论文部分内容阅读
目的探讨对于慢性牙槽脓肿中有瘘型患牙采用“双漏空感”方式疏通窦道内外口保存瘘管牙的可行性。方法对2013年10月-2017年7月近4年间在新兴街社区卫生服务中心口腔科治疗47例瘘管牙的结果做回顾性分析。结果经疏通窦道加完善根管充填,临床治愈后恢复正常咀嚼功能的有41例,其中观察超过2年治愈瘘管牙未复发的超过30例,超过1年复发4例经再治疗恢复咀嚼功能。治疗失败拔除2例。结论获得瘘管牙病灶根管根尖孔缩窄区及窦道在骨壁开口的漏空感是获得治愈成功的基础。打开循环通道加上正确的根管治疗,瘘管牙的保存率可达95%以上。
Objective To explore the feasibility of using fistula-type teeth in chronic alveolar abscess to eliminate fistula teeth in both the internal and external ostia of the sinus by “double leakage” method. Methods A retrospective analysis was performed on the results of 47 cases of fistulas treated in the Department of Stomatology, Xinxing Street Community Health Center during the nearly 4 years from October 2013 to July 2017. Results After dredging the sinus plus root canal filling, 41 patients recovered normal masticatory function after clinical cure. Among them, more than 30 cases of non-recurrence of fistula were observed after more than 2 years, and 4 cases were re-treated after 1 year to recover chewing function . Treatment failed in 2 cases. Conclusions Obtaining fistula root canal apical foramenoparietal narrowing area and sinus leakage in the osseous wall is the basis of successful cure. Open the circulation channel plus the right root canal therapy, the preservation rate of fistula teeth up to 95%.