髓室底穿通牙的保存治疗

Reservation of the tooth Perforated into the Floor of Chamber

  • 摘要: 本文介绍了36例髓室底穿通患牙的治疗方法,其中大部分已形成髓腔息肉。对有息肉的患牙,先通过手术或高频电凝刀将息肉去除,以碘仿棉球或碘仿灭滴灵棉球控制炎症后,再以银汞,玻璃离子粘固粉或氢氧化钙封闭髓底穿通处,并行干髓或根管治疗将患牙保留,经1~3年随诊观察,获得了较好的疗效。表明了此法既保留了髓室底穿通的患牙,又恢复了咀嚼功能,是一种有效的保存患牙的治疗方法。

     

    Abstract: teeth perforated into the floor of pulp cavities were treated.Among them,20 teeth showed granuloma formation in the pulp cavities.The methods of treatment included granuloma excision or fulguration. And then,iodoform gauze or iodoform with flagyl was put on the perforated area for one to two weeks.If there were no symptoms,the perforated area was filled with amalagam,glass ion cement or Dycal(radiopaque calcium hydroxide composition).After anotber week,the root canal and broken crown were filled completely.After 1-3 years following-up,the results showed that 32 teeth were reserved and the mastication functions were good.It tells us that a teeth perforated into the floor of pulp chamber can be reserved by correct methods.

     

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