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论文摘要

埋伏阻生牙导致牙根外吸收邻牙的预后的临床观察

Prognosis of teeth with external root resorption caused by adjacent impacted teeth

作者:赖颖,潘韦霖,刘畅,黄静远,华成舸

Author:Ying Lai,Weilin Pan,Chang Liu,Jingyuan Huang,Chengge Hua

收稿日期:2018-10-21          年卷(期)页码:2019,37(3):280-280-284

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:阻生牙,牙根外吸收,预后,

Key words:impacted teeth,external root resorption,prognosis,

基金项目:四川省重点研发项目(2018SZ0181)

中文摘要

目的 探讨埋伏阻生牙导致邻牙(恒牙)牙根外吸收(ERR)时,阻生牙拔除术后邻牙的预后。方法 以埋伏阻生牙导致邻牙(恒牙)ERR但可以正常行使功能的63例患者的75颗ERR邻牙作为研究对象,微创拔除埋伏阻生牙后,术后随访6月,观察ERR邻牙的预后情况,并分析预后与患者年龄、性别、牙根数量、牙根吸收类型、牙根吸收程度的关系。结果 在75颗ERR邻牙中,67颗(89.3%)为无症状活髓牙。ERR邻牙的预后与患者的年龄相关(r=0.330,PP>0.05)。结论 对于因相邻埋伏阻生牙导致的牙根外吸收而无临床症状的恒牙,有较大概率在阻生牙拔除术后保存活髓,建议密切随访观察,不必行预防性根管治疗。

英文摘要

ObjectiveThis study aimed to investigate the prognosis of permanent teeth with external root resorption (ERR) caused by adjacent impacted teeth.MethodsA total of 75 ERR teeth (permanent teeth) caused by adjacent impacted teeth of 63 patients were included. The prognosis of ERR teeth was analyzed followed by minimally invasive extraction of the adjacent impacted teeth. The time of follow-up was six months. The relationship between prognosis of ERR teeth and patients’ age, gender, root number, type of root resorption and degree of root resorption were analyzed.ResultsIn the 75 ERR teeth, 67 teeth (89.3%) did not show pulpitis symptoms. The clinical outcome was found to be related with age (r=0.330,PP>0.05). Pulpitis symptom was not found in ERR teeth of patients under 30 years old.ConclusionFor ERR teeth caused by adjacent impacted teeth, keeping the pulp vital after surgical removal of impacted teeth is highly probable. Post-operative follow-up instead of preventive root canal therapy of ERR teeth is recommended.

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