J Endod:未成熟恒牙伴随根尖周炎的牙髓再生疗法与根尖诱导成形术的比较:一项前瞻性随机对照试验

2017-09-07 MedSci MedSci原创

这篇研究的目的是为了比较牙髓再生疗法(RET)和根尖诱导成形术治疗未成熟恒牙的牙髓坏死以及根尖周炎的疗效差异。

这篇研究的目的是为了比较牙髓再生疗法(RET)和根尖诱导成形术治疗未成熟恒牙的牙髓坏死以及根尖周炎的疗效差异。研究选取118名患者(118颗牙齿),并随机分派RET或根尖诱导成形术治疗。每个治疗组按照病因的不同又分为2个亚组:牙中牙和外伤。记录患者的临床症状和并发症,并在术后12个月的随访中,通过锥束CT的局限视野模式影像分析根长、根厚度和根尖孔大小的改变。通过t/rank sum检验和Fisher精确检验比较ERT和根尖诱导成形术后的牙根形态差异。结果显示,118例病例中完成12个月随访的共103例。2个治疗组的患牙留存率均为100%。所有病例术后根尖愈合无症状。与根尖诱导成形术组相比,RET组患牙的根长及根厚度均有明显增加(P < .05)。在RET组,病因为牙中牙的病例术后牙根长度和牙根厚度与病因为外伤的病例相比明显增加(P < .05)。结论:从症状不同以及根尖愈合情况来看,RET和根尖诱导成形术的疗效存在一定差异。基于增加的牙根长度和牙根厚度,RET展现出优于根尖诱导成形术的疗效。病因对RET的疗效存在一定的影响。牙中牙的病例在接受RET后的预后要优于外伤引起的病

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    2018-06-16 amyloid
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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1380200, encodeId=c810138020010, 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=24, 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=Sat Sep 09 11:20:00 CST 2017, time=2017-09-09, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1775339, encodeId=c1b61e75339c4, content=<a href='/topic/show?id=937d46650bf' target=_blank style='color:#2F92EE;'>#对照#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46650, encryptionId=937d46650bf, topicName=对照)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8ae138776909, createdName=amyloid, createdTime=Sat Jun 16 03:20:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813302, encodeId=f113181330275, content=<a href='/topic/show?id=467a9188253' target=_blank style='color:#2F92EE;'>#诱导成形术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91882, encryptionId=467a9188253, topicName=诱导成形术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1380200, encodeId=c810138020010, 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=24, 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=Sat Sep 09 11:20:00 CST 2017, time=2017-09-09, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1775339, encodeId=c1b61e75339c4, content=<a href='/topic/show?id=937d46650bf' target=_blank style='color:#2F92EE;'>#对照#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46650, encryptionId=937d46650bf, topicName=对照)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8ae138776909, createdName=amyloid, createdTime=Sat Jun 16 03:20:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813302, encodeId=f113181330275, content=<a href='/topic/show?id=467a9188253' target=_blank style='color:#2F92EE;'>#诱导成形术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91882, encryptionId=467a9188253, topicName=诱导成形术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, 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  7. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1380200, encodeId=c810138020010, 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=24, 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=Sat Sep 09 11:20:00 CST 2017, time=2017-09-09, status=1, ipAttribution=)]
    2017-10-11 jxrzshh
  8. [GetPortalCommentsPageByObjectIdResponse(id=1775339, encodeId=c1b61e75339c4, content=<a href='/topic/show?id=937d46650bf' target=_blank style='color:#2F92EE;'>#对照#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46650, encryptionId=937d46650bf, topicName=对照)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8ae138776909, createdName=amyloid, createdTime=Sat Jun 16 03:20:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813302, encodeId=f113181330275, content=<a href='/topic/show?id=467a9188253' target=_blank style='color:#2F92EE;'>#诱导成形术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91882, encryptionId=467a9188253, topicName=诱导成形术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, 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  9. [GetPortalCommentsPageByObjectIdResponse(id=1775339, encodeId=c1b61e75339c4, content=<a href='/topic/show?id=937d46650bf' target=_blank style='color:#2F92EE;'>#对照#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46650, encryptionId=937d46650bf, topicName=对照)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8ae138776909, createdName=amyloid, createdTime=Sat Jun 16 03:20:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813302, encodeId=f113181330275, content=<a href='/topic/show?id=467a9188253' target=_blank style='color:#2F92EE;'>#诱导成形术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91882, encryptionId=467a9188253, topicName=诱导成形术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, 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  10. 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