J Endod:采用长效氢氧化钙治疗牙髓坏死伴随根尖周炎牙齿的疗效评估

2020-09-22 lishiting MedSci原创

这篇同期系列病例的回顾性研究的目的是为了1)评估长效氢氧化钙对牙髓坏死伴随根尖周炎牙齿的疗效。通过根尖周指标(PAI)系统评估愈合;2)探讨长期氢氧化钙封药与折裂之间可能的关系。

这篇同期系列病例的回顾性研究的目的是为了1)评估长效氢氧化钙对牙髓坏死伴随根尖周炎牙齿的疗效。通过根尖周指标(PAI)系统评估愈合;2)探讨长期氢氧化钙封药与折裂之间可能的关系。

研究采用标准化方案对242例诊断为牙髓坏死伴随根尖周炎牙齿施以长期氢氧化钙封药处理。将注射型粉剂Ca(OH)2持续注入根管系统中。所有病例在3个月内反复进行评估,直至X线影像呈现愈合为止。随后,每年进行一次临床和X线检查。采用根尖周指标(PAI)系统评估术前和术后的根尖周X线影像。

结果显示,242例病例中,共有219名参与者完成了治疗和每年的随访。在1-12个月的周期内,氢氧化钙平均封药时间为5.4个月。总的来说,直至最近一次的随访,分级为愈合的占比为90.0% (197/219)。整体上术前和术后的PAI评分分别为4.07 (± 0.80)和1.76 (± 0.70)。Kappa statistics显示,2名检查者受试者间(k = 0.91)和受试者内(k=0.95)的重复性几乎完全一致。

结论:就这篇研究而言,长期氢氧化钙封药对治疗牙髓坏死伴随根尖周炎牙齿能够取得较好的疗效。在研究中,未显示长期氢氧化钙封药与折裂发生率存在相关性。氢氧化钙对于治疗牙髓坏死伴随根尖周炎牙齿的诊间封药是一种较为合适的材料选择。

原始出处

Sheldon Best, Christopher L Ammons, et al. Outcome Assessment of Teeth with Necrotic Pulps and Apical Periodontitis Treated with Long-Term Calcium Hydroxide. J Endod. 2020 Sep 17;S0099-2399(20)30687-7.

 

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    2020-10-18 jxrzshh
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    2020-09-24 millore
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  5. 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    2020-09-24 zhouqu_8
  6. 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encodeId=cf4a88e51598, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Sep 22 22:08:16 CST 2020, time=2020-09-22, status=1, ipAttribution=)]
    2020-09-23 opzoro

    学习一下

    0

  8. 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target=_blank style='color:#2F92EE;'>#氢氧化钙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63959, encryptionId=e14a6395908, topicName=氢氧化钙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8f315601930, createdName=tongyongming, createdTime=Thu Sep 24 12:53:57 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=887658, encodeId=b50488e65806, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200910/7e96bbab0c5c420e8fe7846dcdd38c29/2b6be8f4b6284022a808d4f619b7aed6.jpg, createdBy=2aaa1602125, createdName=opzoro, createdTime=Wed Sep 23 11:55:59 CST 2020, time=2020-09-23, status=1, ipAttribution=), 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encodeId=cf4a88e51598, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Sep 22 22:08:16 CST 2020, time=2020-09-22, status=1, ipAttribution=)]
    2020-09-23 二木emm

    学习

    0

  9. 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encodeId=cf4a88e51598, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Sep 22 22:08:16 CST 2020, time=2020-09-22, status=1, ipAttribution=)]
    2020-09-23 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

  10. 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encodeId=cf4a88e51598, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Sep 22 22:08:16 CST 2020, time=2020-09-22, status=1, ipAttribution=)]
    2020-09-22 医鸣惊人

    学习

    0

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J Endod:使用三联抗生素溶液或氯己定配合氢氧化钙控制根尖周炎牙齿感染的效果比较:一项临床随机试验

这项临床随机试验的目的是为了比较使用三联抗生素溶液(1 mg/mL)或氢氧化钙/氯己定糊剂的治疗方案作为原发性根尖周炎牙齿感染根管内的相互作用药物的抗菌效果。

J Endod:冠折恒切牙牙髓切断术使用iRoot BP Plus或氢氧化钙的比较:一项回顾性研究

氢氧化钙作为常规牙髓切断术的盖髓材料已在临床应用许久,但其存在一定的缺点。iRoot BP Plus (Innovative Bioceramix Inc, Vancouver, Canada)是一种全新研发可即刻使用的硅酸钙类生物活性陶瓷材料,具有极佳的生物活性和封闭性能。然而,作为牙髓切断术的盖髓材料,在冠折断恒前牙中应用iRoot BP Plus的效果是否会优于氢氧化钙还未可知。

Clin Oral Invest:氢氧化钙对根管充填质量的影响

本研究的目的是使用毛细管流量测定仪(CFP),评估根管内封氢氧化钙(CH)对根管充填的短期和长期封闭能力的影响。

J Endod:直根管内人造沟的氢氧化钙移除效果:EDDY声波与被动超声荡洗和XPendo Finisher的比较

这篇研究的目的是为了比较EDDY声波活性(VDW, Munich, Germany)、被动超声荡洗(PUI)和XPendo Finisher机械清除(FKG Dentaire, La Chaux-des-Fonds, Switzerland)对移除直根管内人造沟氢氧化钙的效果。

J Endod:载体和振荡方法对氢氧化钙糊剂牙本质小管渗透性的影响

这篇体外研究的目的是为了评估不同载体伴随振荡的方法对氢氧化钙(CH)糊剂渗透入牙本质小管的影响。