炎根管治疗结果的评估

高静1,申静2,张海峰2,靳淑凤2   

  1. 1.南开大学医学院 天津 300071;2.天津市口腔医院国际诊疗中心 天津 300041
  • 收稿日期:2015-07-12 修回日期:2015-12-26 出版日期:2016-05-01 发布日期:2016-05-01
  • 通讯作者: 申静,主任医师,博士,Email:shenjing611@163.com
  • 作者简介:高静,硕士,Email:1034417280@qq.com
  • 基金资助:
    天津市2011年自然科学基金(11JCYBJC11900)

Outcome of root canal treatment of experimental apical periodontitis determined by periapical radiography and cone beam computed tomography scans

Gao Jing1, Shen Jing2, Zhang Haifeng2, Jin Shufeng2   

  1. 1. Medical College of Nankai University, Tianjin 300071, China; 2. International Clinic Center, Stomatological Hospital of Tianjin, Tianjin 300041, China) This study was supported by Natural Science Foundation of Tianjin in 2011(11JCYBJC11900).
  • Received:2015-07-12 Revised:2015-12-26 Online:2016-05-01 Published:2016-05-01

摘要: 目的 观察一次法根管治疗的短期临床疗效,并比较锥形束CT(CBCT)与根尖片在根管治疗结果评估中的差异。方法 选择4只比格犬的24颗上颌前磨牙(56个根管)为研究对象,所有牙齿形成实验性根尖周炎后,随机分为2组,一组采用一次法根管治疗,另一组采用两次法根管治疗,术后6个月应用CBCT和根尖片评估根管治疗疗效。结果 CBCT显示:一次法根管治疗成功率为28.57%,二次法根管治疗成功率为53.57%,两组间的成功率差异无统计学意义(P=0.057)。根尖片显示:一次法根管治疗成功率为67.86%,二次法成功率为78.57%,两组间差别无统计学意义(P=0.365)。CBCT显示的根管治疗总成功率为41.07%,根尖片显示的总成功率为73.21%,CBCT与根尖片在根管治疗后疗效评估中的差异有统计学意义(P=0.001)。结论 在针对实验性根尖周炎的治疗中,一次法根管治疗的近期治愈率与两次法根管治疗的近期治愈率相比较,其差异无统计学意义;然而,CBCT与根尖片的检查结果,在根管治疗后的疗效评估上,存在着一定差异。由此可见,CBCT这种三维检查手段相较于根尖片的二维影像来说,在根管治疗后对疾病的诊断评估中的准确性以及灵敏度更高。

关键词: 比格犬, 实验性根尖周炎, 一次法根管治疗, 二次法根管治疗, 锥形束CT, 根尖片, 比格犬, 实验性根尖周炎, 一次法根管治疗, 二次法根管治疗, 锥形束CT, 根尖片

Abstract: Objective To compare the favorable outcome of one-and two-visit endodontic treatment determined by periapical radiograph(PR) and cone beam computed tomography(CBCT) scans. Methods Fifty-six roots of dogs’ teeth were used to form two groups. All root canals were infected until apical periodontitis was radiographically confirmed. Roots were treated by one-visit therapy in group 1, by two-visit therapy in group 2, the radiolucent area in the PR and the volume of CBCT-scanned periapical lesions were measured after 6 months of the treatment. Results The 28.57% teeth in the one-visit group and 53.57% teeth in the two-visit group were classified as success in CBCT scans, the statistical analysis of the results did not show any significant difference between the groups(P=0.057). 67.86% teeth in the onevisit group and 78.57% teeth in the two-visit group were classified as success in PR, the statistical analysis of the results did not show any significant difference between the groups(P=0.365). A favorable outcome(lesions absent or reduced) was shown in 73.21% roots using PR but only in 41.07% roots using CBCT scans(P=0.001). Conclusion The present study give evidence that similar healing results might be obtained through one-and two-visit endodontics. Our findings provide evidences of the superiority of CBCT scans for the detection of periapical disease compared with PR.

