一次性根管治疗的病例报告及台湾地区嚼食槟榔习惯的流行病学研究进展

发布时间：2018-10-19 19:55

【摘要】：目的:探讨使用美松糊剂进行一次性根管治疗术的效果。方法:研究对象选取2014年8月至2015年12月来诊的10例男性患者,年龄介于30-40岁,患有根尖周炎、慢性牙髓炎、残髓炎。患者在局麻下开髓,揭髓顶,暴露髓室底,探及根管口,疏通根管,测量根管工作长度,拍摄插针片,X线显示长度到位。用G钻敞开根管冠部1/3,再用S1锉进行根管冠部1/3预备,用S2锉进行根管中1/3的预备,以F1锉进行根尖1/3的预备,均用3%双氧水、2.5%次氯酸钠溶液交替冲洗,干燥,拍摄试尖片,X线显示长度到位。导入Endomethasone根管充填糊剂,牙胶尖充填,拍摄根充片,X线显示恰充,水门汀垫底,树脂充填。去除橡皮障。调,抛光。嘱患者在术后一周、术后第六个月、术后一年复诊,进行临床检查,并拍摄X线片。结果:术后当日至一周,5例患者术后评估为(-)、4例患者术后反应评估为(+)、1例患者术后反应评估为(++)。术后六个月和一年后随访,所有患者恢复状况良好,X线片显示根尖原有病变已明显变小,趋向愈合,治疗结果成功。结论:1.一次性根管治疗减少了患者的就诊次数及就诊时间,亦可以防止根管在封药期间各种因素引起根管的再感染。2.Endomethason充填糊剂的使用能有效减缓根管充填术后的疼痛。
[Abstract]:Objective: to investigate the effect of once-time root canal therapy with meisong paste. Methods: ten male patients, aged 30-40 years, were selected from August 2014 to December 2015. They had periapical periodontitis, chronic pulpitis and residual pulpitis. The patients were treated with local anesthesia to open the pulp, uncover the pulp top, expose the pulp floor, probe the root canal orifice, dredge the root canal, measure the working length of the root canal, take the needle film, and X-ray show the length of the root canal in place. One third of the crown of root canal was drilled with G drill, then 1 / 3 of root canal was prepared with S1 file, 1 / 3 of root canal was prepared with S2 file, 1 / 3 of root tip was prepared with F1 file, 3% hydrogen peroxide solution and 2.5% sodium hypochlorite solution were used alternately to wash and dry. Shoot test tips, X-ray display length in place. Endomethasone root canal filling paste, gum tip filling, root filling, X-ray showing filling, cement bottom, resin filling. Remove rubber barriers. Adjust, polish. The patient was asked to return to the clinic one week, six months and one year after the operation for clinical examination and X-ray film. Results: from the day of operation to one week after operation, 5 patients were evaluated as (-), 4 patients as (), and 1 patient as (). Six months and one year after operation, all the patients recovered well, and X-ray showed that the original lesion of the root tip had obviously become smaller and tended to heal, and the treatment was successful. Conclusion: 1. One-off root canal therapy can reduce the number and time of treatment and prevent root canal re-infection caused by various factors during the period of root canal sealing. The use of 2.Endomethason filling paste can effectively alleviate the pain after root canal filling.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R781.05

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