老年人阻塞根管治疗复杂性探讨  

Complexity of Obstructed Root Canal Treatment in Elderly Patients

作　　者：蒋文凯 吕海鹏 张亚庆 JIANG Wen-kai;LV Hai-peng;ZHANG Ya-qing(State Key Laboratory of Military Stomatology,National Clinical Research Center for Oral Diseases,Shanxi Key Laboratory of Stomatology,Department of Operative Dentistry & Endodontics,School of Stomatology,Fourth Military Medical University,Xi'an 710032,China)

机构地区：[1]军事口腔医学国家重点实验室国家口腔疾病临床医学研究中心陕西省口腔医学重点实验室第四军医大学口腔医院牙体牙髓病科,陕西西安710032

出　　处：《口腔医学研究》2019年第3期221-223,共3页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81700951;81803186);陕西省自然科学基础研究计划一般项目(面上)(编号:2018JM7123);陕西省科学技术研究发展计划项目(编号:2017SF-203;2017SF-118);陕西省高校科协青年人才托举计划项目(编号:20170403;20180303)

摘　　要：老年患者的牙齿由于增龄性变化,以及长期的磨耗、颈部缺损、慢性龋坏、牙周病等刺激导致根管细小、缩窄甚至钙化闭锁,形成根管阻塞。髓腔和根管内阻塞为老年人根管治疗带来了极大困难。此外老年人特殊的心理和生理特点及口腔情况的复杂性,其阻塞根管的根管治疗对于年轻医生有很大难度。本文针对老年人根管阻塞的病因、根管阻塞的诊断方法、老年人根管阻塞治疗方法的特殊性3个方面对老年人阻塞根管的诊断和治疗进行初步探讨。Due to age-related changes, as well as long-term teeth attrition, wedge-shaped defects, chronic caries, periodontal disease, the root canals of elderly patients' teeth turn to be small, narrow and even calcification. In addition, the special psychological and physiological characteristics of the elderly patients and their complexity of the oral condition make the root canal treatment of blocked root canals is quite difficult for young dentists. Therefore, the purpose of this paper is to preliminarily discuss the following situations: the etiology of root canal obstruction, the diagnosis of root canal obstruction, and the special treatment of root canal obstruction in the elderly.

关 键 词：老年口腔 阻塞根管 根管治疗 

分 类 号：R781.05[医药卫生—口腔医学]