MTA根尖屏障术用于根端囊肿中根尖孔未闭合牙的临床疗效评价

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (10): 988-990.

MTA根尖屏障术用于根端囊肿中根尖孔未闭合牙的临床疗效评价

王蓉¹,蔡育^2*

1. 武汉大学口腔医学院牙体牙髓二科湖北武汉 430079;
2. 武汉大学口腔医学院口腔颌面外科

收稿日期:2015-07-27 出版日期:2015-10-28 发布日期:2016-05-04
通讯作者: 蔡育,电话:027-87686386
作者简介:王蓉(1981~ ),女,湖北人,博士,主治医师,主要从事牙髓病及根尖周病基础及临床研究工作。
基金资助:
国家自然科学基金(编号:81200772)

Clinical Effect of MTA Apical Barrier Technique Used in the Open Apices Teeth Accompanied with Radicular Cyst

WANG Rong¹, CAI Yu^2*

1 Department of Endodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China. 2 Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University, Wuhan 430079, China.

Received:2015-07-27 Online:2015-10-28 Published:2016-05-04

摘要/Abstract

摘要： 目的:观察MTA根尖屏障术治疗根端囊肿中根尖孔未闭合牙的临床疗效。方法:临床确诊为根尖孔未完全闭合伴发根端囊肿24例患者的26颗牙为研究对象,病灶牙均为上颌前牙,术前常规根管预备及消毒,术中刮除囊壁后修整根尖并用超声倒预备根尖部3~5 mm,后同时从冠方及根方加压充填MTA于根尖区3~5 mm,1周后待MTA完全硬固,完善根管充填及修复治疗。结果:24例患者均取得成功,术后2年无复发,且病灶牙与颌骨均愈合良好。结论:根尖孔未闭合牙伴发根端囊肿患者应用MTA行根尖屏障术取得较好的临床疗效,且操作方便,无不良刺激反应,是一种较理想的治疗方法。

关键词: MTA根尖屏障术, 根端囊肿, 根尖孔未闭合牙

Abstract: Objective: To evaluate the clinical effect of MTA apical barrier technique used in the open apices teeth accompanied with radicular cyst. Methods: Twenty-four patients diagnosed with open apices teeth accompanied by radicular cyst were included in this study. All teeth were the upper anterior teeth. Before the surgery all teeth were cleaned and shaped. In the surgery, the open apices were shaped and pluged with 3-5mm MTA after removing the cyst. Until the MTA completely set about one week later, the root filling was performed in the open apices teeth. The patients were followed-up for at least two years. Results: Good result was achieved in all cases. The two-year postoperative X-ray films showed that the apical radiolucent areas of the teeth with pre-existing radicular cyst completely disappeared. No new radiolucency was found around the roots. Conclusion: MTA apical barrier technique is effective in the treatment of open apices teeth accompanied with radicular cyst.

Key words: MTA apical barrier, Open apices teeth, Radicular cyst

中图分类号:

R781.3

王蓉,蔡育. MTA根尖屏障术用于根端囊肿中根尖孔未闭合牙的临床疗效评价[J]. 口腔医学研究, 2015, 31(10): 988-990.

WANG Rong, CAI Yu. Clinical Effect of MTA Apical Barrier Technique Used in the Open Apices Teeth Accompanied with Radicular Cyst[J]. Journal of Oral Science Research, 2015, 31(10): 988-990.

