不同治疗方法在隐裂牙中的回顾性分析  

Retrospective analysis of different treatment methods in cracked tooth

作　　者：王密 刘芳[1] 陈菁菁[1] 赵虎[1] WANG Mi;LIU Fang;CHEN Jingjing;ZHAO Hu(The Second Department of Stomatology,No.1 Central Hospital of Baoding,Baoding 071000,China)

机构地区：[1]河北省保定市第一中心医院口腔二科,河北保定071000

出　　处：《医学研究与教育》2023年第3期22-27,共6页Medical Research and Education

基　　金：保定市科学技术研究与发展计划项目(2241ZF047)。

摘　　要：目的通过回顾性分析隐裂牙的临床资料,描述隐裂牙的分布情况,采取不同治疗方法后患牙5年有效率的分析,为隐裂牙的临床治疗提供参考。方法选取保定市第一中心医院口腔科2015年1月至2016年12月收治的141例隐裂牙作为研究对象,回顾性分析患者的临床资料、治疗方法以及治疗效果。结果患者的平均年龄为(47.61±11.82)岁。上颌磨牙隐裂发生率较高,为53.19%;裂纹常见于远中隐裂纹,为37.59%。69例隐裂纹深达髓腔的隐裂牙,采取根管治疗,5年有效率为85.51%,其中55例进行全冠修复,5年有效率为92.73%;14例未行全冠修复,5年有效率为57.14%。72例隐裂纹未达髓腔的隐裂牙,55例采取充填治疗,5年有效率为92.73%;17例采取降[牙合]治疗,5年有效率为70.59%。结论对于隐裂纹未达髓腔的隐裂牙,与降相比,采取充填治疗的隐裂牙5年有效率相对较高。对于隐裂纹深达髓腔的隐裂牙,建议采取根管治疗结合全冠修复。Objective To analyze the clinical data of cracked teeth,describe the distribution of cracked teeth and analyze the five-year survival rate of teeth after different treatment methods,so as to provide reference for the clinical treatment of cracked teeth.Methods 141 cases of cracked teeth treated in our hospital from January 2015 to December 2016 were selected as the research subjects.The clinical data,treatment methods and therapeutic effect of the patients were analyzed retrospectively.Results The average age of the patients was 47.61±11.82 years old.The incidence of cracked teeth in maxillary first molars was high(53.19%),and cracks were common in far hidden cracks(37.59%).69 teeth with hidden cracks deeping into the pulp cavity were treated with root canal therapy.The 5-year survival rate was 85.51%,Total crown restoration was performed in 55 cases,and the 5-year survival rate was 92.73%.14 cases did not undergo total crown restoration,and the 5-year survival rate was 57.14%.For 72 teeth with unextended hidden cracks and pulp cavity,55 cases were treated with filling,and the 5-year survival rate was 92.73%.17 cases were treated with descending treatment,and the 5-year survival rate was 70.59%.Conclusion For the cracked teeth with unextended hidden cracks and pulp cavity,the five-year survival rate of the cracked teeth treated with filling was relatively higher than that of the cracked teeth treated with filling.Root canal therapy and crown repair were mostly used for cracked teeth with deep lines reaching the pulp cavity.

关 键 词：牙隐裂 全冠修复 有效率 根管治疗 充填治疗 降[牙合] 

分 类 号：R78[医药卫生—口腔医学]