牙隐裂的临床研究进展  

Updates of cracked tooth

作　　者：于浩杰 朱海华[1] YU Hao-jie;ZHU Hai-hua(Stomatology Hospital,Zhejiang University School of Medicine Zhejiang 310006 China)

机构地区：[1]浙江大学医学院附属口腔医院,医师浙江310006

出　　处：《口腔颌面修复学杂志》2018年第5期316-320,共5页Chinese Journal of Prosthodontics

摘　　要：牙隐裂即牙体硬组织的不完全折裂,不仅是一个疾病而且是一个牙周牙髓、生物力学问题的促进因素,用于鉴别病因并判断牙髓根尖周组织的状态。隐裂早期诊断困难,精确诊断与个体化治疗对预后至关重要,对隐裂诊断、治疗、预后及预防做一综述,为临床诊治提供参考,提高患者的口腔健康质量。识别隐裂的早期症状,联合应用高效的诊断方法,采用排除法进行诊断。牙髓牙周状态决定治疗计划,临床上根据裂纹的位置、大小及方向采取相应的治疗措施,预防折裂的意识和措施需贯穿治疗始终。Cracked tooth have been defined as teeth with incomplete fracture. However, a tooth crack is not a disease,but instead a factor that can facilitate periodontal and pulpal disease, and biomechanical dental problems. Furthermore a tooth crack can provide information on the status of the pulp and the periradicular tissues. It is difficult to diagnose cracked tooth in the early stage. Accurate diagnosis and individualized treatment of cracked tooth are important. The review provides detailed information relating to guidelines on how to treat, diagnose, and prevent cracked tooth. The objective of this article is to derive an accurate diagnosis and individualized treatment of cracked tooth. The early diagnosis has being associated with a careful assessment of the symptoms and the combined use of efficient diagnosis methods. Furthermore, cracked tooth can be identified with a exclusive method. The pulpal and periapical diagnoses determine the treatment plan. The treatment plans for cracked teeth vary based on the location,size and extent of the crack. The consciousness and measures of prevention,which is to prevent further propagation of the crack, should be throughout the whole therapeutic course.

关 键 词：牙隐裂 精确诊断 个体化治疗 

分 类 号：R781[医药卫生—口腔医学]