牙周牙髓联合病变伴畸形根面沟治疗的临床疗效研究  

Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves

作　　者：张睿[1,2] 郑丹 孟柳燕[1,2] ZHANG Rui;ZHENG Dan;MENG Liuyan(The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education,School and Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Endodontics,Stomatological Hospital,Wuhan University.Wuhan 430079,China)

机构地区：[1]湖北省口腔基础医学重点实验室-省部共建国家重点实验室培训基地和口腔生物医学教育部重点实验室,湖北武汉430079 [2]武汉大学口腔医院牙体牙髓一科,湖北武汉430079

出　　处：《口腔医学研究》2020年第1期56-60,共5页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81571438)

摘　　要：目的:评价显微根管外科手术联合牙周治疗牙周牙髓联合病变伴畸形根面沟的治疗效果。方法:选择畸形根面沟致牙周牙髓联合病变的患牙11例,经显微根管治疗后,采用显微根管外科手术联合牙周治疗,分别记录患牙术前、术后6个月及术后1年牙周探诊深度(PD)、龈沟出血指数(SBI)、牙齿松动度(TM),并进行统计分析。所有患牙术后6个月及1年复查,通过临床检查和X线片评定根尖周病损愈合结果。结果:术后6月及术后1年分别与术前相比,PD、SBI及TM均明显降低(P<0.05);术后6月成功率为81.82%;术后1年成功率为90.91%。结论:显微根管外科手术联合牙周治疗是畸形根面沟致牙周牙髓联合病变的可行治疗方法。Objective:To evaluate the effect of combined endodontic microsurgery and periodontic management in treating palatal radicular groove.Methods:11 teeth diagnosed as combined periodontal-endodontic lesion with palatal radicular grooves were collected.They were treated with root canal treatment under microscope and then combined endodontic microsurgery and periodontal management.Before surgery,6 months,and one year follow-up after surgery,periodontal probing depth(PD),sulcus bleeding index(SBI),tooth mobility(TM)were measured.The data were statistically analyzed.The results of periapical lesion healing were evaluated by clinical and X-ray examination.Results:PD,SBI,and TM were significantly lowered 6 months and 1 year after surgery than before(P<0.05).The success rate at 6 months follow-up after surgery was 81.82%.The success rate at 1 year after operation was 90.91%.Conclusion:The combination of endodontic microsurgery and periodontal treatment is practical treatment modality in treating combined endodontic-periodontal lesions caused by palatal radicular groove.

关 键 词：畸形根面沟 牙周牙髓联合病损 显微根尖手术 引导组织再生术 

分 类 号：R781.4[医药卫生—口腔医学]