国际口腔医学杂志

国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (5): 558-564.doi: 10.7518/gjkq.2024066

• 牙体牙髓病专栏 • 上一篇    下一篇

微创髓腔通路对根管治疗过程的影响

纪寅飞(),张岚,黄定明()   

  1. 口腔疾病防治全国重点实验室 国家口腔医学中心 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:2023-12-18 修回日期:2024-05-20 出版日期:2024-09-01 发布日期:2024-09-14
  • 通讯作者: 黄定明
  • 作者简介:纪寅飞，医师，硕士，Email：<email>475822605@qq.com</email>
  • 基金资助:
    四川省科技计划项目重点研发项目(2021YFS0031)

Influence of minimally invasive access cavity on root canal therapy

Yinfei Ji(),Lan Zhang,Dingming Huang()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-12-18 Revised:2024-05-20 Online:2024-09-01 Published:2024-09-14
  • Contact: Dingming Huang
  • Supported by:
    Key Research and Development Program of Sichuan Province(2021YFS0031)

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摘要：

牙髓病和根尖周病是临床实践中常见的疾病，根管治疗是此类疾病最有效的治疗方法。制备髓腔通路是根管治疗的第一步，对根管治疗成功与否有重要影响。近年来，微创牙髓治疗的理念不断发展，学者们提议对传统髓腔通路设计进行微创化改良，强调尽可能地保留更多健康牙体组织，以提高牙齿的抗折能力。然而，微创髓腔通路的设计会对根管治疗全过程产生影响，可能会使根管治疗的各步骤复杂化，目前仍缺乏明确证据来判断这种微创化趋势对根管治疗的利与弊。本文就微创髓腔通路对根管治疗造成的影响作一综述。

关键词: 微创牙髓治疗, 根管治疗, 髓腔通路

Abstract:

Endodontic diseases are common in clinical practice, and root canal therapy is the most effective treatment for these illnesses. Access cavity preparation is the first step in endodontic treatment and has an important impact on the success of root canal therapy. With the continuous development of minimally invasive endodontics, minimally invasive modifications to the traditional access cavity design were proposed to preserve as much healthy tooth tissue as possible to improve the fracture resistance of the tooth. However, the design of minimally invasive access cavity also has an impact on the entire endodontic treatment process and may complicate the various steps of root canal therapy. Evidence on the pros and cons of this minimally invasive trend for endodontic treatment is still lacking. Hence, this research reviews the impact of minimally invasive access cavity on root canal therapy.

Key words: minimally invasive endodontics, root canal therapy, access cavity preparation

中图分类号: 

  • R781.3
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