参考文献

[1] Nair PN. New perspectives on radicular cysts: do they heal [J]. Int Endod J, 1998, 31(3)∶155-60
[2] 纪志勇, 张佳莉 ,孟柳燕. 383例根尖周病变的临床病理系统性回顾与分析[J].口腔医学研究,2013,29(10)∶978-981
[3] Lee SJ, Monsef M ,Torabinejad M. Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations [J]. J Endod, 1993, 19(11)∶541-544
[4] Cehreli ZC, Sara S, Uysal S, et al. MTA apical plugs in the treatment of traumatized immature teeth with large periapical lesions [J]. Dent Traumatol, 2011, 27(1)∶59-62
[5] Huang GT. A paradigm shift in endodontic management of immature teeth: conservation of stem cells for regeneration [J]. J Dent, 2008, 36(6)∶379-386
[6] McTigue DJ, Subramanian K ,Kumar A. Case series: management of immature permanent teeth with pulpal necrosis: a case series [J]. Pediatr Dent, 2013, 35(1)∶55-60
[7] Flanagan TA. What can cause the pulps of immature, permanent teeth with open apices to become necrotic and what treatment options are available for these teeth [J]. Aust Endod J, 2014, 40(3)∶95-100
[8] Mohammadi Z. Strategies to manage permanent non-vital teeth with open apices: a clinical update [J]. Int Dent J, 2011, 61(1)∶25-30
[9] Diangelis AJ, Andreasen JO, Ebeleseder KA, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth [J]. Dent Traumatol, 2012, 28(1)∶2-12
[10] Borum MK, Andreasen JO. Therapeutic and economic implications of traumatic dental injuries in Denmark: an estimate based on 7549 patients treated at a major trauma centre [J]. Int J Paediatr Dent, 2001, 11(4)∶249-258
[11] Turkistani J ,Hanno A. Recent trends in the management of dentoalveolar traumatic injuries to primary and young permanent teeth [J]. Dent Traumatol, 2011, 27(1)∶46-54

[1]	黎景景，陈苏蕾，李俊亮，钱雅洁，高雅凡，杨卫东. 4种充填方法对椭圆形根管根尖超填及封闭性能的影响[J]. 口腔医学研究, 2017, 33(10): 1036-1039.
[2]	邵丽娜, 王丝墨, 李晓琳, 仇丽鸿, 于博. miR-146a-5p在慢性根尖周炎病损组织中的表达及临床意义[J]. 口腔医学研究, 2017, 33(6): 650-653.
[3]	何琼琼,杨颖,黄声富,樊明文. TLR4,NOD2和NLRP3在牙髓炎中的表达[J]. 口腔医学研究, 2017, 33(5): 496-499.
[4]	杜小颖,丁威薇,陈悦,迟丹丹. IGF-1通过PI3K/AKT信号通路促进牙髓细胞增殖及碱性磷酸酶活性的研究[J]. 口腔医学研究, 2017, 33(5): 538-541.
[5]	肖燕，沈凯奇. 3D打印纤维桩修复不同形态根管的有限元分析[J]. 口腔医学研究, 2017, 33(3): 273-277.
[6]	于小青，刘宇飞，郭世博，冯瑞明，朱梦莹，薛明. 5种机用镍钛锉预备根管成形能力的比较研究[J]. 口腔医学研究, 2017, 33(3): 286-289.
[7]	张明, 冯岩. 牙髓血运重建术用于根尖孔宽大的年轻恒牙临床疗效分析[J]. 口腔医学研究, 2017, 33(2): 175-178.
[8]	沈苏倩, 李娟, 黄世光. 干细胞因子在人慢性根尖周炎组织中表达的研究[J]. 口腔医学研究, 2017, 33(2): 179-182.
[9]	敖翔,王丽娜,王娇娇,叶丹丹,丁印浩,曲文姝,牛卫东. JAK2-STAT3信号通路在大鼠根尖周炎中表达的相关性研究[J]. 口腔医学研究, 2017, 33(1): 1-5.
[10]	白雨豪,唐路,孟宪杰,赵颖. 显微CT法研究中国人下颌切牙根管系统解剖形态[J]. 口腔医学研究, 2017, 33(1): 70-73.
[11]	梅雪,谢俐萍,金幼虹,叶芳,熊伟,岳黎,姜珊. iRoot BP Plus直接盖髓后比格犬牙髓的反应性变化[J]. 口腔医学研究, 2016, 32(12): 1234-1239.
[12]	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.
[13]	陈霞, 袁通穗, 叶芳, 孙瑜, 杨健, 郭俊, 金幼虹. 牙髓炎不同阶段P2X受体家族在大鼠脑干中的表达变化研究[J]. 口腔医学研究, 2016, 32(10): 1033-1037.
[14]	薛龙, 王立鹤, 聂红兵, 周海静, 郭曼丽, 康永杰, 杨兰. 唾液乳酸杆菌w22a和种植体周围炎致病菌体外作用的初步研究[J]. 口腔医学研究, 2016, 32(10): 1042-1046.
[15]	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.