J Endod:CBCT和micro-CT评估根尖周炎牙齿治疗后的根尖止点

2020-08-16 lishiting MedSci原创

这篇研究的目的是通过CBCT和micro-CT评估罹患根尖周炎治的再治疗牙齿在牙髓显微外科(EMS)治疗后的根尖止点以检测可能影响根管治疗效果的相关不同变量。

这篇研究的目的(a)通过CBCT和micro-CT评估罹患根尖周炎治的再治疗牙齿在牙髓显微外科(EMS)治疗后的根尖止点以检测可能影响根管治疗效果的相关不同变量,(b) CBCT和micro-CT结果的一致性,(c)这些变量与症状或损伤大小的关系。

研究从实施了EMS的11例有症状AP以及22例无症状AP牙齿获得临床和CBCT数据以及根尖止点。通过micro-CT扫描根尖样本。CBCT的指标包括根尖X线可透射的范围、根管充填后根尖的宽度/密度和操作误差的发生率。Micro-CT影像评估的指标与CBCT相同,再加上侧支根管和根尖分歧内充填材料的存在与否、根管尖端充填/非充填的体积和未充填根管空间的百分比。评估CBCT/micro-CT结果之间的一致性。

结果显示,牙齿部位、根尖损伤大小<5 mm、未充填体积<0.04 mm3以及未充填根管体积百分比与有症状AP存在显著的关联。上颌牙齿以及不恰当的根尖端充填密度与较大的损伤存在显著的关联。CBCT/micro-CT评分之间的一致性变化为从一般(操作误差)到满意(充填的宽度/密度)。

结论:牙齿部位、损伤大小、未充填根管尖端的体积和未充填根管尖端体积的百分比与有症状AP存在一定的关联性。此外,损伤大小与牙齿位置和根管尖端充填密度存在显著相关性。CBCT可能不能为与治疗后疾病相关的操作误差提供一个有效评估。

原始出处:

Paula A Villa-Machado, Diana M Restrepo-Patiño, et al. Cone-beam computed tomographic and micro-computed tomographic evaluations of the root apexes of teeth with posttreatment apical periodontitis. J Endod., 2020 Jul 16;S0099-2399(20)30496-9. doi: 10.1016/j.joen.2020.07.009.

 

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    2021-02-03 carrotlyl

    涨知识

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    2021-02-18 xjy02
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createdAvatar=, createdBy=fcae472, createdName=zhangbaojun, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1430233, encodeId=83d9143023311, content=<a href='/topic/show?id=b58f6e691fc' target=_blank style='color:#2F92EE;'>#牙齿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67691, encryptionId=b58f6e691fc, topicName=牙齿)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809663, encodeId=ec76809663f9, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200817/2786f976001a4edd9a06b98ec2527751/bef891b389dd48d8a0076e15cba6fc86.jpg, createdBy=72015403602, createdName=ms5000001908858550, createdTime=Mon Aug 17 13:09:56 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809565, encodeId=91898095657a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:34 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809552, encodeId=b6ba809552f9, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53e14744738, createdName=142c8754m35暂无昵称, createdTime=Mon Aug 17 05:15:03 CST 2020, time=2020-08-17, status=1, ipAttribution=)]
    2020-08-19 ms5000000741733160

    👍🏻

    0

  5. 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time=2020-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310440, encodeId=89e21310440b7, content=<a href='/topic/show?id=3e9441e65f' target=_blank style='color:#2F92EE;'>#CBCT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4176, encryptionId=3e9441e65f, topicName=CBCT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1380244, encodeId=79a313802443d, content=<a href='/topic/show?id=48786219204' target=_blank style='color:#2F92EE;'>#根尖周炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62192, encryptionId=48786219204, topicName=根尖周炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fcae472, createdName=zhangbaojun, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1430233, encodeId=83d9143023311, content=<a href='/topic/show?id=b58f6e691fc' target=_blank style='color:#2F92EE;'>#牙齿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67691, encryptionId=b58f6e691fc, topicName=牙齿)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809663, encodeId=ec76809663f9, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200817/2786f976001a4edd9a06b98ec2527751/bef891b389dd48d8a0076e15cba6fc86.jpg, createdBy=72015403602, createdName=ms5000001908858550, createdTime=Mon Aug 17 13:09:56 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809565, encodeId=91898095657a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:34 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809552, encodeId=b6ba809552f9, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53e14744738, createdName=142c8754m35暂无昵称, createdTime=Mon Aug 17 05:15:03 CST 2020, time=2020-08-17, status=1, ipAttribution=)]
    2020-08-18 智慧医人
  6. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200817/2786f976001a4edd9a06b98ec2527751/bef891b389dd48d8a0076e15cba6fc86.jpg, createdBy=72015403602, createdName=ms5000001908858550, createdTime=Mon Aug 17 13:09:56 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809565, encodeId=91898095657a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:34 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809552, encodeId=b6ba809552f9, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53e14744738, createdName=142c8754m35暂无昵称, createdTime=Mon Aug 17 05:15:03 CST 2020, time=2020-08-17, status=1, ipAttribution=)]
  7. 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createdAvatar=, createdBy=fcae472, createdName=zhangbaojun, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1430233, encodeId=83d9143023311, content=<a href='/topic/show?id=b58f6e691fc' target=_blank style='color:#2F92EE;'>#牙齿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67691, encryptionId=b58f6e691fc, topicName=牙齿)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Tue Aug 18 14:34:47 CST 2020, time=2020-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809663, encodeId=ec76809663f9, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200817/2786f976001a4edd9a06b98ec2527751/bef891b389dd48d8a0076e15cba6fc86.jpg, createdBy=72015403602, createdName=ms5000001908858550, createdTime=Mon Aug 17 13:09:56 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809565, encodeId=91898095657a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200814/81d08245657a4a7f9a1ef713c0ec5878/ec4b201a22194a319b1aeb171bc6bb3d.jpg, createdBy=41e02111625, createdName=1581f8c42cm, createdTime=Mon Aug 17 06:33:34 CST 2020, time=2020-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=809552, encodeId=b6ba809552f9, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53e14744738, createdName=142c8754m35暂无昵称, createdTime=Mon Aug 17 05:15:03 CST 2020, time=2020-08-17, status=1, ipAttribution=)]
    2020-08-18 zhouqu_8
  8. 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    2020-08-17 ms5000001908858550

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  9. 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    2020-08-17 1581f8c42cm

    0

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    2020-08-17 142c8754m35暂无昵称

    学习

    0

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