国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (2): 233-238.doi: 10.7518/gjkq.2018.02.020

• 综述 • 上一篇    下一篇

根管定位数字化导板的研究进展

吕晶, 凌均棨   

  1. 中山大学光华口腔医学院•附属口腔医院牙体牙髓病科
    广东省口腔医学重点实验室 广州 510055
  • 收稿日期:2017-07-07 修回日期:2017-12-18 出版日期:2018-03-01 发布日期:2018-03-01
  • 通讯作者: 凌均棨,教授,博士,Email：lingjunqi@163.com
  • 作者简介:吕晶,住院医师,硕士,Email：lvjing12796@163.com

Research progress on the digital template for root canal location

Lü Jing, Ling Junqi   

  1. Guanghua School of Stomatology, Dept. of Conservative Dentistry and Endodontics, Hospital of Stomatology, Sun Yat-sen University
    Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2017-07-07 Revised:2017-12-18 Online:2018-03-01 Published:2018-03-01

RichHTML

15

PDF (PC)

535

摘要： 当牙髓钙化或牙内陷的患牙发生根尖周病变需行根管治疗时,如何准确定位根管、获取根管预备的通路是临床治疗中常见的问题。基于锥形束CT、数字化设计软件和3D打印技术的数字化根管定位导板可微创地获取髓腔通路和定位根管,最大限度保留牙体组织,提高根管治疗的成功率。本文就根管定位数字化导板的应用背景、技术发展、制作方法及准确性和临床应用进行综述。

关键词: 钙化根管, 牙内陷, 根尖周炎, 根管定位, 数字化导板

Abstract: Root canal treatment is necessary when apical periodontitis occurs in teeth with pulpal obliteration or dens invaginatus. Determining the accurate location of root canal and the path of preparation is one of the most common challenges in clinical practice. Digital template based on cone beam-computed tomography, digital design software, and 3D printing allows a minimal invasive access and location of root canal and thus preserves tooth structures and improves the success rate of root canal therapy. In this review, we summarized the background, current developments, manufacture method, accuracy, and clinical application of digital templates for root canal location.

Key words: pulp canal calcification, dens invaginatus, apical periodontitis, root canal location, digital template

中图分类号: 

