根管内分离器械的处理评估与取出策略  

Evaluation and removal strategies of the broken instruments in the root canal

作　　者：高原[1] 徐佳蕾[1] 杨倩[1] 黄定明[1] 周学东[1] 

机构地区：[1]口腔疾病研究国家重点实验室华西口腔医院牙体牙髓病科(四川大学),成都610041

出　　处：《国际口腔医学杂志》2016年第3期249-259,共11页International Journal of Stomatology

摘　　要：器械分离是根管治疗过程中较常发生的并发症之一。对于器械分离病例的处理方法分为保守治疗、外科显微手术治疗或拔除,针对不同的病例进行具体评估与分析,进而选择合适的治疗方案尤为重要。本文在分析总结了器械分离的原因及相关因素并结合了临床实践的基础上,阐述器械分离的具体处理及评估方法,重点介绍取出根管内分离器械的策略,为临床医生处理根管内器械分离的病例提供参考依据。Separation of endodontic instruments within the root canal is one of the common complications during root canal preparation. Management of separated instruments includes orthograde approaches, surgical approaches and extraction. It is essential to evaluate the conditions of specific cases in order to choose the proper approach. Based on the review of literatures and clinical experiences in dealing with broken instruments, the present article proposes the evaluation methods and management options, especially emphasizing the removal strategies, which may help dentists in treating the separated instrument cases.

关 键 词：器械分离 评估 取出 牙本质厚度 

分 类 号：R781.05[医药卫生—口腔医学]