中国实用口腔科杂志

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根管治疗应用于颌骨牙源性囊肿受累牙的处理

邓曲1张燕2胡砚平1   

  1. 1. 厦门医学院附属口腔医院口腔颌面外科,福建 厦门  361006;2. 福建省直机关医院,福建  福州  350000
  • 出版日期:2020-10-15 发布日期:2020-11-23
  • 作者简介:胡砚平,医学博士、教授、主任医师。现任厦门医学院附属口腔医院党委书记。兼任中华口腔医学会口腔颌面外科专业委员会委员,福建省口腔医学会口腔颌面外科专业委员会副主任委员。主要研究方向为口腔颌面部肿瘤。主持省市级科研课题4项。发表学术论文28篇。

  • Online:2020-10-15 Published:2020-11-23

摘要: 手术是治疗颌骨牙源性囊肿的主要方法,但颌骨牙源性囊肿的特殊性在于手术方案的制定涉及患区牙的处理,目前对于受累牙的处理国内外并无公认的指南。当受累牙突入颌骨牙源性囊肿的囊腔时,特别是有功能的活髓牙,仍有不同的治疗方案。大量的研究支持受累牙的保守治疗,而根管治疗是将颌骨牙源性囊肿受累牙长期保存于口腔中的一个重要治疗策略。近年来,随着各类材料和器械的更新,根管治疗更加精密、微创,疗效显著提高。文章收集整理近年来的文献,对受累牙评估、根管治疗及根尖切除术在颌骨牙源性囊肿处理方面的应用做一概述。

关键词: 牙源性囊肿, 根管治疗, 受累牙, 根尖切除术

Abstract: The main management of odontogenic cyst is operation,but the specific area in making up the decisions of management of odontogenic cyst refer to the management of the involved teeth;however,there is no guideline about this at home and abroad. When the root of involved teeth protrude into the cyst cavity,especially the teeth with vital pulp,there is different management decisions to make. Plenty of researches support the decision to preserve the involved teeth,while root canal therapies are the crucial strategy in order to keep the involved teeth in oral cavity. Recently,with the update of various materials and equipment,root canal treatment not only becomes more precise,more minimal invasive,but enhances the curative effect. In this article,we present an overview about the management of odontogenic cyst in three aspects:evaluation of involved teeth,root canal treatment and apicectomy.

Key words: odontogenic cyst, root canal treatment, involved teeth, apicectomy