国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (5): 579-584.doi: 10.7518/gjkq.2021100

• 综述 • 上一篇    下一篇

根管治疗后疾病的综合评估和治疗决策

邢桂琪(),郭林溪,苏勤()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2021-02-15 修回日期:2021-06-02 出版日期:2021-09-01 发布日期:2021-09-10
  • 通讯作者: 苏勤
  • 作者简介:邢桂琪,硕士,Email: 925197055@qq.com
  • 基金资助:
    四川省科技计划项目(2018SZ0129)

Clinical evaluation and treatment strategies for post-treatment endodontic disease

Xing Guiqi(),Guo Linxi,Su Qin()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-15 Revised:2021-06-02 Online:2021-09-01 Published:2021-09-10
  • Contact: Qin Su
  • Supported by:
    Science and Technology Projects of Sichuan Province(2018SZ0129)

摘要:

根管治疗是解决牙髓根尖周病最为有效的手段,但临床上仍然存在因治疗失败或新发疾病需要再次治疗的病例。病情的复杂性、诊断的不确定性及技术设备的局限性给该类疾病的诊治带来了难题。本文从患牙自身情况及治疗风险效益的角度进行综合评估,提出相应的治疗决策,为临床医生选择再治疗方案提供参考。

关键词: 根管治疗后疾病, 根管再治疗, 显微根尖手术, 意向性牙再植, 风险效益评估

Abstract:

Root canal therapy is the most effective method to solve pulpal and periapical diseases, but some clinical cases still require retreatment because of treatment failure or new symptoms. Disease complexity, diagnostic uncertainty, and technical equipment limitations have caused difficulties in the diagnosis and treatment of such diseases. This article aims to propose corresponding clinical treatment strategies from the perspective of the affected tooth itself and the risks/benefits to provide a reference for clinicians in choosing a retreatment plan.

Key words: post-treatment endodontic disease, root canal retreatment, apical microsurgery, intentional replantation, risk benefit assessment

中图分类号: 

  • R781.05
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