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颌骨大型囊性病变相关牙的保存治疗
引用本文:马宏涛,王海宁,孙坚. 颌骨大型囊性病变相关牙的保存治疗[J]. 中国口腔颌面外科杂志, 2011, 9(3): 234-236
作者姓名:马宏涛  王海宁  孙坚
作者单位:1. 上海交通大学医学院附属第九人民医院·口腔医学院,口腔综合科
2. 口腔颌面外科,上海市口腔医学重点实验室,上海,200011
摘    要:目的:研究保存颌骨大型囊性病变相关牙的临床效果。方法:对22例颌骨囊性病变患者的102颗相关受累牙术前行根管治疗。手术彻底刮除颌骨病变组织后,用电钻将暴露于骨腔中的根尖磨除2~3mm。术后随访7~28个月,检查经治牙的松动、咬合、牙根吸收以及骨质修复情况。结果:22例患者颌骨囊性病变均无复发。102颗经治牙中,98颗成功保留,均能正常行使咀嚼功能;4颗因松动加剧于术后3个月拔除。结论:颌骨大型囊性病变相关牙,经术前根管治疗联合术中根尖切除可予有效保存,不增加囊性病变的复发率。

关 键 词:颌骨  囊性病变    治疗

Conservative treatment of the teeth involved by large cystic lesion in jaws
MA Hong-tao,WANG Hai-ning,SUN Jian. Conservative treatment of the teeth involved by large cystic lesion in jaws[J]. China Journal of Oral and Maxillofacial Surgery, 2011, 9(3): 234-236
Authors:MA Hong-tao  WANG Hai-ning  SUN Jian
Affiliation:1.Department of General Dentistry,2.Department of Oral and Maxillofacial Surgery,Ninth People's Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine;Shanghai Key Laboratory of Stomatology.Shanghai 200011,China)
Abstract:PURPOSE: To study the clinical effect of preserving the teeth involved by large cystic lesion in jaws.METHODS: During curettage of the cystic lesion in the jaws,apicectomy was performed on 102 involved teeth which had received complete root canal therapy.All the patients were evaluated after operation with a follow-up of 7-28 months.RESULTS: Recurrence was not observed and a total of 98 teeth were successfully preserved,4 teeth were extracted due to severe loosening.CONCLUSION: The teeth involved by large cystic lesion in jaws could be successfully preserved by root canal therapy before operation and apicectomy during curettage,with no increase of postoperative recurrence.
Keywords:Jaws  Cystic lesion  Teeth  Treatment
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