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三氧化物多聚体应用于根尖屏障的临床疗效评价

Clinical Management of Effect of Apical Barrier with Mineral Trioxide Aggregate(MTA)

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【作者】 刘阗周会喜叶小雅

【Author】 LIU-Tian,YE Xiao-ya,HUANG-Jie.(Guangdong Provincial Stomatological Hospital.Stomatological Hospital of Nanfang Medical University,Guangzhou 510280,China)

【机构】 广东省口腔医院南方医科大学附属口腔医院

【摘要】 目的:评价显微镜下三氧化物多聚体(mineral trioxide aggregate,MTA)用于根尖屏障的临床疗效。方法:选取根尖孔未闭合并伴有根尖炎的恒牙8颗,在根管显微镜下用MTA严密封闭根尖开放部位,硬固后根管行热牙胶充填,定期复查。结果:经过0.5-2年的复查所有病例在治疗后均无临床不适症状,X线片显示5颗患牙根尖阴影明显缩小,3颗完全消失。结论:MTA是一种较理想的根尖屏障修补材料。

【Abstract】 OBJECTIVE:To evaluate the clinical effect of the treatment of open apical teeth with chronic periodontitis using mineral trioxide aggregate(MTA).METHODS:Eight cases,with open canal system,were filled with MTA to creat a 3-5mm apical barrier under operative microscope..The remainder of the canals was filled with ObturaⅡgutta-percha.Then the teeth were rechecked regularly.RESULTS:All the cases had no clinical symptoms after treatment.The recall radiographs indicated that the apical radiolucent areas of the teeth with pre-existing apical lesion decreased apparently or disappeared completely. CONCLUSION:MTA may be an ideal material in treatment of teeth with open apices in adults.

  • 【会议录名称】 全国第三次牙体牙髓病学临床技术研讨会论文汇编
  • 【会议名称】全国第三次牙体牙髓病学临床技术研讨会
  • 【会议时间】2009-10-23
  • 【会议地点】中国重庆
  • 【分类号】R781.3
  • 【主办单位】中华口腔医学会牙体牙髓病学专委会
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