上颌第一恒磨牙逆行性牙髓炎的治疗探讨

目的探究上颌第一恒磨牙逆行性牙髓炎的治疗方法及效果。方法对23例上颌第一恒磨牙逆行性牙髓炎患者根据病情分轻型,重型两组,分别进行单纯牙周治疗和牙周牙髓联合治疗,观察疗效。结果经1年随访,23例患者中进行单纯牙周治疗的10例有效率为85.0%。牙周牙髓联合治疗的13例有效率达92.3%。结论当逆行性牙髓炎的牙髓炎症为亚急性或充血状态时,单纯牙周治疗即可取得较好疗效;为急性炎症时,牙周牙髓联合治疗可以取得较好疗效,临床上可以根据病情选择治疗方式。

The Discuss about the Treatment to the Ascending Pulpitis on Maxillary First Molar

Objective To observe the therapy and curative effect of ascending pulpitis on maxillary first molar.Methods 23 maxillary first molars with ascending pulpitis were divided into two groups： mild case and severe case.To cure the mild case with periodontal therapy.To cure the severe case with combined periodonto-endodontic therapy.To observe the result of each treatment.Results The effective power of 10 mild case with periodontal therapy is 85.0% while the effective power of 13 mild case with combined periodonto-endodontic therapy is 92.3% after 1 year’s follow-up visit.Conclusions When the inflammation of dental pulp ismild,periodontal therapy seem to be a effective method,while the combined periodonto-endodontic therapy could be used to cure the acute inflammation to gain optimistic effect.We could choose different treatment according to the pathogenetic condition in clinical.