上颌第一恒磨牙逆行性牙髓炎的治疗探讨

摘要

Objective To observe the therapy and curative effect of ascending pulpitis on maxillary ifrst molar. Methods 23 maxillary ifrst molars with ascending pulpitis were divided into two groups:mild case and severe case. To cure the mild case with periodontal therapy. To cure the severe case with combined periodonto-endodontic therapy. To observe the result of each treatment. Results The effective power of 10 mild case with periodontal therapy is 85.0%while the effective power of 13 mild case with combined periodonto-endodontic therapy is 92.3%after 1 year’s follow-up visit. Conclusions When the inlfammation of dental pulp ismild, periodontal therapy seem to be a effective method, while the combined periodonto-endodontic therapy could be used to cure the acute inlfammation to gain optimistic effect. We could choose different treatment according to the pathogenetic condition in clinical.%目的探究上颌第一恒磨牙逆行性牙髓炎的治疗方法及效果。方法对23例上颌第一恒磨牙逆行性牙髓炎患者根据病情分轻型，重型两组，分别进行单纯牙周治疗和牙周牙髓联合治疗，观察疗效。结果经1年随访，23例患者中进行单纯牙周治疗的10例有效率为85.0%。牙周牙髓联合治疗的13例有效率达92.3%。结论当逆行性牙髓炎的牙髓炎症为亚急性或充血状态时，单纯牙周治疗即可取得较好疗效；为急性炎症时，牙周牙髓联合治疗可以取得较好疗效，临床上可以根据病情选择治疗方式。