Key words: beagle dog, experimental apical periodontitis, one-visit endodontics, two-visit endodontics, cone beam computed tomography, periapical radiography, beagle dog, experimental apical periodontitis, one-visit endodontics, two-visit endodontics, cone beam computed tomography, periapical radiography

中图分类号: 

  • R 781.05
[1] Inamoto K, Kojima K, Nagamatsu K, et al. A survey of the incidence of single-visit endodontics[J]. J Endod, 2002, 28(5):371-374.
[2] Garcia de Paula-Silva FW, Hassan B, Bezerra da Silva LA, et al. Outcome of root canal treatment in dogs deter-mined by periapical radiography and cone-beam com-puted tomography scans[J]. J Endod, 2009, 35(5):723-726.
[3] Katebzadeh N, Sigurdsson A, Trope M. Radiographic evaluation of periapical healing after obturation of infected root canals: an in vivo study[J]. Int Endod J, 2000, 33(1):60-66.
[4] Molander A, Warfvinge J, Reit C, et al. Clinical and radiographic evaluation of one-and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis: a randomized clinical trial[J]. J Endod, 2007, 33(10):1145-1148.
[5] Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis[J]. Int Endod J, 2007, 40(1):2-10.
[6] Barthel CR, Zimmer S, Trope M. Relationship of radiologic and histologic signs of inflammation in human root-filled teeth[J]. J Endod, 2004, 30(2):75-79.
[7] Patel S, Wilson R, Dawood A, et al. The detection of periapical pathosis using digital periapical radiography and cone beam computed tomography-part 2: a 1-year post-treatment follow-up[J]. Int Endod J, 2012, 45(8):711-723.
(本文采编 王晴)
[1] 唐蓓,赵文俊,王虎,郑广宁,游梦. 根管超填导致下牙槽神经损伤2例[J]. 国际口腔医学杂志, 2020, 47(3): 293-296.
[2] 章婷婷,胡常红,彭燕,周文翘,张慧聪,刘蝶. 300例不同年龄段有牙颌人群上唇软组织侧貌的锥形束CT三维测量分析[J]. 国际口腔医学杂志, 2020, 47(2): 182-188.
[3] 王春林,刘从华,宋思吟,周丽淑,林丽佳. 运用锥形束CT诊断上下颌横向发育不调的研究进展[J]. 国际口腔医学杂志, 2020, 47(1): 121-124.
[4] 黎祺, 黄少宏. 岭南地区广府民系人群下颌第二恒磨牙牙根和根管形态的锥形束CT研究[J]. 国际口腔医学杂志, 2019, 46(6): 640-649.
[5] 曹焜,李家锋,孙玉华,鲍强,卢秋宁,唐巍. 下颌下窝的锥形束CT影像分析[J]. 国际口腔医学杂志, 2019, 46(2): 209-212.
[6] 孟怡彤,张晓东. 成人个别正常颌上气道不同软件三维测量的比较研究[J]. 国际口腔医学杂志, 2018, 45(6): 690-694.
[7] 徐迅, 黄建生, 甘泽坤, 罗震. 上颌第一磨牙区腭侧骨板的锥形束CT测量结果及其临床意义[J]. 国际口腔医学杂志, 2017, 44(6): 686-690.
[8] 袁艺航, 张成晓雪, 王扬, 何双双, 宋雪娟, 王虎. 成都正常人群上颌前牙区鼻腭管相关解剖结构的锥形束CT研究[J]. 国际口腔医学杂志, 2017, 44(5): 566-572.
[9] 吴杉杉, 张茹, 侯本祥. 钙化根管的诊断与治疗[J]. 国际口腔医学杂志, 2017, 44(3): 279-283.
[10] 罗志强, 叶钟泰. 新疆地区不同人群上颌窦外侧骨壁厚度的锥形束CT测量分析[J]. 国际口腔医学杂志, 2017, 44(1): 55-58.
[11] 毛小泉,蒙亚娇,李海芳. 根样釉珠1例[J]. 国际口腔医学杂志, 2016, 43(4): 406-408.
[12] 郭文豪,游梦,罗晶晶,王凯利,王虎,郑广宁. 4例口腔颌面部非霍奇金淋巴瘤的影像学表现[J]. 国际口腔医学杂志, 2016, 43(2): 146-150.
[13] 翟菲1 祈森荣2 侯本祥1. 2种锥形束CT诊断牙根纵裂准确性的研究[J]. 国际口腔医学杂志, 2016, 43(1): 13-.
[14] 李放,王建国. 不同垂直骨面型安氏Ⅰ类成年患者颞下颌关节形态特征的锥形束CT研究[J]. 国际口腔医学杂志, 2015, 42(5): 538-541.
[15] 李炎钊1 黄念全1 吴敏茹2. 骨性错牙合畸形患者前牙牙槽骨骨裂孔的锥形束CT分析[J]. 国际口腔医学杂志, 2015, 42(4): 398-400.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 李子夏,包广洁. 龋病病因相关因素的激光扫描共聚焦显微镜研究[J]. 国际口腔医学杂志, 2008, 35(S1): .