口腔内镜联合超声技术在第二磨牙远中邻面龋坏微创治疗中的应用  

Application of dental endoscope combined with ultrasonic technique in minimally invasive treatment of distal surface caries of the second molar

作　　者：王欢欢 李常旭 郭树琴 WANG Huanhuan;LI Changxu;GUO Shuqin(Department of Stomatology,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Department of Stomatology,Beijing Railway Construction Hospital of China Railway Construction Corporation,Beijing 100039,China)

机构地区：[1]首都医科大学附属北京友谊医院口腔科,100050 [2]北京铁建医院口腔科,100039

出　　处：《武警医学》2024年第12期1046-1048,1052,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的 探讨口腔内镜及超声技术在第二磨牙远中邻面龋坏微创治疗中的应用。方法 收集2022-03至2023-02北京友谊医院及北京铁建医院口腔科就诊的33例患者(智齿阻生致第二磨牙远中邻面龋坏的患牙共36颗),均在内镜辅助下进行单面洞的牙体预备及充填,龈下龋坏组织通过超声技术去除,高强度玻璃离子进行严密充填,观察充填后1周、1个月及12个月临床效果。结果 随访期间,1颗牙出现充填体脱落,1颗牙出现牙髓炎症状,其余34颗牙无继发龋、无牙体劈裂、无牙龈探诊出血等,成功率为94.4%。结论 口腔内镜及超声技术应用到第二磨牙远中邻面龋治疗中,可最大限度保存健康牙体组织,保护牙龈。Objective To investigate the application of dental endoscope combined with ultrasonic technique in minimally invasive treatment of distal surface caries of the second molar.Methods A total of 36 affected teeth with distal surface caries of the second molar due to wisdom tooth impact were collected from 33 patients treated in the stomatology department of Beijing Friendship Hospital and Beijing Railway Construction Hospital of China Railway Construction Corporation from March 2022 to February 2023.Single-sided cavity preparation and filling were performed with the assistance of dental endoscope.The subgingival caries were removed by ultrasound,and high-strength glass ionomer cement was performed to fill closely.The clinical effect of 1 week,1 month and 12 months after filling was observed.Results During the follow-up period,1 tooth had filling body loss,1 tooth had pulpitis,and the other 34 teeth had no secondary caries,no tooth splitting,no gingival bleeding,and the success rate was 94.4%.Conclusions The application of dental endoscopy combined with ultrasound in the treatment of distal surface caries of the second molar can maximize the preservation of healthy dental tissue and protect the gums.

关 键 词：口腔内镜 超声技术 远中邻面龋坏 高强度玻璃离子 微创治疗 

分 类 号：R781.1[医药卫生—口腔医学]