磨牙隐裂综合征的临床治疗

目的探讨牙隐裂综合治疗的方法和临床疗效。方法选取53例磨牙隐裂综合征的患者,年龄28～58岁,随机分为两组,A组行常规根管治疗前仅降低咬合;B组在根管治疗的前,用临时树脂全冠进行保护。采用金属烤瓷全冠修复的原则进行治疗。结果冠修复前,A组4例发生牙折,B组无牙折发生。18个月随访显示:疗效显著,88.1%的患者咀嚼功能良好、无叩痛、无松动。X线片牙周组织及根尖周组织正常。两组有效率比较,差异无统计学意义。结论磨牙隐裂综合征采用根管治疗加全冠修复的方法可达到良好效果。其中在根管治疗前用临时树脂全冠保护,可大大降低治疗时及治疗后观察期的牙折率。

Study on comprehensive treatment of cracked tooth syndrome

Objective To study methods and efficiency of comprehensive therapy on cracked teeth.Methods Fifty three patients ranged from 28 to 58 years old with creaked tooth syndrome were treated with full crown prosthesis after initial root canal treatment.Results After eighteen months of follow-up,their curative effects were pretty nice.Conclusion Comprehensive treatment for cracked molar teeth is effective.The application of temporary full veneer crown before root canal treatment for crack molar teeth can avoid crown fracture.