口腔手术显微镜应用于隐裂牙临床诊断和治疗的效果观察  

Clinical evaluation of diagnosis and treatment of cracked tooth with dental operating microscope

作　　者：张静[1] 施亮[1] 蔡超雄[1] 张志清[1] 赵望泓[2] 

机构地区：[1]佛山市第二人民医院口腔科,广东佛山528000 [2]南方医科大学南方医院.南方医科大学口腔医学院

出　　处：《广东牙病防治》2015年第7期373-376,共4页Journal of Dental Prevention and Treatment

基　　金：佛山市卫生和计生局医学科研立项课题(2015355)

摘　　要：目的探讨口腔手术显微镜在隐裂牙临床诊断和治疗中的应用效果。方法对136颗无龋、无充填、无牙周疾病的患牙,采用隐裂牙的一般诊断方法和染色法结合口腔手术显微镜进行诊断,根据临床症状和裂纹深度对隐裂牙分类治疗,其中58颗中浅层无牙髓炎临床症状的隐裂患牙,经调牙合后在显微镜下磨除隐裂裂隙,光固化复合树脂充填后行全冠修复;78颗近髓或有牙髓炎、根尖周炎症状的隐裂牙,在显微镜下一次性完成根管治疗后全冠修复。所有病例随访观察6个月。结果 136颗患牙中有15颗患牙通过隐裂牙的一般诊断方法无法明确诊断,采用染色法结合口腔手术显微镜检查后诊断,58颗中浅层隐裂牙,成功46颗,成功率79.31%;78颗近髓或有牙髓炎、根尖周炎症状的隐裂牙,成功73颗,治疗成功率93.59%。结论口腔手术显微镜的应用对隐裂牙的诊断及治疗有指导意义。Objective To investigate the effectiveness of dental operating microscope on the diagnosis and compre-hensive therapy of cracked teeth.Methods Comprehensive methods were used to treat 136 cracked-teeth with dental op-erating microscope after occlusion adjustment, in which, 58 were filled with composite resin and then received full crown restoration under dental operating microscope;78 received full crown after root canal therapy under dental operating mi-croscope.Results After 6-month follow-up, 46 of 58 teeth with mild cracks were treated successfully （ 79.31%）;while 73 of 78 teeth with severe cracks were treated successfully （93.59%）.Conclusion Comprehensive diagnosis and treatment for the cracked teeth with dental operating microscope is effective and worth promoting.

关 键 词：隐裂牙 口腔手术显微镜 全冠修复 

分 类 号：R781.2[医药卫生—口腔医学]