年轻恒前牙外伤后牙髓愈合的诊断探讨  

Explore the diagnosis of cure pulp after injured young permanent anterior teeth

作　　者：张毅[1] 胡顺广[1] 郑美真 卢丽虹[1] 辛伦忠 魏远坚[1] 柯爱文 

机构地区：[1]汕头市第二人民医院口腔科,广东省汕头515031

出　　处：《中国基层医药》2006年第1期13-14,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省汕头市重点科技计划项目[汕市财文(2002)70号]

摘　　要：目的总结年轻恒前牙损伤后牙髓愈合的鉴别诊断经验。方法选择牙体完整的损伤为试验组,经过常规和试验性的治疗后,综合判断其牙髓愈合情况;随机选择门诊适龄非恒前牙疾病儿童作为对照组,进行电活力、温度测试。结果试验组102颗牙移位、牙震荡病例中,牙髓愈合的患牙有18颗电活力测试出现阴性或不确定(假阴性);26颗离体脱位牙治疗后牙髓愈合有5颗电活力测试出现同样的现象,与同样进行两种测试的对照组62颗正常年轻恒前牙的结果对比,差异无显著意义(P>0.05)。结论对年轻恒前牙损伤后牙髓愈合的诊断要慎重,辅助检查、临床表现以及X线动态观察等手段均有助于牙髓愈合的判定。Objective To explore the differential diagnosis in cure pulp after injured young permanent tceth, for decrease the erroneous diagnosis. Methods The cases in complete injured teeth of shift,vibration and lost as experiment group were taken electric pulp testing, thermometry testing, X-ray examining and clinical observing for general evaluated cure pulp condition by regular and trail therapy. The cases of non-permanent anterior recth pulp disease in children as control group were taken electric pulp testing and thermometry testing. Results There were 18 cure pulp teeth in negative or indefinite with electric pulp testing of 102 teeth of shift or vibration in trail group. There were 5 cure pulp teeth of 26 lost teeth in the same appearance. There were no significant differences between experimere and cont.rol group that 62 normal young permanent anterior were also taken electric pulp ,esting and thermometry testing（P 〉 0.05）, Conclusions It should be prudent for diagnosis of cure pulp after injured young permanent anterior teeth that the clinical displaying and X-ray trend observing are useful for evaluating cure pulp condition.

关 键 词：年轻恒前牙损伤 牙髓愈合 诊断 鉴别诊断 

分 类 号：R782[医药卫生—口腔医学]