  • R781.34+1
[1] Kishen A, Peters OA, Zehnder M, et al.Advances in endodontics: potential applications in clinical prac-tice[J]. J Conserv Dent, 2016, 19(3):199-206.
[2] Johnstone M, Parashos P.Endodontics and the ageing patient[J]. Aust Dent J, 2015, 60(Suppl 1):20-27.
[3] Malhotra N, Mala K. Calcific metamorphosis. Lite-rature review and clinical strategies[J]. Dent Update, 2013, 40(1):48-50, 53-54, 57-58.
[4] McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge[J]. Int Endod J, 2012, 45(2):177-197.
[5] Lang H, Korkmaz Y, Schneider K, et al.Impact of endodontic treatments on the rigidity of the root[J]. J Dent Res, 2006, 85(4):364-368.
[6] Siddiqui SH, Mohamed AN.Calcific metamorphosis: a review[J]. Int J Health Sci (Qassim), 2016, 10(3): 437-442.
[7] Oehlers FA.Dens invaginatus (dilated composite odontome).Ⅰ. Variations of the invagination process and associated anterior crown forms[J]. Oral Surg Oral Med Oral Pathol, 1957, 10(11):1204-1218.
[8] George R, Moule AJ, Walsh LJ.A rare case of dens invaginatus in a mandibular canine[J]. Aust Endod J, 2010, 36(2):83-86.
[9] Gündüz K, Çelenk P, Canger EM, et al.A retrospec-tive study of the prevalence and characteristics of dens invaginatus in a sample of the Turkish popula-tion[J]. Med Oral Patol Oral Cir Bucal, 2013, 18(1):e27-e32.
[10] Hamasha AA, Alomari QD.Prevalence of dens inva-ginatus in Jordanian adults[J]. Int Endod J, 2004, 37(5):307-310.
[11] Khan SA, Khan SY, Bains VK, et al.Dens invagina-tus: review, relevance, and report of 3 cases[J]. J Dent Child (Chic), 2012, 79(3):143-153.
[12] Cakici F, Celikoglu M, Arslan H, et al.Assessment of the prevalence and characteristics of dens inva-ginatus in a sample of Turkish Anatolian population[J]. Med Oral Patol Oral Cir Bucal, 2010, 15(6):e855-e858.
[13] Agrawal PK, Wankhade J, Warhadpande M.A rare case of type Ⅲ dens invaginatus in a mandibular second premolar and its nonsurgical endodontic ma-nagement by using cone-beam computed tomogra-phy: a case report[J]. J Endod, 2016, 42(4):669-672.
[14] Zhu J, Wang X, Fang Y, et al.An update on the dia-gnosis and treatment of dens invaginatus[J]. Aust Dent J, 2017, 62(3):261-275.
[15] Macleod I, Heath N. Cone-beam computed tomo-graphy (CBCT) in dental practice[J]. Dent Update, 2008, 35(9):590-592, 594-598.
[16] Shibu TM, Julie SR.Minimally invasive endodontics[J]. J Dent Oral Hyg, 2014, 6(4):36-38.
[17] Alghazzawi TF.Advancements in CAD/CAM te-chnology: options for practical implementation[J]. J Prosthodont Res, 2016, 60(2):72-84.
[18] Dawood A, Marti Marti B, Sauret-Jackson V, et al.3D printing in dentistry[J]. Br Dent J, 2015, 219(11): 521-529.
[19] Rengier F, Mehndiratta A, von Tengg-Kobligk H, et al. 3D printing based on imaging data: review of medical applications[J]. Int J Comput Assist Radiol Surg, 2010, 5(4):335-341.
[20] Mitsouras D, Liacouras P, Imanzadeh A, et al.Me-dical 3D printing for the radiologist[J]. Radiogra-phics, 2015, 35(7):1965-1988.
[21] Gu Q, Hao J, Lu Y, et al.Three-dimensional bio-printing[J]. Sci China Life Sci, 2015, 58(5):411-419.
[22] Martelli N, Serrano C, van den Brink H, et al. Ad-vantages and disadvantages of 3-dimensional prin-ting in surgery: a systematic review[J]. Surgery, 2016, 159(6):1485-1500.
[23] Zehnder MS, Connert T, Weiger R, et al.Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location[J]. Int Endod J, 2016, 49(10):966-972.
[24] Buchgreitz J, Buchgreitz M, Mortensen D, et al.Guided access cavity preparation using cone-beam computed tomography and optical surface scans—an ex vivo study[J]. Int Endod J, 2016, 49(8):790-795.
[25] van der Meer WJ, Vissink A, Ng YL, et al. 3D Com-puter aided treatment planning in endodontics[J]. J Dent, 2016, 45:67-72.
[26] Krastl G, Zehnder MS, Connert T, et al.Guided en-dodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology[J]. Dent Traumatol, 2016, 32(3):240-246.
[27] Zubizarreta Macho Á, Ferreiroa A, Rico-Romano C, et al.Diagnosis and endodontic treatment of type Ⅱdens invaginatus by using cone-beam computed tomography and splint guides for cavity access: a case report[J]. J Am Dent Assoc, 2015, 146(4):266-270.
[1] 税钰森,吕潇颖,李静雅,杨燃. 粪肠球菌在口腔及全身系统性疾病中的致病相关因素及其机制的研究进展[J]. 国际口腔医学杂志, 2020, 47(2): 225-234.
[2] 崔钰嘉,孙建勋,周学东. 黄连素的生物学功能及治疗口腔疾病研究的进展[J]. 国际口腔医学杂志, 2020, 47(1): 115-120.
[3] 杨子,侯本祥. 持续性根尖周炎根管内外生物膜特性的研究进展[J]. 国际口腔医学杂志, 2019, 46(2): 238-243.
[4] 张婷婷,胡建. 数字化导板与动态导航在口腔种植应用中的研究进展[J]. 国际口腔医学杂志, 2019, 46(1): 99-104.
[5] 林冬佳, 彭志翔, 高燕. 粪肠球菌与巨噬细胞相互作用机制的研究进展[J]. 国际口腔医学杂志, 2018, 45(4): 433-438.
[6] 衣晓伟, 黄定明, 张岚. 糖尿病患者牙髓根尖周病的发病机制及临床管理[J]. 国际口腔医学杂志, 2018, 45(2): 214-218.
[7] 雷期音, 陈柯. 年轻恒牙牙髓再生的临床应用进展[J]. 国际口腔医学杂志, 2017, 44(3): 267-272.
[8] 高静,申静,张海峰,靳淑凤. 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[J]. 国际口腔医学杂志, 2016, 43(3): 292-294.
[9] 刘梦余 叶玲 汪成林. 白细胞介素-17及其在口腔疾病中的作用[J]. 国际口腔医学杂志, 2015, 42(6): 728-732.
[10] 韩宁 孙克勤. 显微超声技术应用于钙化根管治疗的相关研究[J]. 国际口腔医学杂志, 2015, 42(4): 453-457.
[11] 王丽丽，李娜，李祥伟，孙宏晨. 粪肠球菌与复发性根尖周炎的相关性及其机制[J]. 国际口腔医学杂志, 2015, 42(2): 199-202.
[12] 纪海 侯本祥. 微小单胞菌与根尖周炎的关系[J]. 国际口腔医学杂志, 2014, 41(1): 88-91.
[13] 李红 侯本祥. 持续性根尖周炎根外生物膜的研究进展[J]. 国际口腔医学杂志, 2013, 40(6): 754-757.
[14] 宋登贤 陈新梅 郑黎薇. 难治性根尖周炎的病因探讨与治疗新理念[J]. 国际口腔医学杂志, 2013, 40(3): 330-333.
[15] 孙辉 李颂. 辅助性T-17细胞在根尖周炎中的免疫病理作用[J]. 国际口腔医学杂志, 2013, 40(1): 59-63.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 康健,华成舸. 术前诱导化疗在头颈部肿瘤预后评价中的意义[J]. 国际口腔医学杂志, 2008, 35(S1): .