国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (3): 279-283.doi: 10.7518/gjkq.2017.03.006
吴杉杉, 张茹, 侯本祥
Wu Shanshan, Zhang Ru, Hou Benxiang.
摘要: 牙髓钙化是导致根管预备困难的重要原因之一。病因尚不清楚,主要有年龄、外伤和微生物等因素。诊断牙髓钙化的主要手段有X线片、锥形束CT、显微镜观察以及组织切片等方法,临床上将手术显微镜和超声技术结合处理牙髓钙化的根管,可以提高根管治疗的成功率。本文对牙髓钙化的病因、影响因素、诊断方法和处理措施等研究进展进行综述。
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[1] Şener S, Cobankara FK, Akgünlü F. Calcifications of the pulp chamber: prevalence and implicated fac-tors[J]. Clin Oral Investig, 2009, 13(2):209-215. [2] Tang L, Sun TQ, Gao XJ, et al. Tooth anatomy risk factors influencing root canal working length ac-cessibility[J]. Int J Oral Sci, 2011, 3(3):135-140. [3] Negishi J, Kawanami M, Ogami E. Risk analysis of failure of root canal treatment for teeth with inac-cessible apical constriction[J]. J Dent, 2005, 33(5): 399-404. [4] 毛学理, 凌均棨, 林正梅, 等. 锥形束CT结合显微超声技术处理钙化根管的效果评价[J]. 中华口腔医学研究杂志(电子版), 2011, 5(6):594-599. Mao XL, Ling JQ, Lin ZM, et al. Evaluation of cone beam computed tomography combining with dental microscopy and ultrasonic instrument in the treat-ment of canal calcification[J]. Chin J Stomatol Res (Electr Ed), 2011, 5(6):594-599. [5] Arys A, Philippart C, Dourov N. Microradiography and light microscopy of mineralization in the pulp of undemineralized human primary molars[J]. J Oral Pathol Med, 1993, 22(2):49-53. [6] Tjäderhane L, Carrilho MR, Breschi L, et al. Dentin basic structure and composition—an overview[J]. Endod Topics, 2009, 20(1):3-29. [7] Nanjannawar GS, Vagarali H, Nanjannawar LG, et al. Pulp stone—an endodontic challenge: successful retrieval of exceptionally long pulp stones measuring 14 and 9.5 mm from the palatal roots of maxillary molars[J]. J Contemp Dent Pract, 2012, 13(5):719- 722. [8] McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge[J]. Int Endod J, 2012, 45(2):177-197. [9] Tomczyk J, Komarnitki J, Zalewska M, et al. The prevalence of pulp stones in historical populations from the middle Euphrates valley(Syria)[J]. Am J Phys Anthropol, 2014, 153(1):103-115. [10] Mass E, Zilberman U. Long-term radiologic pulp evaluation after partial pulpotomy in young per-manent molars[J]. Quintessence Int, 2011, 42(7): 547-554. [11] Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study[J]. J Am Dent Assoc, 2008, 139(3):305-315. [12] Witherspoon DE. Vital pulp therapy with new materials: new directions and treatment perspec- tives—permanent teeth[J]. Pediatr Dent, 2008, 30(3):220-224. [13] Bains SK, Bhatia A, Singh HP, et al. Prevalence of coronal pulp stones and its relation with systemic disorders in northern Indian central punjabi popu-lation[J]. ISRN Dent, 2014, 2014:617590. [14] Çolak H, Çelebi AA, Hamidi MM, et al. Assessment of the prevalence of pulp stones in a sample of Turkish Central Anatolian population[J]. Sci World J, 2012, 2012:804278. [15] Gulsahi A, Cebeci AI, Ozden S. A radiographic as-sessment of the prevalence of pulp stones in a group of Turkish dental patients[J]. Int Endod J, 2009, 42 (8):735-739. [16] Nayak M, Kumar J, Prasad LK. A radiographic correlation between systemic disorders and pulp stones[J]. Indian J Dent Res, 2010, 21(3):369-373. [17] Talla HV, Kommineni NK, Yalamancheli S, et al. A study on pulp stones in a group of the population in Andhra Pradesh, India: An institutional study[J]. J Conserv Dent, 2014, 17(2): 111-114. [18] Sisman Y, Aktan AM, Tarim-Ertas E, et al. The prevalence of pulp stones in a Turkish population. A radiographic survey[J]. Med Oral Patol Oral Cir Bucal, 2012, 17(2):e212-e217. [19] Ranjitkar S, Taylor JA, Townsend GC. A radio-graphic assessment of the prevalence of pulp stones in Australians[J]. Aust Dent J, 2002, 47(1):36-40. [20] Park JW, Lee JK, Ha BH, et al. Three-dimensional analysis of maxillary first molar mesiobuccal root canal configuration and curvature using micro-com-puted tomography[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 108(3):437-442. [21] Yoshioka T, Kikuchi I, Fukumoto Y, et al. Detection of the second mesiobuccal canal in mesiobuccal roots of maxillary molar teeth ex vivo [J]. Int Endod J, 2005, 38(2):124-128. [22] 黄定明, 谭红, 张富华, 等. 下颌恒切牙根管形态的影像学研究[J]. 牙体牙髓牙周病学杂志, 2006, 16 (8):434-437. Huang DM, Tan H, Zhang FH, et al. Anatomy and morphology of root canal of mandibular permanent incisors of Chinese in radiography[J]. Chin J Con-serv Dent, 2006, 16(8):434-437. [23] Zeng J, Yang F, Zhang W, et al. Association between dental pulp stones and calcifying nanoparticles[J]. Int J Nanomedicine, 2011, 6:109-118. [24] Yang F, Zeng J, Zhang W, et al. Evaluation of the interaction between calcifying nanoparticles and human dental pulp cells: a preliminary investiga-tion[J]. Int J Nanomedicine, 2010, 6:13-18. [25] Marwaha M, Chopra R, Chaudhuri P, et al. Multiple pulp stones in primary and developing permanent dentition: a report of 4 cases[J]. Case Rep Dent, 2012, 2012:408045. [26] Parekh S, Kyriazidou A, Bloch-Zupan A, et al. Multiple pulp stones and shortened roots of unknown etiology[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2006, 101(6):e139-e142. [27] Zuza EP, Carrareto AL, Lia RC, et al. Histopatho-logical features of dental pulp in teeth with different levels of chronic periodontitis severity[J]. ISRN Dent, 2012, 2012:271350. [28] Horsley SH, Beckstrom B, Clark SJ, et al. Prevalence of carotid and pulp calcifications: a correlation using digital panoramic radiographs[J]. Int J Comput Assist Radiol Surg, 2009, 4(2):169-173. [29] Ee J, Fayad MI, Johnson BR. Comparison of endo-dontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography[J]. J Endod, 2014, 40(7):910- 916. [30] Ball RL, Barbizam JV, Cohenca N. Intraoperative endodontic applications of cone-beam computed tomography[J]. J Endod, 2013, 39(4):548-557. [31] 牛晓枫, 李桂红. 锥体束CT结合显微超声技术在治疗上颌第一磨牙钙化MB2根管中的应用研究[J]. 现代口腔医学杂志, 2010, 24(6):412-414. Niu XF, Li GH. Clinical application of cone beam CT combined with dental operatingmicroscope and ultrasonic instruments in negotiation of calcified MB2 canals in the maxillary first molars[J]. J Mo-dern Stomatol, 2010, 24(6):412-414. [32] Wu D, Shi W, Wu J, et al. The clinical treatment of complicated root canal therapy with the aid of a den-tal operating microscope[J]. Int Dent J, 2011, 61(5): 261-266. |
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