牙周牙髓联合病变伴畸形根面沟治疗的临床疗效研究

doi:10.13701/j.cnki.kqyxyj.2020.01.014

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (1): 56-60.DOI: 10.13701/j.cnki.kqyxyj.2020.01.014

牙周牙髓联合病变伴畸形根面沟治疗的临床疗效研究

张睿^1,2, 郑丹^1,2, 孟柳燕^1,2*

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

收稿日期:2019-05-23 出版日期:2020-01-28 发布日期:2020-01-16
通讯作者: 孟柳燕,E-mail:mengliuyan@whu.edu.cn
作者简介:张睿(1975~ ),女,湖北黄梅人,博士,副教授,副主任医师,主要从事根尖周炎炎症机制研究。
基金资助:
国家自然科学基金(编号:81571438)

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

ZHANG Rui^1,2, ZHENG Dan^1,2, MENG Liuyan^1,2*

1. 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;
2. Department of Endodontics, Stomatological Hospital, Wuhan University. Wuhan 430079, China.

Received:2019-05-23 Online:2020-01-28 Published:2020-01-16

摘要/Abstract

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。

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

Abstract: 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.

Key words: palatal radicular groove, endodontic-periodontal lesion, endodontic microsurgery, GTR

张睿, 郑丹, 孟柳燕. 牙周牙髓联合病变伴畸形根面沟治疗的临床疗效研究[J]. 口腔医学研究, 2020, 36(1): 56-60.

ZHANG Rui, ZHENG Dan, MENG Liuyan. Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves.[J]. Journal of Oral Science Research, 2020, 36(1): 56-60.

参考文献

[1] Attam K, Tiwary R, Talwar S, et al. Palatogingival groove: endodontic-periodontal management-case report [J]. J Endod, 2010, 36(10):1717-1720.
[2] Ballal NV, Jothi V, Bhat KS, et al. Salvaging a tooth with a deep palatogingival groove: an endo-perio treatment-a case report [J]. Int Endod J, 2007, 40(10):808-817.
[3] Rud J, Andreasen J, Moller JJ. Radiographic criteria for the assessment of healing after endodontic surgery [J]. Int J Oral Surg, 1972, 1(4) : 195-214.
[4] Kim HJ, Choi Y, Yu MK, et al. Recognition and management of palatogingival groove for tooth survival: a literature review [J]. Restor Dent Endod, 2017, 42(2):77-86.
[5] Smith BE, Carroll B. Maxillary lateral incisor with two developmental grooves [J]. Oral Surg Oral Med Oral Pathol, 1990,70(4):523-525.
[6] Goon WW, Carpenter WM, Brace NM, et al. Complex facial radicular groove in a maxillary lateral incisor [J]. J Endod, 1991, 17(5):244-248.
[7] Karunakaran JV, Fenn SM, Jayaprakash N, et al. Successful surgical management of palatogingival groove using platelet-rich fibrin and guided tissue regeneration: a novel approach [J]. J Pharm Bioallied Sci, 2017, 9(Suppl 1):S268-S273.
[8] Durack C, Patel S. The use of cone beam computed tomography in the management of dens invaginatus affecting a strategic tooth in a patient affected by hypodontia: a case report [J]. Int Endod J, 2011, 44(5):474-483.
[9] Castelo-Baz P, Ramos-Barbosa I, Martín-Biedma B, et al. Combined endodontic-periodontal treatment of a palatogingivalgroove [J]. J Endod, 2015, 41(11):1918-1922.
[10] Cho YD, Lee JE, Chung Y, et al. Collaborative management of combined periodontal-endodontic lesions with a palatogingival groove: a case series [J]. J Endod, 2017, 43(2):332-337.
[11] Tan X, Zhang L, Zhou W, et al. Palatal radicular groove morphology of the maxillary incisors: a case series report [J]. J Endod, 2017, 43(5):827-833.
[12] Garrido I, Abella F, Ordinola-Zapata R, et al. Combined endodontic therapy and intentional replantation for the treatment of palatogingival groove [J]. J Endod, 2016, 42(2):324-328.
[13] Shi S,Bao ZF,Liu Y,et al. Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate [J]. Int Endod J,2015, 49(2) :154-160.
[14] 丁美丽,秦满,郑佳佳,等.新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价[J].口腔医学研究,2018, 34(7) :766-770.
[15] Cortellini P, Tonetti MS. Focus on intrabonydefects:guided tissue regeneration [J]. Periodontol 2000, 2000, 22:104-132.

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.

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

[1]	涂欣冉, 文铖, 闫亮, 杨雪超, 樊明文, 江千舟. 3D打印导板引导下微创直行切口在显微根尖手术中的应用1例[J]. 口腔医学研究, 2020, 36(4): 398-400.
[2]	夏娟, 张洁丽, 叶芷彤, 江千舟, 杨雪超. 动态导航引导下微创根尖手术新方法[J]. 口腔医学研究, 2020, 36(10): 978-982.
[3]	邱小玲, 贾搏, 韩久松, 褚洪星, 孙书昱. 显微根尖手术联合MTA治疗难治性慢性根尖周炎的研究[J]. 口腔医学研究, 2017, 33(7): 770-773.
[4]	杨雪超,赵世勇,江千舟,叶上珠. 三维打印导板辅助下的微创根尖手术新方法[J]. 口腔医学研究, 2016, 32(9): 944-948.
[5]	陈瑶,申静. GTR联合植骨术在显微根尖外科手术中应用的临床观察[J]. 口腔医学研究, 2016, 32(12): 1269-1272.
[6]	高静,申静,张海峰,靳淑凤. 锥形束CT与根尖片对beagle犬显微根尖手术的预后评估[J]. 口腔医学研究, 2016, 32(1): 35-38.