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残根残冠根管治疗术后引发急性炎症的研究
引用本文:孙钦峰,杨丕山,熊世江,杜朝霞,刘琳.残根残冠根管治疗术后引发急性炎症的研究[J].牙体牙髓牙周病学杂志,2004,14(10):578-580.
作者姓名:孙钦峰  杨丕山  熊世江  杜朝霞  刘琳
作者单位:1. 山东大学口腔医学院,山东,济南,250012
2. 市第五人民医院,山东,济南,250011
摘    要:目的探讨残根残冠根管治疗术后急性炎症的发病情况及其相关因素。方法83例患者随机分为2组,分别采用根管治疗术一次法和二次法,分析急性炎症的发生率及其相关因素。结果两种根管治疗术急性炎症发生率无显著性差异,但二次法急性蜂窝织炎发生率明显高于一次法(P<0.05),而且,封药后出现急性炎症的患牙根管充填后很少出现急性炎症反应;急性炎症与根管预备、根管充填、根尖周区骨质破坏程度有关。结论根管治疗术应严格遵守操作规程,一次法可以应用于残根残冠的治疗。

关 键 词:急性炎症  残根残冠  根管治疗术  发生率  术后  冠根  一次法  根尖
文章编号:1005-2593(2004)10-0578-03
修稿时间:2004年2月5日

Study of acute inflammation during root canal therapy of residual roots and crowns
SUN Qin-feng ,YANG Pi-shan,XIONG Shi-jiang,et al.Study of acute inflammation during root canal therapy of residual roots and crowns[J].Chinese Journal of Conservative Dentistry,2004,14(10):578-580.
Authors:SUN Qin-feng  YANG Pi-shan  XIONG Shi-jiang  
Institution:SUN Qin-feng *,YANG Pi-shan,XIONG Shi-jiang,et al
Abstract:AIM:To study the reason and incidence of acute inflammation during root canal therapy of residual roots and crowns.METHODS:Eighty-three patients were randomly assigned to either the one-appointment or two-appointments root canal therapy.The causes of acute inflammation were analyzed.RESULTS:The incidence of the acute inflammation from both methods had no significant difference,but the incidence of acute phlegmon of two-appointment root canal therapy was more than that of one-appointments ( P <0.05).The acute inflammation was related to the root preparation,root filling and periapical leision.CONCLUSION:Root canal therapy should be done strictly.One-appointments root canal therapy may be employed in the treatment of residual roots and crowns.
Keywords:root canal therapy  acute inflammation  pain
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